Sleep and the transition to adolescence: a longitudinal study
Open accessAbstract
STUDY OBJECTIVES: To assess the links between sleep and pubertal development using a longitudinal design. DESIGN: Three consecutive annual assessments of sleep and pubertal development. Sleep was assessed using a week of home actigraphy. SETTING: Naturalistic sleep in the home setting of school children, Tel Aviv Area, Israel. PARTICIPANTS: A sample of 94 (41 boys) typically developing healthy school-age children (age range at first assessment: 9.9-11.2 years). INTERVENTION: N/A. MEASUREMENTS AND RESULTS: The Petersen's Pubertal Development Scale (PDS) and Sexual Maturation Scale (SMS) were used to assess pubertal development, and a week of actigraphy served to assess naturalistic sleep patterns. The results reflect expected developmental trends: an increase in signs of pubertal maturation, delayed sleep onset, and shorter sleep time. After controlling for age, significant relationships were found between sleep onset time, true sleep time, and number of night wakings at Time 1 and pubertal ratings at Time 2, and pubertal changes from Time 1 to Time 2. Delayed and disrupted sleep at Time 1 predicted faster pubertal changes from Time 1 to Time 2. These results were supported by structural equation modeling. These findings were similar in boys and girls. CONCLUSIONS: Based on these longitudinal data, it appears that pubertal changes in sleep (delayed sleep phase and disrupted sleep patterns) antedate bodily changes associated with puberty. The underlying mechanisms explaining these predictive links should be further explored.
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Delayed circadian phase correlates with secondary-sex development in both home-based and laboratory studies of adolescents.
“Both home-based and laboratory studies of adolescents show that delayed circadian phase correlates with secondary-sex development [31, 32, 33, 164], and this correlation holds true for subjective ratings of chronotype and puberty even when grade level in school is held constant [36].”
From The neuroendocrine control of the circadian system: Adolescent chronotype (2012) · cites this paper as [164]
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- Authors
- Sadeh, A., Dahl, R. E., Shahar, G., & Rosenblat-Stein, S.
- Affiliations
- Tel Aviv University (IL)
- University of Pittsburgh (US)
- Ben-Gurion University of the Negev (IL)
- Corresponding author
- Sadeh, Avi
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-12
- Volume
- 32
- Issue
- 12
- Pages
- 1602-1609
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC2786044
- OpenAlex
- W182553051
- Cited by
- 243
- References
- 51
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 19 · 2023: 16 · 2022: 21 · 2021: 11 · 2020: 31 · 2019: 14 · 2018: 5 · 2017: 13 · 2016: 11 · 2015: 15 · 2014: 18 · 2013: 13 · 2012: 15
- FWCI
- 14.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Israel Science Foundation
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- puberty, pubertal development, transition to adolescence, sleep onset delay, sleep duration, nocturnal awakenings, sleep disruption, actigraphy, elementary school students, sex differences
- MeSH terms
- Adolescent, Age Factors, Analysis of Variance, Child, Female, Humans, Israel, Longitudinal Studies, Male, Puberty, Surveys and Questionnaires, Sexual Maturation, Sleep, Time Factors, Wakefulness, Adolescent Development, Actigraphy
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