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Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory

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Abstract

Problematic sleep can be detrimental to the development of important cognitive functions, such as working memory, and may have the potential for negative behavioral consequences, such as risk-taking. In this way, sleep problems may be particularly harmful for youth—whose cognitive abilities are still developing and who are more susceptible to risky behavior. Using data from a large, national, longitudinal study, continuity and change in sleep problems were examined from 2 to 15 years of age and associated with deficits in working memory at age 15 and risk taking behaviors at age 18. Participants (N = 1,364 children; 48.3 % female) were assessed for sleep problems (parent-report), working memory (behavioral task), and risk taking behavior (youth self-report). The sample was predominantly White (80.4 %); additional races represented in the sample included Black/African American (12.9 %), Asian/Pacific Islander (1.6 %), American Indian/Eskimo/Aleut (.4 %), and Other (4.7 %). The findings suggest that sleep problems are likely to cascade across development, with sleep problems demonstrating continuity from infancy to early childhood, early childhood to middle childhood, and middle childhood to adolescence. Although sleep problems in infancy, early childhood, and middle childhood were not directly related to adolescent working memory, sleep problems during adolescence were associated with poorer adolescent working memory. In turn, these deficits in working memory were related to greater risk taking in late adolescence. In summary, the present results suggest that sleep problems in earlier periods are indicative of risk for sleep problems later in development, but that sleep problems in adolescence contribute uniquely to deficits in working memory that, in turn, lead to risky behavior during late adolescence.

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Acknowledgements

The research described herein was supported by a cooperative agreement (U10-HD25420) with the National Institute of Child Health and Human Development (NICHD) for the birth to age 15 data as well as from the Charles Stewart Mott Foundation (2006-00365) for the end of high school data collection. This article was the result of a collaboration of the four named authors. The NICHD network of authors merits our appreciation for ensuring that these data were gathered, however, they have no responsibility for how we have analyzed the data, the results we report, and the conclusions we draw.

Author contributions

All authors contributed to development of study ideas, models, and hypotheses. AT conceived of the study, participated in its design and coordination, and drafted the manuscript; KM participated in the design of the study, performed the statistical analysis, and drafted the results section of the manuscript; AL helped to draft the introduction section of the manuscript and offered expert advice on sleep and infancy; EC helped to revise the manuscript and offered expert advice on risk taking and adolescence. All authors read and approved the final manuscript.

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Thomas, A.G., Monahan, K.C., Lukowski, A.F. et al. Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory. J Youth Adolescence 44, 447–464 (2015). https://doi.org/10.1007/s10964-014-0179-7

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