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Epidemiology of DSM-IV insomnia in adolescence: Lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics, 117(2), e247-e256

Substance Abuse Epi, Prevention, and Risk Behavior, Research Triangle Institute International, Research Triangle Park, NC 27709-2194, USA.
PEDIATRICS (Impact Factor: 5.3). 03/2006; 117(2):e247-56. DOI: 10.1542/peds.2004-2629
Source: PubMed

ABSTRACT The confluence of sleep/wake cycle and circadian rhythm changes that accompany pubertal development and the social and emotional developmental tasks of adolescence may create a period of substantial risk for development of insomnia. Although poor sleep affects cognitive performance and is associated with poor emotional and physical health, epidemiologic studies among adolescents have been limited. In this first epidemiologic study of insomnia defined by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria in a US sample of adolescents, we estimated lifetime prevalence of insomnia, examined chronicity and onset, and explored the role of pubertal development.
Data come from a random sample of 1014 adolescents who were 13 to 16 years of age, selected from households in a 400000-member health maintenance organization encompassing metropolitan Detroit. Response rate was 71.2%. The main outcome measured was DSM-IV-defined insomnia.
Lifetime prevalence of insomnia was 10.7%. A total of 88% of adolescents with a history of insomnia reported current insomnia. The median age of onset of insomnia was 11. Of those with insomnia, 52.8% had a comorbid psychiatric disorder. In exploratory analyses of insomnia and pubertal development, onset of menses was associated with a 2.75-fold increased risk for insomnia. There was no difference in risk for insomnia among girls before menses onset relative to boys, but a difference emerged after menses onset. In contrast, maturational development was not associated with insomnia in boys.
Insomnia seems to be common and chronic among adolescents. The often found gender difference in risk for insomnia seems to emerge in association with onset of menses.

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    Journal of Child and Family Studies 04/2015; DOI:10.1007/s10826-015-0135-5 · 1.42 Impact Factor
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    • "No information regarding the time-frame of these symptom was available. To establish a proxy for assessing DSP (as closely as possible, given the available sleep items) in line with the International Classification of Sleep Disorders–2 (American Academy of Sleep Medicine, 2005), we employed the following criteria, as specified in Johnson et al. and published in Pediatrics (Johnson et al., 2006): (1) minimum 1-h shift in sleep-onset and wake times from the weekdays to the weekend, (2) complaint of frequent (≥3 days per week) difficulty falling asleep, (3) report of little or no (≤1 day per week) difficulty maintaining sleep and (4) frequent difficulty awakening (oversleep 'sometimes' or more often). This operationalization has been applied previously in a recent publication from the youth@hordaland-survey (Sivertsen et al., 2013). "
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    Journal of Sleep Research 10/2014; 24(1). DOI:10.1111/jsr.12254 · 2.95 Impact Factor
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    • "For adolescent DSPD, Moore and Meltzer (2008) report a prevalence of 5–10 %, and Gradisar et al. (2011) report a prevalence of 7–16 %. For insomnia a distinction in reported prevalences can be made between insomnia diagnosis [4–5 % (Ohayon et al. 2000; Roberts et al. 2008)] and current insomnia symptoms (9.4 % (Johnson et al. 2006); 25–27 % (Ohayon et al. 2000; Roberts et al. 2008)). From these varying prevalences, we chose 15 % as a conservative estimate of general prevalence of sleep reduction symptoms. "
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