The sleepy adolescent: Causes and consequences of sleepiness in teens
Abstract
The majority of adolescents do not obtain the recommended amount of sleep, resulting in significant daytime sleepiness. For most adolescents, insufficient sleep results from the interaction between intrinsic factors such as puberty and extrinsic factors such as school start times. Insufficient sleep and sleepiness impact all areas of adolescent functioning, including academic, psychological and behavioural, which underscores the importance of evaluating sleepy adolescents. While polysomnography is required for the diagnosis of certain sleep disorders, causes of sleepiness are generally best identified with a detailed sleep history and daily sleep diary. The management of sleep problems in adolescents involves treating any underlying sleep disorders, increasing total sleep time and improving other environmental factors that impact sleep. Recognition and management of insufficient sleep and sleepiness is important for the health and functioning of adolescents.
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Most US schools, especially high schools, start too early for most adolescents.
“Existing evidence suggests that most US schools, especially high schools, start too early for most adolescents.256–259”
From Sleep, Health, and Society (2017) · cites this paper as [257]
Earlier school start times promote shorter sleep duration among adolescents.
“Earlier start times not only promote shorter sleep duration among adolescents (who need more sleep than adults) but also do not take into account natural circadian delays that occur in adolescence.260”
From Sleep, Health, and Society (2017) · cites this paper as [257]
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- Authors
- Moore, M., & Meltzer, L. J.
- Affiliations
- University of Pennsylvania (US)
- Children's Hospital of Philadelphia (US)
- Corresponding author
- Moore, Melisa
- ORCID
- Meltzer, Lisa J.
- Venue
- Paediatric Respiratory Reviews
- Publisher
- Elsevier BV
- Published
- 2008-06
- Volume
- 9
- Issue
- 2
- Pages
- 114-121
- ISSN
- 1526-0542 (ISSN-L)
- OpenAlex
- W2082743407
- Cited by
- 235
- References
- 59
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 17 · 2023: 15 · 2022: 10 · 2021: 14 · 2020: 19 · 2019: 17 · 2018: 14 · 2017: 9 · 2016: 14 · 2015: 20 · 2014: 18 · 2013: 14 · 2012: 13
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Paediatric Respiratory Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- insufficient sleep, daytime sleepiness, puberty, school start time, sleep disorders, sleep history, sleep diary, polysomnography, academic performance, adolescent behavior, sleep management
- MeSH terms
- Adolescent, Adolescent Behavior, Humans, Risk Factors, Sleep, Sleep Wake Disorders
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