Abstract
This study examined the prevalence and correlates of sleep disturbance in adolescents. Two hundred seventy-seven 9th- and 10th-grade students completed a questionnaire on sleep quality, sleep habits, beliefs about sleep, and daytime mood and functioning. Based on their responses, subjects were classified as good sleepers (66%), occasional poor sleepers (23%), and chronic poor sleepers (11%). Occasional and chronic poor sleepers reported being significantly more depressed, without energy, tense, moody, and irritable and less rested and alert than good sleepers. They were also more likely to describe themselves negatively. However, poor sleepers were not consistently more tired than good sleepers. Rather, they tended to be least tired in the evening, the time when most good sleepers reported feeling tired. There were few differences in the sleep habits and beliefs about sleep of good and poor sleepers. All subjects reported shifts in bedtimes and waketimes from weekdays to weekends, with occasional and chronic poor sleepers showing a tendency toward greater shifts, a possible factor contributing to their sleep disturbance. Occasional and chronic poor sleepers also reported more observable behaviors and feelings of stress than good sleepers. The need for early intervention with particular attention to teaching adolescents about good sleep habits and the need for stable bedtimes and waketimes and the possibility of joint intervention on daytime stress and sleeping problems are discussed.
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Anders, T. F., Carskadon, M., Dement, W., and Harvey, K. (1978). Sleep habits of children and the identification of pathologically sleepy children.Child Psychiat. Hum. Dev. 9(1): 57–63.
Anders, T., Carskadon, M., and Dement, W. (1980). Sleep and sleepiness in children and adolescents.Pediat. Clin. No. Am. 27(4): 29–43.
Bertelson, A., and Monroe, L. J. (1979). Personality patterns of adolescent poor and good sleepers.J. Abnorm. Child Psychol. 7(2): 191–197.
Bixler, W. O., Kales, A., Soldatos, C. R., Kales, D., and Healey, S. (1979). Prevalence of sleep disorders in the Los Angeles Metropolitan.Am. J. Psychiat. 136(10): 1257–1262.
Carskadon, M. (1979).Determinants of Daytime Sleepiness, Adolescent Development, Extended and Restricted Sleep Ph.D. thesis, Stanford University, Stanford, Calif.
Carskadon, M., Dement, W., Mitler, M. M., Guilleminault, C., Zarcone, V. P., and Spiegel, R. (1976). Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia.Am. J. Psychiat. 133: 1382–1388.
Hauri, P., and Sobel, R. (1977). Sleep and sleep pathology in rural 19-year-olds.Sleep Res. 6.
Hauri, P., Percy, L., Olmstead, E., and Sateia, M. (1980). Childhood onset insomnia.Sleep Res. 9: 201.
Karacan, I., Thornby, I., Anch, M., Holzer, C., Warheit, G., Schwab, J., and Williams, R. (1976). Prevalence of sleep disturbance in a primary urban Florida county.Soc. Sci. Med. 10: 239–244.
Kirmil-Gray, K., Eagleston, J. R., Thoresen, C. E., and Zarcone, V. P. (1985). Brief consultation and stress management treatments for drug-dependent insomnia: Effects on sleep quality, self-efficacy, and daytime stress.J. Behav. Med. 8: 79–99.
Korlath, J., Baizerman, M., and Williams, S. (1976). Twin city adolescent health attitudes, knowledge, and behavior.Center Q. Focus 1–6.
Marks, P. A., and Monroe, L. J. (1976). Correlates of adolescent poor sleepers.J. Abnorm. Psychol. 83: 243–246.
Price, V. A., Coates, T. J., Thoresen, C. E., and Olmstead, O. A. (1978). Prevalence and correlates of poor sleep among adolescents.Am. J. Dis. Child. 132: 583–586.
Thoresen, C. E., and Kirmil-Gray, K. (in press). Behavioral treatment of insomnia. In Mazur, F. (ed.),Psychological Techniques in Primary Care: A Problem Management Handbook for the Health Professional, Plenum, New York.
White, L., Hahn, P. M., and Mitler, M. M. (1980). Sleep questionnaire in adolescents.Sleep Res. 9: 100.
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This research was supported by NIMH Grant MH27551. We gratefully acknowledge Kristen Thoresen and Daytime Stress and Sleep Project staff for their help in conducting this study. We also thank Mary Carskadon for her comments and suggestions on the manuscript.
Received her Ph.D. from Stanford University and is currently Director of the Health in Youth Project, a study of chronic stress and Type A behavior in children and adolescents.
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Kirmil-Gray, K., Eagleston, J.R., Gibson, E. et al. Sleep disturbance in adolescents: Sleep quality, sleep habits, beliefs about sleep, and daytime functioning. J Youth Adolescence 13, 375–384 (1984). https://doi.org/10.1007/BF02088636
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DOI: https://doi.org/10.1007/BF02088636