Cited by 194Circadian rhythm and melatoninSleep and related disordersSleep and Wakefulness Research

The DOI matches its Crossref record; 150 of the 150 references it cites were found in a registry or an index; none of the 118 sources its claims cite is checked for support yet.

Impact of Sleep and Circadian Rhythms on Addiction Vulnerability in Adolescents

Open access

Abstract

Sleep homeostasis and circadian function are important maintaining factors for optimal health and well-being. Conversely, sleep and circadian disruptions are implicated in a variety of adverse health outcomes including substance use disorders (SUDs). These risks are particularly salient during adolescence. Adolescents require 8–10 hours of sleep per night, although few consistently achieve these durations. A mismatch between developmental changes and social/environmental demands contributes to inadequate sleep. Homeostatic sleep drive takes longer to build, circadian rhythms naturally delay, and sensitivity to the phase-shifting effects of light increases, all of which lead to an evening preference (i.e., chronotype) during adolescence. On the other hand, school start times are often earlier and use of electronic devices at night increases, leading to disrupted sleep and circadian misalignment (i.e., social jet-lag). Social factors (e.g., peer influence) and school demands further impact sleep and circadian rhythms. To cope with sleepiness, many teens regularly consume highly caffeinated energy drinks and other stimulants, creating further disruptions in sleep. Chronic sleep loss and circadian misalignment enhance developmental tendencies towards increase reward sensitivity and impulsivity, increasing the likelihood of engaging in risky behaviors, and exacerbating the vulnerability to substance use and SUDs. We review the neurobiology of brain reward systems and the impact of sleep and circadian rhythms changes on addiction vulnerability in adolescence, and suggest areas that warrant further research.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that adolescent sleep and circadian disruption—driven by delayed rhythms, insufficient sleep, and social jet lag—enhances reward sensitivity and impulsivity, increasing vulnerability to substance use disorders. It synthesizes human and animal evidence for sleep/circadian modulation of reward circuitry and highlights chronotherapy and later school start times as potential interventions.

Key findings

  • Adolescents need 8–10 hours of sleep per night, but 71% of high school students sleep less than 8 hours and 44% sleep fewer than 6 hours; developmental phase delays, slower homeostatic sleep drive, increased light sensitivity, early school start times, electronic device use, and social factors contribute to circadian misalignment and “social jet lag.”
  • Sleep/circadian disruption is associated with increased substance use and related problems: short sleep and weekend oversleep prospectively predict future alcohol and illicit drug use, and eveningness predicts increases in substance involvement rather than merely resulting from it.
  • Sleep and circadian changes modulate reward circuitry: social jet lag is associated with lower mPFC reactivity to monetary reward; later sleep timing is associated with reduced mPFC and ventral striatal responses; sleep deprivation increases ventral striatal and decreases mPFC responses in young adults, while sleep restriction blunts striatal reward-outcome reactivity in adolescents.
  • Animal and genetic evidence supports conserved mechanisms: adolescent rodents self-administer greater quantities of rewarding substances than adults, sleep deprivation alters mPFC-to-nucleus accumbens synaptic transmission and enhances reward seeking, and circadian gene variants such as PER2, PER1, and CLOCK are linked to addiction-related phenotypes.

Methods

  • Narrative review, not a primary study; no new participants, sample, or original data are reported.
  • Synthesizes human epidemiological, neuroimaging, and genetic studies alongside animal models of sleep, circadian rhythms, reward, and substance use.
  • Main analysis is conceptual integration, culminating in a testable hypothesis that late sleep timing, short sleep duration, and circadian misalignment adversely affect cortico-limbic function, enhancing reward function and impairing cognitive control to increase substance use risk.

Limitations

  • Stated in the paper: cellular and molecular mechanisms linking sleep/circadian rhythms to reward remain poorly understood, and the directionality of associations is unclear—sleep/circadian disturbances may influence reward function, or sensation-seeking may drive late-night behavior and sleep loss.
  • Stated in the paper: most circadian gene studies were completed in adulthood, and few studies have evaluated chronotherapies in adolescents, with existing adolescent trials limited to depression or delayed phase sleep disorder.
  • Evident from the text: as a narrative review, it does not systematically search or quantitatively synthesize the literature, and its conclusions rely on cited evidence and a proposed model rather than new experimental tests.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.biopsych.2017.11.035

Cites

150 of 150 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 118 cited sources checked · 0 supported · 0 flagged

Show all 34 claims

  • It may state two separate claims as one. 27
  • Probably not a substantial claim. 2
28 of 28
  • The paper relies on this without support.

    Sleep and circadian rhythms undergo developmental changes from childhood through adolescence and into adulthood.

    “Sleep and circadian rhythms undergo developmental changes from childhood through adolescence and into adulthood.”
  • The paper relies on this without support.

    During adolescence, an evening preference combined with social demands and other environmental factors contributes to circadian misalignment and exacerbates sleep disturbances, impacting neural circuits underlying mood and reward.

    “During adolescence, an evening preference combined with social demands and other environmental factors, contributes to circadian misalignment and further exacerbates sleep disturbances, impacting neural circuits underlying mood and reward.”
  • The paper relies on this without support.

    Adolescent development is associated with enhanced reward sensitivity relative to cognitive control, phase delay in endogenous circadian rhythms, and reduced homeostatic sleep drive.

    “Adolescent development is associated with enhanced reward sensitivity relative to cognitive control, phase delay in endogenous circadian rhythms, and reduced homeostatic sleep drive.”
  • The paper relies on this without support.

    Genetic, environmental and social factors interact with these developmental processes, often resulting in late sleep timing, short sleep duration, and circadian misalignment.

    “Genetic, environmental and social factors interact with these developmental processes, often resulting in late sleep timing, short sleep duration, and circadian misalignment.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

1 retracted

Flagged first, then by citations

Show all 150 references

Research works printed but not linked: 2

  1. Franzen, 2016, Sleep restriction lowers striatal responses to the receipt of monetary reward in adolescents, Sleep, 39S, A93
  2. Germain, 2016, Sleep restriction amplifies neural response to reward cues compared to normal sleep and sleep deprivation, Sleep, 39S, A94

Cited by

Sorted by citations

Items 101–192 of 192

Metadata

Authors
Logan, R. W., Hasler, B. P., Forbes, E. E., Franzen, P. L., Torregrossa, M. M., Huang, Y. H., Buysse, D. J., Clark, D. B., & McClung, C. A.
Affiliations
University of Pittsburgh (US)
Corresponding author
McClung, Colleen A.
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2018-06
Volume
83
Issue
12
Pages
987-996
ISSN
0006-3223 (ISSN-L)
OpenAlex
W2772046940
Cited by
194
References
150
Citations by year
2026: 22 · 2025: 14 · 2024: 24 · 2023: 28 · 2022: 33 · 2021: 26 · 2020: 16 · 2019: 20 · 2018: 10
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • Biological Psychiatry (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Drug Abuse (5K01DA038654-03, 5R21DA041872-02, 4K01DA032557-05, 5R01DA033064-04, 5R21DA041563-02, 5R01DA042029-02, 5R01DA035805-04, 5R01DA039865-03, 1K02DA042886-01)
  • National Institute of Mental Health (5R01MH104418-03, 5K01MH077106-05, 5R01MH077159-09, 5R01MH106460-02)
  • National Institute on Alcohol Abuse and Alcoholism (AA025547)
  • National Institute on Aging (5R01AG047139-03)
Topics
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords
sleep, circadian rhythm, addiction vulnerability, adolescents, substance use disorders, sleep homeostasis, chronotype, school start time, social jetlag, energy drinks, caffeine, reward sensitivity, impulsivity, brain reward system, sleep deprivation
MeSH terms
Adolescent, Circadian Rhythm, Humans, Sleep Wake Disorders, Substance-Related Disorders, Vulnerable Populations

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