Adolescent insomnia as a risk factor for early adult depression and substance abuse

Citation

Roane, B. M. & Taylor, D. J. (2008). Adolescent insomnia as a risk factor for early adult depression and substance abuse. Sleep. vol. 31 (10) pp. 1351-1356 , PMCID: PMC2572740

Abstract

STUDY OBJECTIVE: To evaluate the association between adolescent insomnia and mental health during adolescence and young adulthood. DESIGN: Cross-sectional and prospective study. SETTINGS: School and in home. PARTICIPANTS: Nationally based population sample of 4494 adolescents, 12 to 18 years old at baseline (mean = 15.83 years), with 3582 young adults, 18 to 25 years old (mean = 21.25 years) at 6- to 7-year follow-up. MEASURES: Self-report measures of mental health. RESULTS: Insomnia symptoms were reported by 9.4% of the adolescents. Cross-sectionally, adolescent insomnia symptoms were associated with use of alcohol, cannabis, and drugs other than cannabis; depression; suicide ideation; and suicide attempts (all P values < 0.01) after controlling for sex. Prospectively, insomnia symptoms during adolescence were a significant risk factor for depression diagnosis (odds ratio = 2.3) in young adulthood after controlling for sex and baseline depression. CONCLUSION: This study is the first to longitudinally evaluate insomnia symptoms during adolescence as a risk factor for mental health problems in young adulthood. The findings indicate that insomnia is a prevalent problem for adolescents and argue for future treatment-outcome studies to evaluate the efficacy and effectiveness of various insomnia interventions in this age group.

URL

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572740/

Keyword(s)

Adolescent

Notes

Roane, Brandy M

Reference Type

Journal Article

Journal Title

Sleep

Author(s)

Roane, B. M.
Taylor, D. J.

Year Published

2008

Volume Number

31

Issue Number

10

Pages

1351-1356

Edition

2008/10/16

PMCID

PMC2572740

Reference ID

1773