A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders
Background Sleep disturbances are both common and well‐characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have ye...
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| Veröffentlicht in: | Alcoholism, clinical and experimental research clinical and experimental research, 2014-08, Vol.38 (8), p.2225-2233 |
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| container_title | Alcoholism, clinical and experimental research |
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| creator | Hasler, Brant P. Martin, Christopher S. Wood, D. Scott Rosario, Bedda Clark, Duncan B. |
| description | Background
Sleep disturbances are both common and well‐characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUDs; in particular, it remains unclear how persistent AUD‐associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol‐use symptoms. We investigated these questions in a 5‐year longitudinal study of adolescents with and without AUDs at baseline.
Methods
Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD (AUD+), while 349 had no current or past AUD (AUD−). We examined sleep and alcohol involvement at baseline as well as 1‐, 3‐, and 5‐year follow‐up visits. Sleep variables included self‐reported insomnia and hypersomnia, as well as variability in weekday–weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity.
Results
The AUD+ group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday–weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5‐ and 3‐year follow‐ups, respectively. In the AUD− group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1‐year follow‐up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3‐ and 5‐year follow‐ups.
Conclusions
These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUDs. The findings also suggest that sleep disturbances may place adolescents without AUDs at an elevated risk of developing alcohol problems. |
| doi_str_mv | 10.1111/acer.12474 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4146702</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3410281891</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5564-d4bf6aaec7b7368adf95482e049dd618ceb59d1a60d42ad95d37e53299605b9d3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0Eokvhwg9AlrghpdiJP-ILUrqU0mrVSixVj5YTT7ou3nhrJ7T770m67QouzGXG8jPvjOZF6D0lR3SMz6aBeERzJtkLNKO8IBnJpXyJZoQynglCygP0JqVbQggrhXiNDnKmpOCUztBdhRehu3H9YF1nPF6OxRaHFp91Kaw7Z7DpLL7sVxDx0gNs8DysN964rk_YdbiywUNqYHpeu371iE9FGHpc-SasgsdXCfBXl0K0ENNb9Ko1PsG7p3yIrr6d_Jx_zxaXp2fzapE1nAuWWVa3whhoZC0LURrbKs7KHAhT1gpaNlBzZakRxLLcWMVtIYEXuVKC8FrZ4hB92eluhnoNdloxGq830a1N3OpgnP73p3MrfRN-a0aZkCQfBT4-CcRwN0Dq9W0Y4nikpCnn45mFEGqkPu2oJoaUIrT7CZToyR492aMf7RnhD3_vtEef_RgBugPunYftf6R0NT_58Sya7Xpc6uFh32PiLy1kIbm-vjjVZXm-WB5fKH1e_AFTBKtl</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1555306669</pqid></control><display><type>article</type><title>A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Journals@Ovid Complete</source><creator>Hasler, Brant P. ; Martin, Christopher S. ; Wood, D. Scott ; Rosario, Bedda ; Clark, Duncan B.</creator><creatorcontrib>Hasler, Brant P. ; Martin, Christopher S. ; Wood, D. Scott ; Rosario, Bedda ; Clark, Duncan B.</creatorcontrib><description>Background
Sleep disturbances are both common and well‐characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUDs; in particular, it remains unclear how persistent AUD‐associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol‐use symptoms. We investigated these questions in a 5‐year longitudinal study of adolescents with and without AUDs at baseline.
Methods
Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD (AUD+), while 349 had no current or past AUD (AUD−). We examined sleep and alcohol involvement at baseline as well as 1‐, 3‐, and 5‐year follow‐up visits. Sleep variables included self‐reported insomnia and hypersomnia, as well as variability in weekday–weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity.
Results
The AUD+ group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday–weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5‐ and 3‐year follow‐ups, respectively. In the AUD− group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1‐year follow‐up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3‐ and 5‐year follow‐ups.
Conclusions
These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUDs. The findings also suggest that sleep disturbances may place adolescents without AUDs at an elevated risk of developing alcohol problems.</description><identifier>ISSN: 0145-6008</identifier><identifier>EISSN: 1530-0277</identifier><identifier>DOI: 10.1111/acer.12474</identifier><identifier>PMID: 24976511</identifier><identifier>CODEN: ACRSDM</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; Adolescents ; Alcohol ; Alcohol use ; Alcohol Use Disorders ; Alcohol-Related Disorders - complications ; Alcohol-Related Disorders - psychology ; Case-Control Studies ; Child ; Complaints ; Depression - complications ; Depression - diagnosis ; Disease Progression ; Female ; Humans ; Longitudinal Studies ; Male ; Older people ; Psychiatric Status Rating Scales ; Risk Factors ; Sleep ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - complications ; Sleep Initiation and Maintenance Disorders - psychology ; Teenagers ; Young Adult</subject><ispartof>Alcoholism, clinical and experimental research, 2014-08, Vol.38 (8), p.2225-2233</ispartof><rights>Copyright © 2014 by the Research Society on Alcoholism</rights><rights>Copyright © 2014 by the Research Society on Alcoholism.</rights><rights>2014 Research Society on Alcoholism</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5564-d4bf6aaec7b7368adf95482e049dd618ceb59d1a60d42ad95d37e53299605b9d3</citedby><cites>FETCH-LOGICAL-c5564-d4bf6aaec7b7368adf95482e049dd618ceb59d1a60d42ad95d37e53299605b9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Facer.12474$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Facer.12474$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24976511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasler, Brant P.</creatorcontrib><creatorcontrib>Martin, Christopher S.</creatorcontrib><creatorcontrib>Wood, D. Scott</creatorcontrib><creatorcontrib>Rosario, Bedda</creatorcontrib><creatorcontrib>Clark, Duncan B.</creatorcontrib><title>A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders</title><title>Alcoholism, clinical and experimental research</title><addtitle>Alcohol Clin Exp Res</addtitle><description>Background
Sleep disturbances are both common and well‐characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUDs; in particular, it remains unclear how persistent AUD‐associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol‐use symptoms. We investigated these questions in a 5‐year longitudinal study of adolescents with and without AUDs at baseline.
Methods
Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD (AUD+), while 349 had no current or past AUD (AUD−). We examined sleep and alcohol involvement at baseline as well as 1‐, 3‐, and 5‐year follow‐up visits. Sleep variables included self‐reported insomnia and hypersomnia, as well as variability in weekday–weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity.
Results
The AUD+ group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday–weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5‐ and 3‐year follow‐ups, respectively. In the AUD− group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1‐year follow‐up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3‐ and 5‐year follow‐ups.
Conclusions
These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUDs. The findings also suggest that sleep disturbances may place adolescents without AUDs at an elevated risk of developing alcohol problems.</description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Adolescents</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Alcohol Use Disorders</subject><subject>Alcohol-Related Disorders - complications</subject><subject>Alcohol-Related Disorders - psychology</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Complaints</subject><subject>Depression - complications</subject><subject>Depression - diagnosis</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Older people</subject><subject>Psychiatric Status Rating Scales</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Sleep disorders</subject><subject>Sleep Initiation and Maintenance Disorders - complications</subject><subject>Sleep Initiation and Maintenance Disorders - psychology</subject><subject>Teenagers</subject><subject>Young Adult</subject><issn>0145-6008</issn><issn>1530-0277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0Eokvhwg9AlrghpdiJP-ILUrqU0mrVSixVj5YTT7ou3nhrJ7T770m67QouzGXG8jPvjOZF6D0lR3SMz6aBeERzJtkLNKO8IBnJpXyJZoQynglCygP0JqVbQggrhXiNDnKmpOCUztBdhRehu3H9YF1nPF6OxRaHFp91Kaw7Z7DpLL7sVxDx0gNs8DysN964rk_YdbiywUNqYHpeu371iE9FGHpc-SasgsdXCfBXl0K0ENNb9Ko1PsG7p3yIrr6d_Jx_zxaXp2fzapE1nAuWWVa3whhoZC0LURrbKs7KHAhT1gpaNlBzZakRxLLcWMVtIYEXuVKC8FrZ4hB92eluhnoNdloxGq830a1N3OpgnP73p3MrfRN-a0aZkCQfBT4-CcRwN0Dq9W0Y4nikpCnn45mFEGqkPu2oJoaUIrT7CZToyR492aMf7RnhD3_vtEef_RgBugPunYftf6R0NT_58Sya7Xpc6uFh32PiLy1kIbm-vjjVZXm-WB5fKH1e_AFTBKtl</recordid><startdate>201408</startdate><enddate>201408</enddate><creator>Hasler, Brant P.</creator><creator>Martin, Christopher S.</creator><creator>Wood, D. Scott</creator><creator>Rosario, Bedda</creator><creator>Clark, Duncan B.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>5PM</scope></search><sort><creationdate>201408</creationdate><title>A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders</title><author>Hasler, Brant P. ; Martin, Christopher S. ; Wood, D. Scott ; Rosario, Bedda ; Clark, Duncan B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5564-d4bf6aaec7b7368adf95482e049dd618ceb59d1a60d42ad95d37e53299605b9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Adolescents</topic><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Alcohol Use Disorders</topic><topic>Alcohol-Related Disorders - complications</topic><topic>Alcohol-Related Disorders - psychology</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Complaints</topic><topic>Depression - complications</topic><topic>Depression - diagnosis</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Older people</topic><topic>Psychiatric Status Rating Scales</topic><topic>Risk Factors</topic><topic>Sleep</topic><topic>Sleep disorders</topic><topic>Sleep Initiation and Maintenance Disorders - complications</topic><topic>Sleep Initiation and Maintenance Disorders - psychology</topic><topic>Teenagers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasler, Brant P.</creatorcontrib><creatorcontrib>Martin, Christopher S.</creatorcontrib><creatorcontrib>Wood, D. Scott</creatorcontrib><creatorcontrib>Rosario, Bedda</creatorcontrib><creatorcontrib>Clark, Duncan B.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alcoholism, clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasler, Brant P.</au><au>Martin, Christopher S.</au><au>Wood, D. Scott</au><au>Rosario, Bedda</au><au>Clark, Duncan B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders</atitle><jtitle>Alcoholism, clinical and experimental research</jtitle><addtitle>Alcohol Clin Exp Res</addtitle><date>2014-08</date><risdate>2014</risdate><volume>38</volume><issue>8</issue><spage>2225</spage><epage>2233</epage><pages>2225-2233</pages><issn>0145-6008</issn><eissn>1530-0277</eissn><coden>ACRSDM</coden><abstract>Background
Sleep disturbances are both common and well‐characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUDs; in particular, it remains unclear how persistent AUD‐associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol‐use symptoms. We investigated these questions in a 5‐year longitudinal study of adolescents with and without AUDs at baseline.
Methods
Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD (AUD+), while 349 had no current or past AUD (AUD−). We examined sleep and alcohol involvement at baseline as well as 1‐, 3‐, and 5‐year follow‐up visits. Sleep variables included self‐reported insomnia and hypersomnia, as well as variability in weekday–weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity.
Results
The AUD+ group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday–weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5‐ and 3‐year follow‐ups, respectively. In the AUD− group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1‐year follow‐up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3‐ and 5‐year follow‐ups.
Conclusions
These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUDs. The findings also suggest that sleep disturbances may place adolescents without AUDs at an elevated risk of developing alcohol problems.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24976511</pmid><doi>10.1111/acer.12474</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0145-6008 |
| ispartof | Alcoholism, clinical and experimental research, 2014-08, Vol.38 (8), p.2225-2233 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Journals@Ovid Complete |
| subjects | Adolescent Adolescent Behavior - psychology Adolescents Alcohol Alcohol use Alcohol Use Disorders Alcohol-Related Disorders - complications Alcohol-Related Disorders - psychology Case-Control Studies Child Complaints Depression - complications Depression - diagnosis Disease Progression Female Humans Longitudinal Studies Male Older people Psychiatric Status Rating Scales Risk Factors Sleep Sleep disorders Sleep Initiation and Maintenance Disorders - complications Sleep Initiation and Maintenance Disorders - psychology Teenagers Young Adult |
| title | A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders |
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