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Defining, Assessing, and Treating Adolescent Insomnia and Related Sleep Problems

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  • First Online:
Sleep Disorders in Women

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Adolescence is a time of change with many of these changes influencing sleep intrinsically and volitionally. Neuroendocrine and structural changes to the brain result in adolescents experiencing a delay in their circadian phase. Despite their intrinsic delay and progressively later bedtimes, adolescents’ sleep need of 9.2 h remains stable as they develop. Female adolescents experience an increased risk for insomnia following menarche onset. Associations between the menstrual cycle and sleep disturbances have been found in studies of adult women, but more research needs to fully explore this relationship in adolescent females. Along with biological changes, adolescents experience an increase in social demands and responsibilities as they mature. The result is adaptation of the “typical” adolescent sleep schedule. For many adolescents, this new schedule results in a truncation of their sleep time that creates a sleep debt never fully repaid on the weekends. Numerous studies note a reduction in total sleep time following the transition into adolescence, particularly during the school year. The numerous factors that present during adolescence place adolescents at a greater risk for sleep disorders like insomnia, delayed sleep phase disorder, inadequate sleep hygiene, and behavioral sleep restriction. These disorders are associated with daytime consequences like daytime sleepiness, depressed mood, attention/concentration difficulties, and academic difficulties. The current chapter highlights insomnia, delayed sleep phase disorder, inadequate sleep hygiene, and behavioral sleep restriction with a focus on defining, assessing, differentiating, and treatment.

Note: In the previous edition of this book, the chapter on this subject was authored by Amy R. Wolfson, Ph.D., Alison Quinn, and Anna Vannucci.

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Authors and Affiliations

  1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, 02902, USA

    Brandy M. Roane

  2. The University of North Texas Health Science Center, Fort Worth, TX, 76107, USA

    Brandy M. Roane

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  1. Department of Neurology, Sleep Medicine, Northwestern University, N. Lake Shore Drive 710, Chicago, 60611, Illinois, USA

    Hrayr P. Attarian

  2. , Department of Neurology, NorthShore Univ. HealthSystem, Ridge Avenue 2650, Evanston, 60201, Illinois, USA

    Mari Viola-Saltzman

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Roane, B.M. (2013). Defining, Assessing, and Treating Adolescent Insomnia and Related Sleep Problems. In: Attarian, H., Viola-Saltzman, M. (eds) Sleep Disorders in Women. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-324-4_7

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