Skip to main content
Log in

Sleep problems in adolescence A study of senior high school students in Greece

  • ORIGINAL CONTRIBUTION
  • Published:
European Child & Adolescent Psychiatry Aims and scope Submit manuscript

Abstract

Objectives

The aim of this study was to evaluate sleep habits and sleep-related problems in high school adolescent students in Greece through the Athens Insomnia Scale and to assess the relation of these problems to demographic and other variables.

Methods

The Athens Insomnia Scale 5-item version (AIS-5) was administered to 713 adolescent senior high school students in the Greater Athens Area. Data such as age, sex, school records, and time spent per week in school-related and extracurricular activities were collected.

Results

The sample’s mean sleep duration was 7.5 h, mean bedtime 00.20 a.m. and wake-up time 7.15 a.m. Total sleep time was not affected by gender, but was influenced by time spent in various activities. Sleep complaints were related to delayed sleep, onset latency and insufficient total duration of sleep. Of the respondents, 30% estimated that their sleep onset latency was markedly delayed and 30% reported that their total sleep time was markedly insufficient. Girls complained more than boys, while correlations showed that students with lower academic performance and those in second grade were more likely to have higher AIS-5 scores.

Conclusions

The results show that the sleep time of high school students is dependent on practical matters such as school schedule and other activities, while sleep complaints are related to female gender, bad school performance as well as to the second grade. The difference between actual sleep time and sleep complaints should be considered when studying the sleep of adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Arakawa M, Taira K, Tanaka H, Yamakawa K, Toguchi H, Kadekaru H, Yamamoto Y, Uezu E, Shirakawa S (2001) A survey of junior high school students’ sleep habit and lifestyle in Okinawa. Psychiatry Clin Neurosci 55(3):211–212

    Article  CAS  PubMed  Google Scholar 

  2. Carskadon MA (1990) Patterns of sleep and sleepiness in adolescents. Pediatrician 17(1):5–12

    CAS  PubMed  Google Scholar 

  3. Carskadon MA, Vieira C, Acebo C (1993) Association between puberty and delayed phase preference. Sleep 16(3):258–262

    CAS  PubMed  Google Scholar 

  4. Carskadon MA, Wolfson AR, Acebo C, Tzischinsky O, Seifer R (1998) Adolescent sleep patterns, circadian timing, and sleepiness at a transition to early school days. Sleep 21(8):871–881

    CAS  PubMed  Google Scholar 

  5. Epstein R, Chillag N, Lavie P (1998) Starting times of school: effects on day-time functioning of fifth-grade children in Israel. Sleep 21(3):250–256

    CAS  PubMed  Google Scholar 

  6. Ferber R (1990) Sleep schedule-dependent causes of insomnia and sleepiness in middle childhood and adolescence. Pediatrician 17(1):13–20

    CAS  PubMed  Google Scholar 

  7. Fukuda K, Ishihara K (2001) Age-related changes of sleeping pattern during adolescence. Psychiatry Clin Neurosci 55(3):231–232

    Article  CAS  PubMed  Google Scholar 

  8. Gau SE, Soong WT (1995) Sleep problems of junior high school students in Taipei. Sleep 18:667–673

    CAS  PubMed  Google Scholar 

  9. Holmen TL, Barrett-Connor E, Holmen J, Bjermer L (2000) Health problems in teenage daily smokers versus nonsmokers, Norway, 1995–1997: the Nord-Trondelag Health Study. Am J Epidemiol 151(2):148–155

    CAS  PubMed  Google Scholar 

  10. Ipsiroglu OS, Fatemi A, Werner I, Paditz E, Schwarz B (2002) Self-reported organic and nonorganic sleep problems in schoolchildren aged 11 to 15 years in Vienna. J Adolesc Health 31(5):436–442

    Article  PubMed  Google Scholar 

  11. Jeammet Ph (1981) Peut-on parler d’une spécificité de la psychopathologie de l’adolescence? L’Information Psychiatrique 57:171–182

    Google Scholar 

  12. Kelman BB (1999) The sleep needs of adolescents. J School Nurs 15(3):14–19

    CAS  Google Scholar 

  13. Laberge L, Petit D, Simard C, Vitaro F, Tremblay RE, Montplaisir J (2001) Development of sleep patterns in early adolescence. J Sleep Res 10(1):59–67

    Article  CAS  PubMed  Google Scholar 

  14. Levy D, Gray-Donald K, Leech J, Zvagulis I, Pless IB (1986) Sleep patterns and problems in adolescents. J Adolesc Health Care 7(6):386–389

    CAS  PubMed  Google Scholar 

  15. Lexcen FJ, Hicks RA (1993) Does cigarette smoking increase sleep problems? Percept Mot Skills 77:16–18

    CAS  PubMed  Google Scholar 

  16. Liu X, Uchiyama M, Okawa M, Kurita H (2000) Prevalence and correlates of self-reported sleep problems among Chinese adolescents. Sleep 23(1):27–34

    PubMed  Google Scholar 

  17. Manni R, Raui MT, Marchioni E, Castelnovo G, Murelli R, Sartori I, Galimberti CA, Tartara A (1997) Poor sleep in adolescents: a study of 869 17-year-old Italian secondary school students. J Sleep Res 6:44–49

    Article  CAS  PubMed  Google Scholar 

  18. Mantz J, Muset A, Winter AS (2000) The characteristics of sleep-wake rhythm in adolescents aged 15–20 years. A survey made at school during ten consecutive days. Arch Paediatr 7(3):256–262

    Article  CAS  Google Scholar 

  19. Marcelli D, Braconnier A (1988) Perturbations de conduites d’endormissement et du sommeil. In: Marcelli D, Braconnier A (eds) Psychopathologie de l’adolescent. Paris, Edit Masson, pp 143–148

  20. Murata K, Araki S (1993) Menarche and sleep among Japanese schoolgirls: an epidemiological approach to onset of menarche. Tohoku J Exp Med 171(1):21–27

    CAS  PubMed  Google Scholar 

  21. Ohayon MM, Roth T (2002) Prevalence of restless legs syndrome and periodic limb movement disorder in the general population. J Psychosom Res 53(1):547–554

    PubMed  Google Scholar 

  22. Park YM, Matsumoto K, Shinkoda H, Nagashima H, Kang MJ, Seo YJ (2001) Age and gender difference in habitual sleep-wake rhythm. Psychiatry Clin Neurosci 55(3):201–202

    Article  CAS  PubMed  Google Scholar 

  23. Price VA, Coates TJ, Thoresen CE, Grinstead OA (1978) Prevalence and correlates of poor sleeper among adolescents. Am J Dis Child 132:583–586

    CAS  PubMed  Google Scholar 

  24. Roberts RE, Roberts CR, Chen IG (2000) Ethnocultural differences in sleep complaints among adolescents. J Nerv Ment Dis 188(4):222–229

    Article  CAS  PubMed  Google Scholar 

  25. Rutter M, Graham P, Chadwick DFD, Yule W (1976) Adolescent turmoil: fact or fiction. J Child Psychol Psychiatry 17:35–56

    CAS  PubMed  Google Scholar 

  26. Saarenpaa-Heikkila O, Laippala P, Koivikko M (2001) Subjective daytime sleepiness and its predictors in Finnish adolescents in an interview study. Acta Paediatr 90(5):552–557

    Article  CAS  PubMed  Google Scholar 

  27. Schuen JN, Millard SL (2000) Evaluation and treatment of sleep disorders in adolescents. Adolesc Med 11(3):605–616

    CAS  PubMed  Google Scholar 

  28. Shikoda H, Matsumoto K, Park YM, Nagashima H (2000) Sleep-wake habits of schoolchildren according to grade. Psychiatry Clin Neurosci 54(3):287–289

    Article  PubMed  Google Scholar 

  29. Soldatos C, Madianos M, Vlachonikolis I (1982) Early afternoon napping: a fading Greek habit. Sleep, Supplement 6th European Congress on Sleep Research, pp 202–205

    Google Scholar 

  30. Soldatos CR, Dikeos DG, Paparrigopoulos TJ (2000) Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res 48:555–560

    Article  CAS  PubMed  Google Scholar 

  31. Soldatos CR, Dikeos DG, Paparrigopoulos TJ (2003) The diagnostic validity of the Athens Insomnia Scale. J Psychosom Res 55:263–267

    Article  PubMed  Google Scholar 

  32. Tynjala J, Kannas L, Levalahti E (1997) Perceived tiredness among adolescents and its association with sleep habits and use of psychoactive substances. J Sleep Res 6(3):189–198

    Article  CAS  PubMed  Google Scholar 

  33. Tynjala J, Kannas L, Valimaa R (1993) How young Europeans sleep. Health Educ Res 8(1):69–80

    CAS  PubMed  Google Scholar 

  34. Verlander LA, Benedict JO, Hanson DP (1999) Stress and sleep patterns of college students. Percept Mot Skills 88:893–898

    CAS  PubMed  Google Scholar 

  35. Vigneau J, Bailly D, Duhamel A, Vervaccke P, Beuscart R, Collinet C (1997) Epidemiologic study of sleep quality and troubles in French secondary school adolescents. J Adolesc Health 21:343–350

    Article  PubMed  Google Scholar 

  36. Wolfson AR, Carskadon MA (1998) Sleep schedules and daytime functioning in adolescents. Child Devel 69(4):875–887

    CAS  Google Scholar 

  37. Yang L, Zuo C, Eaton LF (1987) Research note: sleep problems of normal Chinese adolescents. J Child Psychol Psychiatry 28:167–172

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Helen Lazaratou.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lazaratou, H., Dikeos, D.G., Anagnostopoulos, D.C. et al. Sleep problems in adolescence A study of senior high school students in Greece. Europ.Child & Adolescent Psych 14, 237–243 (2005). https://doi.org/10.1007/s00787-005-0460-0

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00787-005-0460-0

Key words

Navigation