Is there an association between short sleep duration and adolescent anxiety disorders?

Roberts, Robert E.; Duong, Hao T.

doi:10.1016/j.sleep.2016.02.007

Cited by 105Sleep and related disordersChild and Adolescent Psychosocial and Emotional DevelopmentSleep and Wakefulness Research

Is there an association between short sleep duration and adolescent anxiety disorders?

Roberts, Robert E., Duong, Hao T.·2017·Sleep Medicine

DOI 10.1016/j.sleep.2016.02.007

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Abstract

Objective The purpose of this study is to provide the first data on the prospective, reciprocal association between short sleep duration and DSM-IV anxiety disorders among adolescents.Methods A community-based two-wave cohort study included 4175 youths aged 11-17 years at baseline, with 3134 of these followed up a year later, drawn from a metropolitan area with a population of over 4 million. Anxiety is defined as any DSM-IV anxiety disorder in the past year generalized anxiety: panic disorder, agoraphobia without panic, social phobia, and post-traumatic stress disorder. Short sleep duration is defined as ≤6 h of sleep per night.Results/conclusions In multivariate analyses, short sleep duration every night at baseline predicted anxiety disorders at follow-up, controlling for anxiety at baseline. Examining the reciprocal association, anxiety disorders at baseline did not predict short sleep duration at follow-up. We are the first to examine the reciprocal effects for anxiety disorders and sleep duration among adolescents using prospective data. The data suggest that reduced quantity of sleep may increase risk for anxiety, but anxiety does not increase risk for decreased sleep duration.

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Decreased amount of sleep hours has been associated with anxiety.
“A decreased amount of sleep hours has been associated with anxiety [24].”
From The Effect of Anxiety and Nutritional Habits on the Body Distortion of Athletes. (2025) · cites this paper as [24]
Reduced sleep duration can predict anxiety disorders.
“It was found that a reduced sleep duration can predict anxiety disorders [24].”
From The Effect of Anxiety and Nutritional Habits on the Body Distortion of Athletes. (2025) · cites this paper as [24]

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Stress-related psychopathology during the COVID-19 pandemic
McLaughlin, K. A., Rosen, M. L., Kasparek, S. W., & Rodman, A. M. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104121 · Cited by 43 · see citing works
Associations of the residential built environment with adolescent sleep outcomes
Mayne, S. L., Morales, K. H., Williamson, A. A., Grant, S. F. A., Fiks, A. G., Basner, M., Dinges, D. F., Zemel, B. S., & Mitchell, J. A. (2021) · SLEEP · doi:10.1093/sleep/zsaa276 · Cited by 39 · see citing works
“Insufficient sleep is associated with adverse health outcomes including obesity [1], unhealthy cardiometabolic profiles [2, 3], depression, and anxiety [4, 5].”
Background
Prospective associations between sleep problems and subtypes of anxiety symptoms among disaster-exposed adolescents
Geng, F., Liu, X., Liang, Y., Shi, X., Chen, S., & Fan, F. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.05.017 · Cited by 35 · see citing works
Anxiety among urban, semi-urban and rural school adolescents in Dhaka, Bangladesh: Investigating prevalence and associated factors
Anjum, A., Hossain, S., Hasan, M. T., Uddin, M. E., & Sikder, M. T. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262716 · Cited by 38 · see citing works
“There is evidence from experimental studies that short sleep duration reduces self-ratings of positive affect, and increases negative affect and negative mood in response to a challenge [49].”
Background
Anti-anxiety Properties of Selected Medicinal Plants
Khan, A., Akram, M., Thiruvengadam, M., Daniyal, M., Zakki, S. A., Munir, N., Zainab, R., Heydari, M., Mosavat, S. H., Ребезов, М. Б., et al. (2021) · Current Pharmaceutical Biotechnology · doi:10.2174/1389201022666210122125131 · Cited by 35 · see citing works
(Re)Conceptualizing Sleep Among Children with Anxiety Disorders: Where to Next?
Alfano, C. A. (2018) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-018-0267-4 · Cited by 29 · see citing works
Longitudinal bidirectional effects between sleep quality and internalizing problems
Vazsonyi, A. T., Liu, D., & Blatný, M. (2022) · Journal of Adolescence · doi:10.1002/jad.12039 · Cited by 28 · see citing works
Abnormal night sleep duration and inappropriate sleep initiation time are associated with elevated anxiety symptoms in Chinese rural adults: the Henan Rural Cohort
Zhou, L., Zhang, H., Luo, Z., Liu, X., Yang, L., Hu, H., Wang, Y., Wang, C., & Wang, F. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113232 · Cited by 27 · see citing works
Does Modern Lifestyle Favor Neuroimmunometabolic Changes? A Path to Obesity
Marques, C. G., Quaresma, M. V. L. D. S., Nakamoto, F. P., Magalhães, A. C. O., Lucin, G. A., & dos Santos, R. V. T. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.705545 · Cited by 28 · see citing works
“High anxiety levels also occur in sleep debt (194).”
Background
The role of perceived threats on mental health, social, and neurocognitive youth outcomes: A multicontextual, person-centered approach
Conley, M. I., Hernandez, J., Salvati, J. M., Gee, D. G., & Baskin-Sommers, A. (2022) · Development and Psychopathology · doi:10.1017/s095457942100184x · Cited by 26 · see citing works
“02 Mar 2022 at 15:22:48, subject to the Cambridge Core terms of use. theorized to be one factor linking neighborhood conditions to disparities in multiple physical and mental health outcomes (Hale et al., 2013; Jackson et al., 2015; Roberts & Duong, 2017; Shan et al., 2015).”
Background
Effect of personal characteristics, victimization types, and family- and school-related factors on psychological distress in adolescents with intellectual disabilities
Chiu, Y., Kao, S., Tou, S.-W., & Lin, F. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.12.015 · Cited by 22 · see citing works
Gender differences in the impact of sleep duration on common mental disorders in school students
Agathão, B. T., Lopes, C. D. S., Cunha, D. B., & Sichieri, R. (2020) · BMC Public Health · doi:10.1186/s12889-020-8260-5 · Cited by 23 · see citing works
Prevalence and risk factors for depression, anxiety and suicidal ideation in youth with persistent post-concussive symptoms (PPCS)
Chrisman, S. P. D., Whelan, B. M., Zatzick, D., Hilt, R. J., Wang, J., Marcynyszyn, L. A., Rivara, F. P., & McCarty, C. A. (2021) · Brain Injury · doi:10.1080/02699052.2021.2008490 · Cited by 22 · see citing works
“Poor sleep can lead to anxiety and depression (72,73), and efforts to improve sleep quality and duration can result in better mood (74).”
Background
Improving Sleep in Intensive Care Unit: An Overview of Diagnostic and Therapeutic Options
Tiruvoipati, R., Mulder, J., & Haji, K. (2019) · Journal of Patient Experience · doi:10.1177/2374373519882234 · Cited by 20 · see citing works
“Chronic sleep deprivation is known to be associated with several comorbidities, including obesity (7), diabetes (8), anxiety and depression (9,10), hypertension (11), heart disease and stroke (12), and increased risk of mortality (12).”
Background
Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
Haugland, B. S. M., Hysing, M., Baste, V., Wergeland, G. J., Rapee, R. M., Hoffart, A., Haaland, V. Ø., & Bjaastad, J. F. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.638879 · Cited by 21 · see citing works
Adolescent time use and mental health: a cross-sectional, compositional analysis in the Millennium Cohort Study
Atkin, A. J., Dainty, J. R., Dumuid, D., Kontostoli, E., Shepstone, L., Tyler, R., Noonan, R. J., Richardson, C., & Fairclough, S. J. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-047189 · Cited by 19 · see citing works
Sex differences in the factors associated with sleep duration in university students: A cross-sectional study.
Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H.-R., Zhang, T., Liu, Y., Shen, H., Gai, X.-Y., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.025 · Cited by 18 · see citing works
“In addition, as indicated in a cohort study in the USA, there was no subsequent risk of short sleep duration among adolescents with anxiety disorders at baseline (Roberts and Duong, 2017), which we reverified in female and male students separately.”
BackgroundResultInfluential
Low sense of coherence is associated with anxiety among adults: Results based on data from all 47 prefectures of Japan
Uchida, H., Tsujino, D., Muguruma, T., Hino, N., Sasaki, K., Miyoshi, M., Koyama, Y., & Hirao, K. (2018) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2018.08.006 · Cited by 16 · see citing works
Sleep duration trajectories from adolescence to emerging adulthood: Findings from a population‐based birth cohort
Machado, A. K. F., Wendt, A. T., Menezes, A. M. B., Gonçalves, H., & Wehrmeister, F. C. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13155 · Cited by 16 · see citing works
Self-compassion and sleep quality: Examining the mediating role of taking a proactive health focus and cognitive emotional regulation strategies
Semenchuk, B. N., Onchulenko, S., & Strachan, S. M. (2021) · Journal of Health Psychology · doi:10.1177/13591053211047148 · Cited by 15 · see citing works
“Those with insufficient sleep have higher risks of cardiovascular disease, diabetes (Buxton and Marcelli, 2010), and anxiety (Roberts and Duong, 2017).”
Background
Associations between sleepiness, sleep duration, and academic outcomes in early adolescence
Orihuela, C. A., Mrug, S., & Evans, R. R. (2022) · Psychology in the Schools · doi:10.1002/pits.22843 · Cited by 15 · see citing works
“Importantly, sleep problems related to short sleep duration or irregular sleep patterns can place youth at risk for increased anxiety (Roberts & Duong, 2017) or depression (Orchard et al., 2020), which have been linked to lower academic achievement (Khesht ‐ Masjedi et al., 2019).”
Sleep, physical activity and panic attacks: A two-year prospective cohort study using smartwatches, deep learning and an explainable artificial intelligence model
Tsai, C.-H., Christian, M., Kuo, Y.-Y., Lu, C. C., Lai, F., & Huang, W. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.12.013 · Cited by 15 · see citing works
Defining short and long sleep duration for future paediatric research: A systematic literature review
Sawyer, E., Heussler, H., & Gunnarsson, R. K. (2019) · Journal of Sleep Research · doi:10.1111/jsr.12839 · Cited by 15 · see citing works
“…Ozturk et al., 2009; Taveras, Rifas‐Shiman, Oken, Gunderson, & Gillman, 2008; Wu et al., 2015), the general population in three (Lee & Park, 2014; Roberts & Duong, 2017; Shi et al., 2010), healthcare settings in three (Bathory et al., 2016; Halal et al., 2016; Taveras et al., 2008), and was…”
Background
Psychological Distress in Bullied Deaf and Hard of Hearing Adolescents
Cheng, A.-W., Chou, Y., & Lin, F. (2019) · The Journal of Deaf Studies and Deaf Education · doi:10.1093/deafed/enz014 · Cited by 16 · see citing works
Naturalistic Partial Sleep Deprivation Leads to Greater Next-Day Anxiety: The Moderating Role of Baseline Anxiety and Depression
Bean, C. A. L., & Ciesla, J. A. (2020) · Behavior Therapy · doi:10.1016/j.beth.2020.10.008 · Cited by 14 · see citing works
Slow-wave sleep and androgens: selective slow-wave sleep suppression affects testosterone and 17α-hydroxyprogesterone secretion
Ukraintseva, Y. V., Liaukovich, K. M., Polishchuk, A., Martynova, O., Belov, D. A., Simenel, E. S., Cruz, M. G. M. E., & Nizhnik, A. N. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.04.012 · Cited by 14 · see citing works
Anxiety, Sleep Problems, and Vigorous Physical Activity: Bidirectional Associations from Early Adolescence to Early Adulthood in Swedish Adolescents
Giannotta, F., Nilsson, K. W., Åslund, C., Olofdotter, S., Vadlin, S., & Larm, P. (2024) · Journal of Youth and Adolescence · doi:10.1007/s10964-024-01980-1 · Cited by 14 · see citing works
“…and anxiety over time (e.g., Alvaro et al., 2013; Geng et al., 2018; Shanahan et al., 2014; Tochigi et al., 2016), or a stronger in ﬂ uence of sleep quality on anxiety symptoms than the in ﬂ uence of anxiety on sleep (e.g., Kelly & El-Sheikh, 2014; Narmandakh et al., 2020; Roberts & Duong, 2017).”
Associations of generalized anxiety and social anxiety symptoms with sleep duration, amount of intense exercise, and excessive internet use among adolescents
Kajastus, K., Kiviruusu, O. H., MARTTUNEN, M. J., & Ranta, K. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06231-y · Cited by 13 · see citing works
“Some research has found evidence for possible direction of causality, with decreased sleep duration increasing risk for anxiety to a greater degree than anxiety increases risk for reduced sleep [18].”
Background
COVID-19 Restrictions Resulted in Both Positive and Negative Effects on Digital Media Use, Mental Health, and Lifestyle Habits
Nutley, S. B., Burén, J., & Thorell, L. B. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20166583 · Cited by 13 · see citing works
“This may have been an important factor in mitigating mental health issues, as sleep deprivation during adolescence is associated with an increased risk of developing anxiety and depression over time [56,57].”
Background
Association of accelerometry-derived social jetlag and sleep with temperament in children less than 6 years of age
Giannoumis, M., Mok, É., Borkhoff, C. M., Birken, C. S., Maguire, J. L., Parkin, P. C., Li, P., & Constantin, E. (2022) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10056 · Cited by 11 · see citing works
“4,22,33 Vriend et al 34 studied the impact of an imposed sleep schedule in a randomized trial where school-aged children slept for either 1 extra hour (long-sleep schedule) or with a 1-hour deficit (short-sleep schedule) and showed that participants demonstrated less positive affective response and…”
Sleep duration is associated with metabolic syndrome in adolescents and children: a systematic review and meta-analysis
Xu, Y., Hua, J., Wang, J., & Shen, Y. (2023) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10622 · Cited by 10 · see citing works
Multimodal assessment of circadian sleep health in predicting mental health outcomes in adolescents
Duraccio, K. M., Kamhout, S., Wright, I. D., Rugh, K. E., Miskin, J., & Amdal, M. (2023) · Frontiers in Sleep · doi:10.3389/frsle.2023.1177878 · Cited by 10 · see citing works
Psychophysiological stress response, emotion dysregulation and sleep parameters as predictors of psychopathology in adolescents and young adults.
Herber, C. C. L. M., Breuninger, C., & Tuschen-Caffier, B. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.01.110 · Cited by 10 · see citing works
Effect of early intervention for anxiety on sleep outcomes in adolescents: a randomized trial
Haugland, B. S. M., Hysing, M., Hoffart, A., Haaland, V. Ø., Bjaastad, J. F., Wergeland, G. J., & Baste, V. (2021) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-021-01795-6 · Cited by 12 · see citing works
The relationship between insomnia and trait anger and anger expression among adolescents
Şişman, F. N., Basakci, D., & Ergün, A. (2020) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.12294 · Cited by 9 · see citing works
A primer on sleep for MFTs: Implications and practical considerations
Novak, J. R., & Gillis, B. T. (2021) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12528 · Cited by 8 · see citing works
Daily physical activity, human development index and insomnia in a representative sample of Brazilian adolescents: a cross-sectional analysis
dos Santos, J. L., Araújo, R. H. D. O., Couto, J. D. O., da Silva, D. R. P., & Silva, R. J. D. S. (2021) · Sao Paulo Medical Journal · doi:10.1590/1516-3180.2020.0745.r1.0604221 · Cited by 7 · see citing works
Sleep Pattern Is Related to Mental Health among Chinese Collegiate Student Athletes
Wei, W., & Liu, W. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19158961 · Cited by 7 · see citing works
“Our findings regarding the adverse effects of short nighttime sleep duration on the incidence of depression and anxiety supported those of previous studies, for example, studies such as two American cohort studies on 15,204 and 555 adults [54,55], an American study on 4175 youths [26], and three Chinese studies on 372…”
Result
The Effect of Anxiety and Nutritional Habits on the Body Distortion of Athletes.
Ramírez-Goerke, M. I., Tornero-Aguilera, J. F., Martín-Rodríguez, A., & Clemente-Suárez, V. J. (2025) · Nutrients · doi:10.3390/nu17040682 · Cited by 6 · see citing works
“It was found that a reduced sleep duration can predict anxiety disorders [24].”
Sleep Duration Buffers The Effects of Adversity on Mental Health Among Recently Immigrated Latinx Adolescents
Venta, A. C., & Alfano, C. A. (2021) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-021-00374-w · Cited by 6 · see citing works
Psychosocial factors and sleep disorders in the population aged 25–64 years in Russia/Siberia (International WHO MONICA-Psychosocial Programme)
Гафаров, В. В., Громова, Е. А., Panov, D. O., Gagulin, I. V., & Гафарова, А. В. (2023) · Neurology neuropsychiatry Psychosomatics · doi:10.14412/2074-2711-2023-4-17-23 · Cited by 6 · see citing works
Daily wellness behaviors in college students across a school year
Copeland, W., Bai, Y., Adams, Z. M., Lerner, M., King, J. A., Rettew, J., & Hudziak, J. J. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1819291 · Cited by 6 · see citing works
Allergic Disease, Short Sleep Duration, and Suicidal Ideation and Plans Among Korean Adolescents
Kim, J., & Seo, Y. (2020) · The Journal of School Nursing · doi:10.1177/1059840520921920 · Cited by 5 · see citing works
“Furthermore, short sleep duration has been related to mental health and an increased risk of anxiety disorders in youth aged 11–17years (Roberts & Duong, 2017).”
Background
Poor sleep quality mediates the relationship between intra-family conflict and mental health problems in Chinese adolescents: a three-wave longitudinal study
Ya, Z., Wang, S., & Shi, X. (2022) · Current Psychology · doi:10.1007/s12144-022-03700-z · Cited by 5 · see citing works
Novel insights from actigraphy: Anxiety is associated with sleep quantity but not quality during childhood
Cohodes, E. M., Abusch, A., Odriozola, P., & Gee, D. G. (2019) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104518822685 · Cited by 5 · see citing works
“Furthermore, sleep dysfunction has emerged as both a correlate and predictor of anxiety in pediatric clinical and community samples (Gregory, Van der Ende, Willis, & Verhulst, 2008; Roberts & Duong, 2017; Shanahan, Copeland, Angold, Bondy, & Costello, 2014).”
Do green spaces protect night sleep duration and sleep quality in children and adolescents? Evidence from 10 observational studies
Wu, H., Su, X., Yu, Q., Wang, R., Li, Y., Hu, H., Zhang, Q., Yang, Z., Li, Y., Wu, W., et al. (2025) · BMC Public Health · doi:10.1186/s12889-025-23685-1 · Cited by 4 · see citing works
“…old; (3) Exclusion of experimental studies (animal studies, clinical studies, etc.); (4) Exclusion of review-type studies; (5) Exclude duplicate publications with significant overlap of data used; (6) Exclude literature in which valid effect indicators could not be extracted and of too low quality.”
Effect of Health Behaviors Practice on Mental Health in Adolescents
Yun, H. J. (2022) · Journal of Health Informatics and Statistics · doi:10.21032/jhis.2022.47.3.199 · Cited by 4 · see citing works
“6시간 이하의 짧 은 수면시간은 불안장애를 2배 높이는 것으로 나타났고[6], 하루 5시 간 이하 수면하는 청소년들은 8시간 이상 수면하는 청소년에 비해 자 살생각의 위험이 1.”
Depression and anxiety as mediators of the relationship between sleep disturbance and somatic symptoms among adolescents on a psychiatric inpatient unit
Laumann, L. E., Lee, J., Blackmon, J. E., Delcourt, M. L., Sullivan, M. C., Cruess, S. E., & Cruess, D. G. (2023) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045231198365 · Cited by 4 · see citing works
“There is also evidence to suggest sleep disturbance may be a precursor to anxiety within pediatric samples (Leahy & Gradisar, 2012), with subsequent research demonstrating a unidirectional relationship between shorter sleep duration and onset of anxiety (Roberts & Duong, 2017).”
Background
Sex Differences in the Associations of mental Health, Suicidality, Screentime, and Sleep: A Mediation Effect Analysis of Sleep Using Youth Risk Behavioral Surveillance Survey 2021
Feng, S., Liu, R., Tomar, A., & Ma, P. (2024) · Psychological Reports · doi:10.1177/00332941241277096 · Cited by 4 · see citing works
“…among U.S. adolescents, screen time is positively associated with mental health problems (Ashton & Beattie, 2019; Feng et al. Babic et al., 2017; Roberts & Duong, 2017; Stiglic & Viner, 2019) and suicidality (Twenge et al., 2019; Twenge et al., 2017); and negatively related to sleep duration…”
The Role of the Sleep-Wake Cycle in Adolescent Mental Illness
Wilson, C. E., Carpenter, J. S., & Hickie, I. B. (2019) · Current Sleep Medicine Reports · doi:10.1007/s40675-019-00145-y · Cited by 4 · see citing works
Sleep—an Essential Component of Obesity Screening and Counseling: A Policy Analysis of the Affordable Care Act
Owens, H. (2019) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/0046958019842001 · Cited by 4 · see citing works
Explore the impact of sleep-related factors on anxiety in adolescents: A meta-analysis of cross-sectional, longitudinal and RCT studies
Zhang, J., Wan, J., Wang, Y., Li, H., & Lei, Y. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121320 · Cited by 3 · see citing works
Delivering a sleep intervention across a youth mental health service using non‐expert practitioners: A service evaluation
Rollinson, R., Cole, A., Gee, B., Tofan, I., Graham, A., Hatton, J., Lyons, J., Reeve, S., Wilson, J., Beardsworth, K., et al. (2024) · Early Intervention in Psychiatry · doi:10.1111/eip.13534 · Cited by 3 · see citing works
“…affect and increased perception of threat (Talbot et al., 2010); increased impulsivity (Short & Weber, 2018); hopelessness (Winsler et al., 2015); anxiety (Roberts & Duong, 2017); emotional dysregulation (Baum et al., 2014) and impaired response to psychological therapies (McGlinchey et al., 2017).”
Changes in the Power Characteristics of the α-Rhythm in Students with Different Levels of Anxiety in Normal Sleep and Partial Deprivation Solving the Go/NoGo Problem
Ea, C., Petrenko, N., Alipov, N. N., & Sergeeva, O. V. (2022) · Human Physiology · doi:10.1134/s0362119722020049 · Cited by 3 · see citing works
Risk factors of adolescent psychological distress: A study based on latent class analysis
Yang, Z., Yang, Y., Gao, Y., Hu, Y., Lai, X., Zhao, L., Zhang, Z., Sui, W., Ma, S., & Zhang, S. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120460 · Cited by 2 · see citing works
Relationship between family income and trajectories of adjustment in adolescence: Sleep and physical activity as moderators
Gillis, B. T., Hinnant, J. B., Erath, S. A., & El‐Sheikh, M. (2022) · Journal of Adolescence · doi:10.1002/jad.12131 · Cited by 2 · see citing works
Loneliness and Maladjustment in Young Adults: The Protective Effects of High Respiratory Sinus Arrhythmia and Sleep Quality
Philbrook, L. E., Chen, G. J.-X., Decker, R. A., & Khaner, L. B. (2023) · Emerging Adulthood · doi:10.1177/21676968231174081 · Cited by 2 · see citing works
“…is some indication in prior literature that sleep disturbances tend to longitudinally precede mental health symptoms (e.g., Narmandakh et al., 2020; Roberts & Duong, 2017), they are bidirectionally associated (Kortesoja et al., 2020; Niu & Snyder, 2022), and it is possible that mental health…”
Background
Using Nightly Sleep Guidelines to Address Links Between Adolescents’ Self-Reported Weekly Sleep Patterns and Anxiety and Depression Symptoms
Waters, A. M., Gibson, L., Sluis, R. A., & Modecki, K. L. (2023) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01610-0 · Cited by 2 · see citing works
“In summary, evidence suggests that short sleep durations and, possibly, long sleep durations are associated with increased anxiety symptoms (e.g., [11, 14]) and that both short and long sleep durations are associated with depression symptoms in adolescents [16].”
Influential
Unpacking the Mississippi blues: Relationship between internalizing problems and health behaviors
Churakova, I., Burlaka, V., Crutchfield, J. M., Lee, N. Y., Fisher, A. K., Kim, Y. J., Zhang, S., & Nepal, J. (2020) · International Social Work · doi:10.1177/0020872820908319 · Cited by 2 · see citing works
“, 2016), anxiety disorders (Kahn-Greene et al., 2007; Roberts, 2017), and poor academic performance (Eliasson et al.”
BackgroundResult
Daily activities and social interactions predict students’ positive feelings
Ba, S., Hu, X., & Law, N. W. Y. (2023) · Asia Pacific Journal of Education · doi:10.1080/02188791.2023.2219414 · Cited by 4 · see citing works
“For sleeping, this study is consistent with existing findings that longer sleep is related to stronger positive feelings (Roberts & Duong, 2017).”
The Relationship Between Anxiety and Sleep Quality Among Medical Students
Bazaz, M. M., Shahsavan, F., Torshizian, A., Parvizi, Y., Sangani, P. S., & Dana, S. M. M. A. (2023) · Sleep and Vigilance · doi:10.1007/s41782-023-00242-7 · Cited by 1 · see citing works
“In 2017, in a cohort study, Robert et al. showed that Sleep duration is not affected by anxiety [42].”
Association of Sleep Duration and Daytime Napping With Risk of Hyperuricemia: A Systematic Review and Meta‐Analysis
Zhang, X., Wei, G., Zhang, X., Guo, J., Zhao, J., Li, X., Zhao, X., Shi, J., Yang, Y., Su, F., et al. (2025) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.70050 · Cited by 1 · see citing works
Sleepy and Anxious: Sleep and State/Trait Anxiety and Anxiety Disorders in Adolescents and Young Adults: A Literature Review
Fayad, P., Hussein, M., & Hussein, S. (2021) · Undergraduate Research in Natural and Clinical Science and Technology (URNCST) Journal · doi:10.26685/urncst.255 · Cited by 2 · see citing works
EFFECT OF THIAMINE, BMI, SLEEP DURATION, AND ANXIETY IN NEUROTIC, STRESS, AND SOMATOFORM DISORDER
Pertiwi, L. M., Fanani, M., & Hikmayani, N. H. (2023) · Muhammadiyah International Public Health and Medicine Proceeding · doi:10.61811/miphmp.v3i1.395 · Cited by 1 · see citing works
Association of sleep quality with distribution of cardiovascular diseases' psychosocial risk factors in the open urban population
Akimova, E. V., Kayumova, M. M., Гакова, Е. И., Игоревна, Б. М., Akimov, A. M., Владиславович, Н. А., Викторович, Л. Е., & Гафаров, В. В. (2024) · Russian Journal of Preventive Medicine · doi:10.17116/profmed20242707153 · Cited by 1 · see citing works
Changes in the Networks of Bedtime Procrastination and Anxiety Symptoms Among Chinese Adolescents
Gao, T., Zhou, C., & Su, Y. (2025) · Depression and Anxiety · doi:10.1155/da/7589775 · Cited by 1 · see citing works
“Furthermore, consistent with our study, prior research has identi ﬁ ed that going to bed later than intended (BPS1) may serve as a key behavioral driver that perpetuates insuf ﬁ cient sleep and contributes to the progression of anxiety symptoms [51].”
The Effectiveness of Unified Transdiagnostic Therapy on Self-Concept and Psychological Disorder of the Students with Depression Symptoms
Mohammadi, R., Nahang, A. A., & Hoseini, M. A. (2020) · Quarterly Journal of Child Mental Health · doi:10.29252/jcmh.6.4.11 · Cited by 1 · see citing works
Treatment of Comorbid Sleep Problems in Anxious Children
Alfano, C. A., Gonzalez, R. D., & Meers, J. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108235655.010
PERFIL DE ANSIEDADE EM SERVIDORES DE UMA INSTITUIÇÃO DE ENSINO SUPERIOR DO NOROESTE DE MINAS GERAIS
Andrade, K. A., Araújo, A. C., Andrade, E., & Orlando, D. R. (2020) · Enciclopédia Biosfera · doi:10.18677/encibio_2020b38
Sleep Duration and the Prevalence of Metabolic Syndrome in adolescents and children: a Systematic Review and Meta-analysisPreprint
Xu, Y., Hua, J., & Shen, Y. (2022) · medRxiv · doi:10.1101/2022.05.11.22274958
The effects of anxiety during COVID-19 on psychological exhaustion and social participation in college students
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Authors: Roberts, R. E., & Duong, H. T.
Affiliations: Michael & Susan Dell Center for Healthy Living (US)
Corresponding author: Roberts, Robert E.
ORCID: Duong, Hao T.
Venue: Sleep Medicine
Publisher: Elsevier BV
Published: 2017-02
Volume: 30
Pages: 82-87
ISSN: 1389-9457 (ISSN-L)
DOI: 10.1016/j.sleep.2016.02.007
OpenAlex: W2288389830
Cited by: 105
References: 65
Citations by year: 2026: 10 · 2025: 10 · 2024: 6 · 2023: 15 · 2022: 15 · 2021: 17 · 2020: 15 · 2019: 11 · 2018: 5 · 2016: 1
FWCI: 8.04
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Institute of Mental Health
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords: short sleep duration, adolescent anxiety disorders, bidirectional relationship, sleep deprivation, generalized anxiety disorder, panic disorder, agoraphobia, social anxiety disorder, post-traumatic stress disorder
MeSH terms: Adolescent, Anxiety Disorders, Child, Female, Humans, Male, Prospective Studies, Sleep, Time Factors, Cohort Studies

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Is there an association between short sleep duration and adolescent anxiety disorders?

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