Sleep and waking behaviors change significantly during the adolescent years. The objective of this study was to describe the relation between adolescents' sleep/wake habits, characteristics of students (age, sex, school), and daytime functioning (mood, school performance, and behavior). A Sleep Habits Survey was administered in homeroom classes to 3,120 high school students at 4 public high schools from 3 Rhode Island school districts. Self-reported total sleep times (school and weekend nights) decreased by 40-50 min across ages 13-19, ps 120 min) reported increased daytime sleepiness, depressive mood, and sleep/wake behavior problems, ps < .05, versus those sleeping longer than 8 hr 15 min with less than 60 min weekend delay. Altogether, most of the adolescents surveyed do not get enough sleep, and their sleep loss interferes with daytime functioning.

https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-8624.1998.tb06149.x

Sleep Schedules and Daytime Functioning in Adolescents

https://pure.rug.nl/ws/files/6682390/2004CurrBiolRoennebergSupp.pdf

A marker for the end of adolescence.

https://pure.rug.nl/ws/files/6712602/2007SleepMedRevRoenneberg.pdf

Epidemiology of the human circadian clock.

http://www.kvccdocs.com/KVCC/2013-Summer/PSY101-OL/content/L-04/sleep-loss.pdf

Sleep loss, learning capacity and academic performance

The interest in the systematic study of the circadian typology (CT) is relatively recent and has developed rapidly in the two last decades. All the existing data suggest that this individual difference affects our biological and psychological functioning, not only in health, but also in disease. In the present study, we review the current literature concerning the psychometric properties and validity of CT measures as well as individual, environmental and genetic factors that influence the CT. We present a brief overview of the biological markers that are used to define differences between CT groups (sleep-wake cycle, body temperature, cortisol and melatonin), and we assess the implications for CT and adjustment to shiftwork and jet lag. We also review the differences between CT in terms of cognitive abilities, personality traits and the incidence of psychiatric disorders. When necessary, we have emphasized the methodological limitations that exist today and suggested some future avenues of work in order to overcome these. This is a new field of interest to professionals in many different areas (research, labor, academic and clinical), and this review provides a state of the art discussion to allow professionals to integrate chronobiological aspects of human behavior into their daily practice.

Circadian typology: a comprehensive review.

The objective of this work was to study the relationship between daily sleep time and characteristics of students, e.g. grade level, gender, and academic program. A sleep habit questionnaire was designed to survey students at two junior high schools, one from northern Taipei and the other from southern Taipei. The impact of shortened duration of sleep on daily function was also evaluated. A total of 965 students and their parents were selected randomly in December 1993 for the questionnaire study. The response rate was 96.4% (930) for students and 88.6% (855) for parents. The self-reported daily sleep time of students declined, and daytime sleepiness and moodiness increased in the higher grades. The girls slept fewer hours than the boys and did not show an increase in daytime sleepiness. Those students not taking the senior high school joint entrance examination slept more hours at night and maintained more alertness in the daytime than those who were taking the examination. The more academic pressures that adolescents faced, the fewer hours they slept. Students not participating in the joint entrance examination seemed to show a healthier sleep pattern. Little sleep at night made the students feel sleepy in the daytime and tired, drowsy, moody and difficult at arising in the morning. The reason why girls slept less than boys needs further investigation.

/pdf/sleep-problems-of-junior-high-school-students-in-taipei-2samrqcqms.pdf

Sleep problems of junior high school students in Taipei.

Study Objective: To examine the relationship between school grade level and sleep-phase preference in early adolescence. Design: A school-based cross-sectional study using a Sleep Habit Questionnaire. Setting: NA Participants: One thousand five hundred and seventy-two students, grade 4 to grade 8, from 3 junior high schools and 3 elementary schools in Taipei were recruited using multistage sampling method. The response rates were 98.4% (1547) for participants and 95.9% (1509) for their parents. Interventions: NA Measurements and Results: Each student participant completed a Sleep Habit Questionnaire, including sleep schedules, the MorningnesslEveningness (M/E) scale, the Pubertal Developmental Scale, and the Sleepiness Scale. The morning (N = 367) and evening (N = 364) groups were operationally defined as participants with the top 25% and the bottom 25% of the M/E score, respectively. A mixed model was used in data analysis to address the cluster effects arising from the school-based study. We found that the M/E score decreased and the proportion of the evening type increased across grade 4 to grade 8. The evening type was associated with decreased nocturnal sleep and later bedtimes and rise times, as well as with increased daytime sleepiness and compensation for sleep on weekends. Conclusions: Our findings support the hypothesis that school grade level is significantly associated with the transition to evening type in early adolescence. We report that environmental factors may play a more important role than biologic factors, such as age, sex, and pubertal development, in the transition from morning type to evening type at early adolescence. Future longitudinal study is necessary to determine the trajectories of sleep-wake patterns in adolescents and their predictors.

The transition of sleep-wake patterns in early adolescence.

Objective: This study investigated the psychiatric comorbidity, personality traits and family history of adolescents with sleep terrors and/or sleepwalking.Method: Thirty students with sleep terrors and/or sleepwalking and 30 classroom controls were selected on the basis of a sleep habit questionnaire. After completing the Junior Eysenck Personality Inventory (JEPI), the 60 subjects were interviewed by the first author with the Chinese-version Kiddie-SADS-E (Schedule for Affective Disorders and Schizophrenia for Children—Epidemiology Version). All subjects and their parents were interviewed for the subjects' sleep habits, sleep disorders, and personality characteristics in the previous year. The case and the control groups were divided based on whether the sleep terrors and/or sleepwalking had occurred in the previous year. There were 21 case and 30 control subjects in the final data analysis.Results: The case group had more psychiatric diagnoses and problems; there were statistically significant differen...

Psychiatric comorbidity of adolescents with sleep terrors or sleepwalking: a case-control study

Study Objective: To examine the relationship between neurotic personality characteristics and sleep habits/problems. Design: A population-based cross-sectional study. Setting: NA Participants: Nine hundred sixty five students from two junior high schools in Taipei and their parents were randomly selected in December 1993 for inclusion in the study. The response rate was 96.4% (930) for students and 88.6% (855) for parents. Interventions: NA Measurements and Results: Students were administered a sleep habit questionnaire and the Junior Eysenck Personality Inventory (JEPI) at both junior high schools in Taipei. For the JEPI, high and low neuroticism was operationally defined as scores that were one or more standard deviation above or below the sample mean, respectively. This yielded two extreme groups: high neuroticism group (n=183) and low neuroticism group (n=163). The high neuroticism group went to bed later and slept less than did the low neuroticism group. Using logistic regression, adjusting for sex and years at junior high school, the high neuroticism group had significantly different sleep habits and school performance from the low neuroticism group. Subjects in the high neuroticism group had significant risk of feelings of sleep insufficiency, tiredness, moodiness, and difficulty waking up in the morning; they also had more daytime sleepiness than did those in the low neuroticism group. The high neuroticism group also suffered from more sleep-related problems than did the low neuroticism group. Conclusions: The findings support the hypothesis that a high neuroticism score is associated with going to bed late on school days, short sleep duration, different sleep habits, sleep problems, and impaired daytime function in comparison with a low neuroticism score.

Neuroticism and sleep-related problems in adolescence.

A 9 1/2-year-old Taiwanese boy with Prader-Willi syndrome had the following characteristics: difficulties with sucking, feeding and hypotonia during infancy, a dysmorphic face (triangular mouth, high arched palate, almond-shaped eyes and large head circumference with a relatively narrow bifrontal diameter), borderline intelligence, hypogonadism, hyperphagia, skin picking and truncal obesity. The boy experienced two hypersomnia episodes, at age 8 and 9 years, with both episodes lasting for 10 days. During the two episodes, he was found to have an exacerbated case of hyperphagia, pica, poor emotional control, stereotyped speech and agitated behavior upon awakening. After each episode, the boy had complete remission. Our findings show that the two episodes are compatible with Kleine-Levin syndrome. The relationship between the two syndromes, the Prader-Willi syndrome and the Kleine-Levin syndrome, deserves further study.

Shur-Fen Gau

Papers

Sleep problems of junior high school students in Taipei.

The transition of sleep-wake patterns in early adolescence.

Psychiatric comorbidity of adolescents with sleep terrors or sleepwalking: a case-control study

Neuroticism and sleep-related problems in adolescence.

Kleine-Levin syndrome in a boy with Prader-Willi syndrome.