Childhood sleep problems, response inhibition, and alcohol and drug outcomes in adolescence and young adulthood
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BACKGROUND: To our knowledge, no prospective studies examine the relationships among childhood sleep problems, adolescent executive functioning, and substance outcomes (i.e., substance use and substance-related problems). In this study, we examined whether childhood sleep problems predicted adolescent sleep problems and response inhibition. We also tested whether adolescent sleep problems and poor response inhibition mediated the relationship between childhood sleep problems and substance (alcohol and drug) outcomes in young adulthood. METHODS: Study participants were 292 boys and 94 girls (M = 4.85, SD = 1.47) from a community sample of high-risk families and controls. RESULTS: When compared to their counterparts, those with trouble sleeping in childhood were twice as likely to have the same problem in adolescence. Childhood overtiredness predicted poor response inhibition in adolescence. Persistent trouble sleeping from childhood to adolescence and response inhibition in adolescence mediated the relationship between childhood sleep problems and drug outcomes in young adulthood, whereas overtiredness in childhood directly predicted alcohol use outcomes and alcohol-related problems in young adulthood. CONCLUSIONS: This is the first study showing a long-term relationship between childhood sleep measures and subsequent alcohol and drug outcomes. The developmental and clinical implications of these findings were discussed. Prevention and intervention programs may want to consider the role of sleep problems and response inhibition on substance use and abuse.
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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., 2010
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., 2010
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., 2010
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., 2010
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., 2010
Response inhibition evaluated during adolescence (12-14 years) mediated the relationship between parent-rated sleep problems in childhood (3-8 years) and alcohol problems in young adulthood (18-20 years).
“A behavioral measure of impulsivity, response inhibition, evaluated during adolescence (12–14 years) mediated the relationship between parent-rated sleep problems in childhood (3–8 years) and alcohol problems in young adulthood (18–20 years) (Wong et al., 2010).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2010
Childhood sleep difficulties, represented by 'overtiredness', predicted deficits in response to a response inhibition task.
“Childhood sleep difficulties, represented by “overtiredness”, predicted deficits in response to a response inhibition task (Wong et al., 2010).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2010
Childhood overtiredness also predicted alcohol-related problems in young adulthood.
“Childhood overtiredness also predicted alcohol-related problems in young adulthood.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Wong et al., 2010
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- Authors
- Wong, M. M., Brower, K. J., Nigg, J. T., & Zucker, R. A.
- Affiliations
- Idaho State University (US)
- Corresponding author
- Wong, Maria M.
- Venue
- Alcoholism Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2010-05-25
- Volume
- 34
- Issue
- 6
- Pages
- 1033-1044
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- PMC
- PMC4054702
- OpenAlex
- W1516545267
- Cited by
- 161
- References
- 76
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 12 · 2023: 7 · 2022: 17 · 2021: 8 · 2020: 6 · 2019: 12 · 2018: 13 · 2017: 13 · 2016: 15 · 2015: 10 · 2014: 16 · 2013: 9 · 2012: 7
- FWCI
- 10.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA12217, K24AA000304, R37AA007065, R01AA012217, R37 AA-07065, K24-AA00304, R21AA016851)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- childhood sleep problems, response inhibition, executive function, substance use, alcohol consumption, drug use, substance-related problems, mediation, high-risk families
- MeSH terms
- Adolescent, Age Factors, Alcoholism, Child, Child, Preschool, Female, Humans, Longitudinal Studies, Male, Predictive Value of Tests, Prognosis, Reaction Time, Risk Factors, Sleep Wake Disorders, Case-Control Studies, Substance-Related Disorders, Young Adult
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