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Sleep Pattern of Adolescents in a School in Delhi, India: Impact on their Mood and Academic Performance

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Abstract

Objectives

To examine the sleep pattern and observe differences in sleep routines, phase preferences, mood, attendance, and academic performance among different adolescent age students. Secondly, to observe the age at which sleep phase transition and changes in sleep requirement become evident.

Methods

A cross-sectional study was conducted among 501 students (aged 11–15 y) of a school in Delhi, India. Students were evaluated for their sleep patterns, sleep duration, habits of napping, quality of sleep, sleepiness, depression, phase preferences by self-reported school sleep habits survey questionnaire along with school performance and attendance.

Results

Significant differences were found in sleep pattern of students aged 11–12 y and 13–15 y. Bedtime shifted to a later time with increasing age but early morning schools kept the wake time same, leading to a decline in total sleep duration of older adolescents. Older adolescents had higher depression but poor attendance and academic performance. Prevalence of sleep deprivation increased with age, from 83.7% to 87.1% in 11–12 y to 90.5% to 92.5% in 13–15 y.

Conclusions

The study clearly identifies 12–13 y as age of transition of sleep pattern among adolescents. Though significant differences were found in the academic performance, mood and attendance among preteens and teens but no direct association was seen between academic performances and sleep pattern. A complex multifactorial association between sleep patterns, attendance, mood and academic performance which may change over days, months, or years should be explored further in a longitudinal follow up study.

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References

  1. Carskadon MA, Wolfson AR, Acebo C, Tzischinsky O, Seifer R. Adolescent sleep patterns, circadian timing, and sleepiness at a transition to early school days. Sleep. 1998;21:871–81.

    Article  CAS  Google Scholar 

  2. John B. Sleep-patterns, sleep hygiene behaviors and parental monitoring among Bahrain-based Indian adolescents. J Family Med Prim Care. 2015;4:232–7.

    Article  Google Scholar 

  3. Brand S, Kirov R. Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions. Int J Gen Med. 2011;4:425–42.

    Article  Google Scholar 

  4. Wolfson AR, Carskadon MA. Sleep schedules and daytime functioning in adolescents. Child Dev. 1998;69:875–87.

    Article  CAS  Google Scholar 

  5. Carskadon MA, Vieira C, Acebo C. Association between puberty and delayed phase preference. Sleep. 1993;16:258–62.

    Article  CAS  Google Scholar 

  6. Carskadon MA, Acebo C. Regulation of sleepiness in adolescents: update, insights and speculation. Sleep. 2002;25:606–14.

    Article  Google Scholar 

  7. Carskadon MA. Patterns of sleep and sleepiness in adolescents. Pediatrician. 1990;17:5–12.

    CAS  PubMed  Google Scholar 

  8. Hansen MI, Schiff A, Zee PC, Dubocovich ML. The impact of school daily schedule on adolescent sleep. Pediatrics. 2005;115:1555–62.

    Article  Google Scholar 

  9. Chen T, Wu Z, Shen Z, Zhang J, Shen X, Li S. Sleep duration in Chinese adolescents: biological, environmental, and behavioral predictors. Sleep Med. 2014;15:1345–53.

    Article  Google Scholar 

  10. Danner FW. Adolescent sleep and daytime functioning: a national study. Sleep. 2000;23:A199.

    Google Scholar 

  11. Liu X, Buysse DJ, Gentzler AL, et al. Insomnia and hypersomnia associated with depressive phenomenology and comorbidity in childhood depression. Sleep. 2007;30:83–90.

    Article  Google Scholar 

  12. Kjeldsen JS, Hjorth MF, Andersen R, et al. Short sleep duration and large variability in sleep duration are independently associated with dietary risk factors for obesity in Danish school children. Int J Obes (Lond.). 2014;38:32–9.

    Article  CAS  Google Scholar 

  13. Sivertsen B, Harvey AG, Pallesen S, Hysing M. Mental health problems in adolescents with delayed sleep phase: results from a large population-based study in Norway. J Sleep Res. 2015;24:11–8.

    Article  Google Scholar 

  14. Lee YJ, Park J, Kim S, Cho SJ, Kim SJ. Academic performance among adolescents with behaviorally induced insufficient sleep syndrome. J Clin Sleep Med. 2015;11:61–8.

    PubMed  PubMed Central  Google Scholar 

  15. Yang CK, Kim JK, Patel SR, Lee JH. Age-related changes in sleep/wake patterns among Korean teenagers. Pediatrics. 2005;115:250–6.

    Article  Google Scholar 

  16. Moore M, Meltzer LJ. The sleepy adolescent: causes and consequences of sleepiness in teens. Paediatr Respir Rev. 2008;9:114–21.

    Article  Google Scholar 

  17. Acebo C, Carskadon MA. Influence of irregular sleep patterns on waking behavior. In: Carskadon MA, editor. Adolescent sleep patterns: biological, social, and psychological influences. Cambridge: Cambridge University Press; 2002. p. 220–35.

    Chapter  Google Scholar 

  18. Ficca G, Conte F, De Padova V, Zilli I. Good and bad sleep in childhood: a questionnaire survey amongst school children in southern Italy. Sleep Disord. 2011;2011:825981.

    Article  Google Scholar 

  19. Smith CS, Reilly C, Midkiff K. Evaluation of three circadian rhythm questionnaires with suggestions for an improved measure of morningness. J Appl Psychol. 1989;74:728–38.

    Article  CAS  Google Scholar 

  20. Kandel DB, Davies M. Epidemiology of depressive mood in adolescents: an empirical study. Arch Gen Psychiatry. 1982;39:1205–12.

    Article  CAS  Google Scholar 

  21. Titova OE, Hogenkamp PS, Jacobsson JA, Feldman I, Schiöth HB, Benedict C. Associations of self-reported sleep disturbance and duration with academic failure in community-dwelling Swedish adolescents: sleep and academic performance at school. Sleep Med. 2015;16:87–93.

    Article  Google Scholar 

  22. Reid A, Maldonado CC, Baker FC. Sleep behavior of south African adolescents. Sleep. 2002;25:423–7.

    Article  Google Scholar 

  23. Takemura T, Funaki K, Kanbayashi T, et al. Sleep habits of students attending elementary schools, and junior and senior high schools in Akita prefecture. Psychiatry Clin Neurosci. 2002;56:241–2.

    Article  Google Scholar 

  24. Gibson ES, Powles AC, Thabane L, et al. “Sleepiness” is serious in adolescence: two surveys of 3235 Canadian students. BMC Public Health. 2006;6:116.

    Article  Google Scholar 

  25. Tikotzky L, Sadeh A. Sleep problems during adolescence: links with daytime functioning. In: Latzer Y, Tzischinsky O, editors. The dance of sleeping and eating in adolescents: normal and pathological perspective. New York: Nova Science Publishers; 2012. p. 109–27.

    Google Scholar 

  26. Noland H, Price JH, Dake J, Telljohann SK. Adolescents' sleep behaviors and perceptions of sleep. J Sch Health. 2009;79:224–30.

    Article  Google Scholar 

  27. Curcio G, Ferrara M, De Gennaro L. Sleep loss, learning capacity and academic performance. Sleep Med Rev. 2006;10:323–37.

    Article  Google Scholar 

  28. Fredriksen K, Rhodes J, Reddy R, Way N. Sleepless in Chicago: tracking the effects of adolescent sleep loss during the middle school years. Child Dev. 2004;75:84–95.

    Article  Google Scholar 

  29. NSF (2006). 2006 Sleep in America Poll. Available at: http://www.sleepfoundation.org. Accessed on 3rd August 2016.

  30. Johnson EO, Roth T, Breslau N. The association of insomnia with anxiety disorders and depression: exploration of the direction of risk. J Psychiatr Res. 2006;40:700-8.

    Article  Google Scholar 

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Acknowledgements

The authors thank the school administration and all the students who participated in the study, which helped in smooth conduction of the survey. They also thank Dr. Shobha Das and Dr. Raj Kapoor for their constant support and encouragement that led them to the completion of the study. They would also like to acknowledge the financial support provided by the Indian Sleep Disorder Association (ISDA) for this study.

Author information

Authors and Affiliations

  1. Department of Physiology, VMMC and Safdarjung Hospital, Delhi, India

    Ruchi Singh & Renuka Sharma

  2. Department of Pulmonary, Critical Care and Sleep Medicine, Safdarjung Hospital, New Delhi, 110029, India

    Jagdish C. Suri

  3. Department of Medicine, All India Institute of Medical Science, New Delhi, India

    Tejas Suri

  4. National Institute of Medical Statistics (ICMR), Ansari Nagar, New Delhi, India

    Tulsi Adhikari

Authors
  1. Ruchi Singh
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  2. Jagdish C. Suri
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  3. Renuka Sharma
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  4. Tejas Suri
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  5. Tulsi Adhikari
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Contributions

JCS and RS conceived the idea; JCS, RS and RenukaS designed the study; RS, RenukaS, TS, JCS and TA contributed for acquisition, analysis, or interpretation of data. RS, JCS and TA contributed in analysis tools; RS and RenukaS drafted the paper and JCS, TS and TA substantively revised the paper. All authors gave approval for the submitted version. JCS will act as guarantor for this paper.

Corresponding author

Correspondence to Jagdish C. Suri.

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Conflict of Interest

None.

Source of Funding

The authors would also like to acknowledge the financial support provided by the Indian Sleep Disorder Association (ISDA) for this study.

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Singh, R., Suri, J.C., Sharma, R. et al. Sleep Pattern of Adolescents in a School in Delhi, India: Impact on their Mood and Academic Performance. Indian J Pediatr 85, 841–848 (2018). https://doi.org/10.1007/s12098-018-2647-7

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  • DOI: https://doi.org/10.1007/s12098-018-2647-7

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