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Cited by 28Sleep and related disordersSleep and Wakefulness ResearchChild and Adolescent Psychosocial and Emotional Development

The role of adolescent sleep quality in the development of anxiety disorders: A neurobiologically-informed model

Jamieson, Daniel, Shan, Zack, Lagopoulos, Jim, Hermens, Daniel F.·2021·Sleep Medicine Reviews
DOI 10.1016/j.smrv.2021.101450
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Abstract

In a series of cognitive and neuroimaging studies we investigated the relationships between adolescent sleep quality, white matter (WM) microstructural integrity and psychological distress. Collectively these studies showed that during early adolescence (12-14 years of age), sleep quality and psychological distress are significantly related. Sleep quality and the microstructure of the posterior limb of the internal capsule (PLIC), a WM tract that provides important connectivity between the cortex, thalamus and brain stem, were also shown to be significantly correlated as too were social connectedness and psychological distress. Longitudinally the uncinate fasciculus (UF), a WM tract that provides bidirectional connectivity between the amygdala and executive control centers in the Prefrontal cortex (PFC), was observed to be undergoing continued development during this period and sleep quality was shown to impact this development. Sleep latency was also shown to be a significant predictor of worry endured by early adolescents during future stressful situations. The current review places these findings within the broader literature and proposes an empirically supported model based in a theoretical framework. This model focuses on how fronto-limbic top-down control (or lack thereof) explains how poor sleep quality during early adolescence plays a crucial role in the initial development of anxiety disorders, and possibly in the reduced ability of anxiety disorder sufferers to benefit from cognitive reappraisal based therapies. While the findings outlined in these studies highlight the importance of sleep quality for WM development and in mitigating psychological distress, further research is required to further explicate the associations proposed within the model to allow causal inferences to be made.

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  • SHUTi and the CBT-I Coach app improve sleep onset latency, total sleep time, and daytime functioning.

    “Similarly, SHUTi (Sleep Healthy Using the Internet) and the CBT-I Coach app show improvements in sleep onset latency, total sleep time, and daytime functioning; however, outcomes are variable and are generally smaller than those observed with therapist-delivered CBT-I [96,97].”

    From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [96]

  • Outcomes of SHUTi and the CBT-I Coach app are variable and generally smaller than those observed with therapist-delivered CBT-I.

    “Similarly, SHUTi (Sleep Healthy Using the Internet) and the CBT-I Coach app show improvements in sleep onset latency, total sleep time, and daytime functioning; however, outcomes are variable and are generally smaller than those observed with therapist-delivered CBT-I [96,97].”

    From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [96]

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Authors
Jamieson, D., Shan, Z., Lagopoulos, J., & Hermens, D. F.
Affiliations
QLT (Canada) (CA)
Corresponding author
Jamieson, Daniel
ORCID
Venue
Sleep Medicine Reviews
Publisher
Elsevier BV
Published
2021-10
Volume
59
Pages
101450
ISSN
1087-0792 (ISSN-L)
DOI
10.1016/j.smrv.2021.101450
OpenAlex
W3129013756
Cited by
28
References
87
Citations by year
2026: 6 · 2025: 9 · 2024: 6 · 2023: 3 · 2022: 4
FWCI
0.53
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Sleep Medicine Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
Australian Government (2018-19)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
anxiety disorders, white matter microstructural integrity, posterior limb of internal capsule, uncinate fasciculus, psychological distress, social connectedness, sleep latency, worry, cognitive reappraisal, amygdala, prefrontal cortex, early adolescence, brain development
MeSH terms
Adolescent, Anxiety Disorders, Humans, Sleep, Prefrontal Cortex, Diffusion Tensor Imaging, White Matter

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