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Cited by 91Sleep and related disordersSubstance Abuse Treatment and OutcomesObstructive Sleep Apnea Research

A Longitudinal Study of Insomnia and Other Sleep Complaints in Adolescents With and Without Alcohol Use Disorders

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Hasler, Brant P., Martin, Christopher S., Wood, D. Scott, Rosario, Bedda, Clark, Duncan B.·2014·Alcoholism: Clinical and Experimental Research
DOI 10.1111/acer.12474PMC PMC4146702
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Abstract

Background: Sleep disturbances are both common and well‐characterized in adults with alcohol use disorders ( AUD s), but have received little study in adolescents with AUD s. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUD s. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUD s; in particular, it remains unclear how persistent AUD ‐associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol‐use symptoms. We investigated these questions in a 5‐year longitudinal study of adolescents with and without AUD s at baseline. Methods: Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD ( AUD +), while 349 had no current or past AUD ( AUD −). We examined sleep and alcohol involvement at baseline as well as 1‐, 3‐, and 5‐year follow‐up visits. Sleep variables included self‐reported insomnia and hypersomnia, as well as variability in weekday–weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity. Results: The AUD + group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday–weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5‐ and 3‐year follow‐ups, respectively. In the AUD − group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1‐year follow‐up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3‐ and 5‐year follow‐ups. Conclusions: These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUD s. The findings also suggest that sleep disturbances may place adolescents without AUD s at an elevated risk of developing alcohol problems.

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  • Longitudinal follow-up studies have found that weekend delay and sleep-timing variability during adolescence and young adulthood positively correlate with alcohol use 2 years later and the incidence of alcohol use disorder symptoms 3 and 5 years later, and are associated with an earlier onset of alcohol use disorder.

    “Longitudinal follow-up studies have found that weekend delay and sleep-timing variability during adolescence and young adulthood positively correlate with alcohol use 2 years later162 and the incidence of alcohol use disorder symptoms 3 and 5 years later163 and are associated with an earlier onset of alcohol use disorder164.”

    From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [163]

  • Several longitudinal studies have linked markers of social jet-lag, including larger weekend delays and more variable sleep timing, with greater likelihood of alcohol use 2 years later, greater alcohol use disorder symptoms 3 and 5 years later, and earlier onset of alcohol use disorder.

    “Several longitudinal studies have linked markers of social jet-lag, including larger weekend delays and more variable sleep timing, with greater likelihood of alcohol use 2-years later (59); greater alcohol use disorder symptoms 3- and 5-years later (68); and an earlier onset of alcohol use disorder (69).”

    From Impact of Sleep and Circadian Rhythms on Addiction Vulnerability in Adolescents (2018) · cites this paper as [68]

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Authors
Hasler, B. P., Martin, C. S., Wood, D. S., Rosario, B., & Clark, D. B.
Affiliations
University of Pittsburgh (US)
Corresponding author
Hasler, Brant P.
ORCID
Venue
Alcoholism: Clinical and Experimental Research
Publisher
Wiley
Published
2014-06-27
Volume
38
Issue
8
Pages
2225-2233
ISSN
  • 0145-6008 (ISSN-L)
  • 1530-0277
DOI
10.1111/acer.12474
PMC
PMC4146702
OpenAlex
W2038726286
Cited by
91
References
49
Citations by year
2026: 3 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 6 · 2020: 8 · 2019: 12 · 2018: 8 · 2017: 10 · 2016: 6 · 2015: 5 · 2014: 3
FWCI
11.13
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Alcoholism Clinical and Experimental Research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Drug Abuse (K01DA032557, P50DA005605)
  • National Institute on Alcohol Abuse and Alcoholism (R01AA016482, U01AA021690)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords
insomnia, sleep disorders, adolescents, alcoholism, hypersomnia, sleep duration variability, depression
MeSH terms
Adolescent, Adolescent Behavior, Child, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Longitudinal Studies, Male, Psychiatric Status Rating Scales, Risk Factors, Case-Control Studies, Disease Progression, Alcohol-Related Disorders, Young Adult

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