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The Relationship Between Intraindividual Sleep-Wake Variability and Mental Health in Adolescents
Misol Kwon1,2,3, Young S Seo4, Brant P Hasler5
1Division of Sleep Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Irregular sleep-wake patterns in adolescents are linked to poorer sleep quality, increased depressive symptoms, and higher rates of problematic alcohol use. These findings highlight the clinical importance of consistent sleep schedules for adolescent mental health.
Area of Science:
- Sleep Science
- Adolescent Health
- Mental Health Research
Background:
- Adolescence is a critical period for development, with sleep patterns undergoing significant changes.
- Irregular sleep-wake schedules are increasingly recognized as a potential risk factor for various health issues.
- Understanding the specific associations between sleep irregularity and mental health outcomes in adolescents is crucial.
Purpose of the Study:
- To investigate the relationship between irregular sleep-wake patterns and aspects of sleep and mental health in adolescents.
- To differentiate the impact of day-to-day variability (intraindividual variability) versus weekly shifts (social jet lag) in sleep timing.
Main Methods:
- A community-based sample of 200 adolescents (mean age 16.8, 61.7% female) completed baseline assessments.
- Participants wore wrist actigraphy for 7-8 consecutive days to objectively measure sleep patterns.
- Irregularity was assessed using intraindividual variability (IIV) in total sleep time, sleep onset, and offset, and social jet lag (SJL) between school and non-school days.
Main Results:
- Greater IIV in total sleep time was associated with poorer sleep quality and increased depressive symptoms.
- Greater IIV in sleep offset time was linked to more depressive symptoms and problematic alcohol use.
- Greater SJL was associated with poorer sleep quality and fewer problematic alcohol uses.
Conclusions:
- Findings underscore the negative impact of sleep-wake pattern irregularity on adolescent sleep quality and mental health.
- Both day-to-day variability and weekly shifts in sleep timing are associated with adverse outcomes.
- These results contribute to the growing evidence base on the clinical implications of irregular sleep in adolescents.
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