Sleep problems in early childhood and early onset of alcohol and other drug use in adolescence
Open accessAbstract
BACKGROUND: No prospective studies exist on the relationship between sleep problems early in life and subsequent alcohol use. Stimulated by the adult literature linking sleep problems to the subsequent onset of alcohol use disorders in some adults, we examined whether sleep problems in early childhood predicted the onset of alcohol and other drug use in adolescence and whether such a relationship was mediated by other known predictors of this relationship, namely, attention problems, anxiety/depression, and aggression in late childhood. METHODS: This study is part of an ongoing longitudinal study of the development of risk for alcohol and other substance use disorders. Study participants were 257 boys from a community-recruited sample of high-risk families. RESULTS: Mothers' ratings of their children's sleep problems at ages 3 to 5 years significantly predicted an early onset of any use of alcohol, marijuana, and illicit drugs, as well as an early onset of occasional or regular use of cigarettes by age 12 to 14. Additionally, although sleep problems in early childhood also predicted attention problems and anxiety/depression in later childhood, these problems did not mediate the relationship between sleep problems and onset of alcohol and other drug use. CONCLUSIONS: This is, to our knowledge, the first study that prospectively examines the relationship between sleep problems and early onset of alcohol use, a marker of increased risk for later alcohol problems and alcohol use disorders. Moreover, early childhood sleep problems seem to be a robust marker for use of drugs other than alcohol. Implications for the prevention of early alcohol and other drug use are discussed.
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Adolescent sleep problems were a risk factor for problems with other drugs.
“Adolescent sleep problems were a risk factor for problems with other drugs.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2004
Response inhibition during adolescence statistically mediated the relationship between childhood sleep problems and young-adult alcohol problems.
“The authors also investigated potential mediators of these associations, reporting that response inhibition (based on a behavioral task) during adolescence statistically mediated the relationship between childhood sleep problems and young-adult alcohol problems.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2004
Self-reported sleep problems during adolescence per se did not predict later alcohol outcomes over and above the effect of childhood sleep.
“Interestingly, self-reported sleep problems during adolescence per se did not predict later alcohol outcomes over and above the effect of childhood sleep.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2004
Parent-rated childhood sleep problems assessed between ages 3 and 8 predict alcohol problems during early adolescence (12-14 years) and late adolescence/young adulthood (18-20 years).
“Wong and colleagues (Wong, Brower, Fitzgerald, & Zucker, 2004; Wong, Brower, Nigg, & Zucker, 2010) have reported that parent-rated childhood sleep problems, assessed between ages 3 and 8, and including “trouble sleeping” and “overtiredness”, predict alcohol problems during early adolescence (12–14 years) and late adolescence/young adulthood (18–20 years).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2004
Depression and anxiety symptoms during late childhood did not significantly account for variance in the association between sleep and alcohol problems.
“In contrast, depression and anxiety symptoms during late childhood (age 9–11) did not significantly account for variance in the association between sleep and alcohol problems.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2004
Sleep problems in childhood (ages 3 to 5 years) predicted more attention problems, more negative affect, and in early adolescence higher rates of substance use onset, including cigarettes, alcohol, and marijuana.
“Consistent with the hypothesis that sleep difficulties constitute an early marker for psychological dysregulation, Wong and colleagues (2004) found that sleep problems in childhood (ages 3 to 5 years) predicted more attention problems, more negative affect (i.e., anxiety and depression), and, in early adolescence, higher rates of substance use onset, including cigarettes, alcohol, and marijuana.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2004
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Self-citation
- Authors
- Wong, M. M., Brower, K. J., Fitzgerald, H. E., & Zucker, R. A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Wong, Maria M.
- Venue
- Alcoholism Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2004-04
- Volume
- 28
- Issue
- 4
- Pages
- 578-587
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- OpenAlex
- W2101208199
- Cited by
- 271
- References
- 66
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 10 · 2023: 7 · 2022: 13 · 2021: 7 · 2020: 14 · 2019: 16 · 2018: 14 · 2017: 10 · 2016: 13 · 2015: 15 · 2014: 29 · 2013: 8 · 2012: 18
- FWCI
- 7.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA 07065, K24AA000304, R37AA007065, R37 AA-07065, K24-AA00304)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- sleep disorders, early childhood, adolescent substance use, cannabis use, illicit drug use, attention deficits, anxiety and depression, aggression, mediation, high-risk families, alcohol use disorder prevention
- MeSH terms
- Adolescent, Age Factors, Alcoholism, Mental Disorders, Child, Preschool, Humans, Longitudinal Studies, Male, Risk Factors, Sleep Wake Disorders, Age of Onset, Substance-Related Disorders
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