Longitudinal Associations Between Sleep Patterns and Psychiatric Symptom Severity in High-Risk and Community Comparison Youth.
Adolescent
Attention Deficit Disorder with Hyperactivity
/ epidemiology
Bipolar Disorder
/ epidemiology
Child
Child of Impaired Parents
/ psychology
Family Health
Female
Humans
Longitudinal Studies
Male
Parents
/ psychology
Psychiatric Status Rating Scales
Psychopathology
Sleep Wake Disorders
/ epidemiology
circadian
longitudinal
psychiatric symptoms
sleep
youth
Journal
Journal of the American Academy of Child and Adolescent Psychiatry
ISSN: 1527-5418
Titre abrégé: J Am Acad Child Adolesc Psychiatry
Pays: United States
ID NLM: 8704565
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
03
05
2018
revised:
31
08
2018
accepted:
13
09
2018
pubmed:
10
3
2019
medline:
17
7
2020
entrez:
10
3
2019
Statut:
ppublish
Résumé
Sleep disturbance may be involved in symptom progression across multiple domains of psychopathology and could represent a target for treatment development in youth. Our objective was to identify sleep patterns that longitudinally change in conjunction with psychiatric symptom severity in at-risk youth. The study included 484 Pittsburgh Bipolar Offspring Study (BIOS) youth with at least 2 sleep assessments occurring between 10 and 18 years of age: 267 offspring of parents with bipolar I or II disorder and 217 community comparison offspring. Assessments occurred approximately every 2 years (mean number of assessments, 2.8 ± 0.8; mean follow-up duration, 3.8 ± 1.6 years). Offspring had a range of psychiatric diagnoses at baseline. Multivariate lasso regression was implemented to select offspring-reported sleep patterns associated with changes in five psychiatric symptom measures from baseline through last follow-up (mania, depression, mood lability, anxiety, inattention/externalizing). Analyses accounted for parent psychiatric diagnoses and offspring demographics, psychiatric diagnoses, and medications. Follow-up duration, baseline socioeconomic status, parental history of bipolar disorder, offspring attention-deficit/hyperactivity disorder, and disruptive behavior disorder, and five sleep patterns were identified as predictors of change in all five psychiatric symptom measures. Decreasing sleep duration, later sleep timing preference, longer sleep latency, increasing nighttime awakenings, and greater sleepiness over follow-up were associated with increasing severity the five psychiatric symptom outcomes over follow-up. These 10 predictors explained 16% of the variance in longitudinal psychiatric symptom change, 33% of which was accounted for by sleep predictors. A constellation of sleep features were associated with psychiatric symptom changes in youth, and may represent viable targets for future interventions.
Identifiants
pubmed: 30851396
pii: S0890-8567(19)30175-3
doi: 10.1016/j.jaac.2018.09.448
pmc: PMC6733405
mid: NIHMS1039345
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
608-617Subventions
Organisme : NIMH NIH HHS
ID : K01 MH111953
Pays : United States
Organisme : NICHD NIH HHS
ID : K23 HD087433
Pays : United States
Organisme : NIDA NIH HHS
ID : P50 DA046346
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH060952
Pays : United States
Informations de copyright
Copyright © 2019 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
Références
Sleep. 2003 Mar 15;26(2):213-6
pubmed: 12683482
J Child Adolesc Psychopharmacol. 2003 Winter;13(4):463-70
pubmed: 14977459
Pediatrics. 2005 Jan;115(1 Suppl):250-6
pubmed: 15866859
Pediatrics. 2005 Jun;115(6):1774-86
pubmed: 15930245
Arch Gen Psychiatry. 2005 Jun;62(6):593-602
pubmed: 15939837
Psychiatr Q. 2005 Winter;76(4):327-39
pubmed: 16217627
J Am Acad Child Adolesc Psychiatry. 2005 Nov;44(11):1158-66
pubmed: 16239865
Arch Gen Psychiatry. 2006 Oct;63(10):1139-48
pubmed: 17015816
J Sleep Res. 2007 Jun;16(2):163-9
pubmed: 17542946
Arch Gen Psychiatry. 2009 Mar;66(3):287-96
pubmed: 19255378
Clin Psychol Rev. 2011 Mar;31(2):225-35
pubmed: 20471738
Arch Gen Psychiatry. 2010 Aug;67(8):822-9
pubmed: 20679590
J Stat Softw. 2010;33(1):1-22
pubmed: 20808728
Int J Methods Psychiatr Res. 2011 Mar;20(1):40-9
pubmed: 21499542
Sleep Med Rev. 2012 Apr;16(2):129-36
pubmed: 21676633
Eur Neuropsychopharmacol. 2011 Sep;21 Suppl 4:S676-82
pubmed: 21835597
J Adolesc. 2013 Feb;36(1):103-10
pubmed: 23088812
Biol Psychiatry. 2013 Aug 15;74(4):242-9
pubmed: 23558300
Nat Sci Sleep. 2013 Feb 12;5:23-6
pubmed: 23620690
Soc Sci Med. 2013 Aug;90:24-31
pubmed: 23746605
Curr Opin Psychiatry. 2013 Nov;26(6):572-9
pubmed: 24060918
Early Interv Psychiatry. 2016 Feb;10(1):63-70
pubmed: 24773912
J Abnorm Child Psychol. 2015 Feb;43(2):311-23
pubmed: 24996791
Curr Psychiatry Rep. 2014 Sep;16(9):471
pubmed: 25030972
Psychol Health Med. 2015;20(3):345-52
pubmed: 25162477
J Psychiatry Neurosci. 2015 Jan;40(1):28-37
pubmed: 25203899
PLoS One. 2014 Nov 07;9(11):e112199
pubmed: 25380248
Am J Psychiatry. 2015 Jul;172(7):638-46
pubmed: 25734353
Behav Res Ther. 2015 Jun;69:111-8
pubmed: 25917009
J Clin Psychiatry. 2015 May;76(5):599-606
pubmed: 26035189
JAMA Intern Med. 2015 Sep;175(9):1461-72
pubmed: 26147487
Sleep. 2015 Dec 01;38(12):1913-26
pubmed: 26158889
J Child Psychol Psychiatry. 2016 Mar;57(3):296-317
pubmed: 26412255
Bipolar Disord. 2015 Dec;17(8):836-48
pubmed: 26547512
Am J Psychiatry. 2016 Jul 1;173(7):695-704
pubmed: 26892940
J Adv Nurs. 2016 Jun;72(6):1263-72
pubmed: 26899487
J Adolesc. 2016 Aug;51:30-40
pubmed: 27288965
Neurosci Biobehav Rev. 2016 Nov;70:182-188
pubmed: 27531236
J Affect Disord. 2017 Jun;215:30-36
pubmed: 28315578
Biol Psychiatry Cogn Neurosci Neuroimaging. 2017 May;2(4):336-345
pubmed: 28480336
J Child Psychol Psychiatry. 2018 May;59(5):509-522
pubmed: 29052846
J Adolesc Health. 1993 May;14(3):190-5
pubmed: 8323929
Psychiatry Res. 1996 Dec 20;65(3):189-98
pubmed: 9029668
J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):545-53
pubmed: 9100430
Arch Gen Psychiatry. 1977 Oct;34(10):1229-35
pubmed: 911222
J Am Acad Child Adolesc Psychiatry. 1997 Jul;36(7):980-8
pubmed: 9204677
Child Dev. 1998 Aug;69(4):875-87
pubmed: 9768476