Articlegold2013

Delayed sleep phase syndrome in adolescents: prevalence and correlates in a large population based study

Børge Sivertsen · Ståle Pallesen · Kjell Morten Stormark · Tormod Bøe · Astri Johansen Lundervold · Mari Hysing

168 citations0/0 files storedBMC Public Health

No readable copy stored yet — this record is metadata only.

Abstract

BACKGROUND: The aims of this study were to estimate the prevalence of Delayed Sleep Phase Syndrome (DSPS) in adolescence, and to examine the association to insomnia and school non-attendance. METHODS: Data stem from a large population based study in Hordaland County in Norway conducted in 2012, the ung@hordaland study. In all, 10,220 adolescents aged 16-18 years (54% girls) provided self-reported data on a range of sleep parameters: DSPS was defined according to the International Classification of Sleep Disorders, Revised (ICSD-R) criteria, while insomnia was defined according to the Quantitative Criteria for Insomnia. Other sleep parameters included time in bed, sleep duration, sleep efficiency, oversleeping, sleep onset latency, wake after sleep onset, subjective sleep need, sleep deficiency, sleepiness and tiredness. Sleep data were calculated separately for weekdays and weekends. Data on school non-attendance were provided by official registers. RESULTS: The prevalence of DSPS was 3.3%, and significantly higher among girls (3.7%) than boys (2.7%). There was a strong overlap between DSPS and insomnia, with more than half of the adolescents with DSPS also meeting the criteria for insomnia (53.8% for boys and 57.1% for girls). Adolescents with DSPS had significantly higher odds ratios (OR) of non-attendance at school. After adjusting for sociodeographical factors, insomnia and depression, the adjusted ORs for days of non-attendance were OR = 3.22 (95% CI: 1.94-5.34) for boys and OR = 1.87 (95% CI: 1.25-2.80) for girls. A similar effect was found for hours of non-attendance for boys, with an adjusted OR = 3.05 (95% CI: 1.89-4.92). The effect for girls was no longer significant after full adjustment (OR =1.48 [95% CI: 0.94-2.32]). CONCLUSIONS: This is one of the first studies to estimate the prevalence of DSPS in adolescents. The high prevalence of DSPS, and overlap with insomnia, in combination with the odds of school non-attendance, suggest that a broad and thorough clinical approach is warranted when adolescents present with symptoms of DSPS.

Citations in this library

Stored only when both papers are in the corpus — 168 citations exist upstream.

References

2013Diagnostic and Statistical Manual of Mental Disorders 2013Diagnostic and Statistical Manual of Mental Disorders, 5th Edition 1998Sleep Schedules and Daytime Functioning in Adolescents 2011Recent worldwide sleep patterns and problems during adolescence: A review and meta-analysis of age, region, and sleep 1993Association between Puberty and Delayed Phase Preference 2007Sleep, circadian rhythms, and delayed phase in adolescence 2006Epidemiology of DSM-IV Insomnia in Adolescence: Lifetime Prevalence, Chronicity, and an Emergent Gender Difference 2003Quantitative criteria for insomnia

Cited by

2014Mental health problems in adolescents with delayed sleep phase: results from a large population‐based study in N orway 2014Sleep in infancy and childhood 2015Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach 2014Sleep and school attendance in adolescence: Results from a large population-based study 2015A Transdiagnostic Intervention for Youth Sleep and Circadian Problems 2015

Imported from OpenAlex (CC0) — nothing here is generated.