Study links household chaos with sleep quality among teens with ADHD symptoms
New study explored the important role of household structure and stability for healthy sleep in teens
AMERICAN ACADEMY OF SLEEP MEDICINE
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DARIEN, IL – A new study to be presented at the SLEEP 2024 annual meeting found that household chaos and sleep hygiene are important factors in the relationship between sleep quality and ADHD symptoms in teens.
Results of structural equation modeling show that household chaos and sleep hygiene were significant mediators of the relationship between ADHD symptoms and poor sleep quality. The results suggest that improving the daily routine and stability of the household is an important strategy to consider when seeking to improve sleep quality in adolescents with symptoms of attention-deficit/hyperactivity disorder.
“These results begin to explicate some contextual factors that may help explain the increase in sleep difficulties observed in youth with higher symptoms of ADHD,” said lead author and co-principal investigator Jamie Flannery, who is a doctoral candidate in developmental psychology at the University of Notre Dame in South Bend, Indiana. “It suggests that when ADHD symptoms are high, aspects of the individual — poor sleep hygiene — and the familial environment — household chaos — are associated with poor sleep quality in adolescents.”
The American Academy of Sleep Medicine recommends that teenagers 13 to 18 years of age should sleep 8 to 10 hours. Healthy sleep is associated with better health outcomes including: improved attention, behavior, learning, memory, emotional regulation, quality of life, and mental and physical health.
The researchers collected data from 259 pairs of mothers and adolescents from across the U.S. Mothers used a scale to rate the severity of their adolescent’s ADHD symptoms, while adolescents completed three separate surveys about sleep quality, home environment and sleep hygiene.
Flannery noted that it’s important for adolescents and their families to know that it is more than just individual characteristics that can impact their sleep.
“While improving sleep hygiene in youths with ADHD may be beneficial, a household characterized by a lack of structure, routine and stability may undermine the adolescent’s sleep quality,” Flannery said.
The research abstract was published recently in an online supplement of the journal Sleep and will be presented Monday, June 3, during SLEEP 2024 in Houston. SLEEP is the annual meeting of the Associated Professional Sleep Societies, a joint venture of the American Academy of Sleep Medicine and the Sleep Research Society.
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Abstract Title: Examining the Relation Between ADHD Symptoms and Poor Sleep Quality: The Role of Household Chaos and Sleep Hygiene
Abstract ID: 0989
Poster Presentation Date: Monday, June 3, from 11-11:45 a.m. CDT, Board 212
Presenter: Jamie Flannery, M.A.
About the Associated Professional Sleep Societies, LLC
The APSS is a joint venture of the American Academy of Sleep Medicine and the Sleep Research Society. The APSS organizes the SLEEP annual meeting each June (sleepmeeting.org).
About the American Academy of Sleep Medicine
Established in 1975, the AASM advances sleep care and enhances sleep health to improve lives. The AASM has a combined membership of 12,000 accredited sleep centers and individuals, including physicians, scientists and other health care professionals who care for patients with sleep disorders. As the leader in the sleep field, the AASM sets standards and promotes excellence in sleep medicine health care, education and research (aasm.org).
About the Sleep Research Society
The SRS is a professional membership society that advances sleep and circadian science. The SRS provides forums for the exchange of information, establishes and maintains standards of reporting and classifies data in the field of sleep research, and collaborates with other organizations to foster scientific investigation on sleep and its disorders. The SRS also publishes the peer-reviewed, scientific journals Sleep and Sleep Advances (sleepresearchsociety.org).
JOURNAL
SLEEP
METHOD OF RESEARCH
Survey
SUBJECT OF RESEARCH
People
ARTICLE TITLE
Examining the Relation Between ADHD Symptoms and Poor Sleep Quality: The Role of Household Chaos and Sleep Hygiene
Sleep moderates the link between bullying and suicide in teens
Sleep duration is an important preventative factor among adolescents who experience online and in-school bullying
DARIEN, IL – A new study to be presented at the SLEEP 2024 annual meeting found that sleep duration significantly moderates the association between bullying and suicide attempts among adolescents in the U.S.
The study revealed that 15% of adolescents reported they were bullied at school, and 16% were bullied electronically; 10.2% reported they had attempted suicide during the past year; and 77.3% did not adhere to sleep duration recommendations. Adolescents who reported 4 hours of sleep or less per night were two times as likely to attempt suicide, and sleep duration significantly moderated the association between bullying in school and suicide attempts.
“Adolescent suicide and suicide attempts constitute a serious public health crisis in the United States,” said lead author Marie-Rachelle Narcisse, who has a doctorate in public health and is an assistant professor in the Warren Alpert School of Medicine of Brown University and a research scientist at the E.P. Bradley Hospital COBRE Center for Sleep and Circadian Rhythms in Child and Adolescent Mental Health in Providence, Rhode Island. “The fact that sleep duration significantly modifies the association between bullying and suicide attempts is a remarkable finding.”
According to the Centers for Disease Control and Prevention, suicide is the second-leading cause of death among teens between 14 and 18 years of age. The American Academy of Sleep Medicine recommends that teens should sleep 8 to 10 hours on a regular basis to promote optimal health. Insufficient sleep in teenagers is associated with increased risk of self-harm, suicidal thoughts, and suicide attempts.
The study involved an analysis of data from the 2021 Youth Risk Behavior Surveillance System, comprising a nationally representative sample of 17,134 participants. The researchers analyzed the relationships among electronic or school bullying, sleep duration, and past-year suicide attempts among adolescents between 12 and 18 years of age. Results were adjusted for potential confounders including sex, age, race/ethnicity, screen time, and poor mental health.
Adolescents who were bullied in school or electronically were three times as likely to attempt suicide compared with those who were not bullied. Those reporting no bullying showed reduced likelihood of suicide attempts as sleep duration increased to 7 hours, and the likelihood remained constant with more hours of sleep.
According to Narcisse, the results emphasize that sleep duration is an important target for interventions to reduce suicide in teens.
“If improved sleep duration can inhibit the adverse effect of bullying on suicide attempts, then interventions aimed at improving sleep duration could potentially have a positive influence on lowering suicide risk among adolescents,” said Narcisse.
This study was supported by a Centers of Biomedical Research Excellence grant from the National Institute of General Medical Sciences. The research abstract was published recently in an online supplement of the journal Sleep and will be presented Monday, June 3, and Wednesday, June 5, during SLEEP 2024 in Houston. SLEEP is the annual meeting of the Associated Professional Sleep Societies, a joint venture of the American Academy of Sleep Medicine and the Sleep Research Society.
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Abstract Title: Sleep Duration Moderates the Association Between Bullying and Suicide Attempts Among U.S. Adolescents
Abstract ID: 0813
Oral Presentation Date: Monday, June 3, 4:30 to 4:45 p.m. CDT, Room 362
Poster Presentation Date: Wednesday, June 5, 11-11:45 a.m. CDT, Board 168
Presenter: Marie-Rachelle Narcisse, Ph.D.
About the Associated Professional Sleep Societies, LLC
The APSS is a joint venture of the American Academy of Sleep Medicine and the Sleep Research Society. The APSS organizes the SLEEP annual meeting each June (sleepmeeting.org).
About the American Academy of Sleep Medicine
Established in 1975, the AASM advances sleep care and enhances sleep health to improve lives. The AASM has a combined membership of 12,000 accredited sleep centers and individuals, including physicians, scientists and other health care professionals who care for patients with sleep disorders. As the leader in the sleep field, the AASM sets standards and promotes excellence in sleep medicine health care, education and research (aasm.org).
About the Sleep Research Society
The SRS is a professional membership society that advances sleep and circadian science. The SRS provides forums for the exchange of information, establishes and maintains standards of reporting and classifies data in the field of sleep research, and collaborates with other organizations to foster scientific investigation on sleep and its disorders. The SRS also publishes the peer-reviewed, scientific journals Sleep and Sleep Advances (sleepresearchsociety.org).
JOURNAL
SLEEP
METHOD OF RESEARCH
Survey
SUBJECT OF RESEARCH
People
ARTICLE TITLE
Sleep Duration Moderates the Association Between Bullying and Suicide Attempts Among U.S. Adolescents