Sleep restriction worsens mood and emotion regulation in adolescents
Open accessAbstract
Background: The relationship between inadequate sleep and mood has been well‐established in adults and is supported primarily by correlational data in younger populations. Given that adolescents often experience shortened sleep on school nights, we sought to better understand the effect of experimentally induced chronic sleep restriction on adolescents’ mood and mood regulation. Methods: Fifty healthy adolescents, ages 14–17, completed a 3‐week sleep manipulation protocol involving a baseline week, followed by a sleep restriction ( SR ) condition (6.5 hr in bed per night for five nights) and healthy sleep duration ( HS ) condition (10 hr in bed per night for five nights). The study used a randomized, counterbalanced, crossover experimental design. Participants’ sleep was monitored at home via self‐report and actigraphy. At the end of each condition, participants and their parents completed questionnaires of mood and mood regulation. To assess for expectancy effects, we also analyzed parent and teen ratings of hyperactivity/impulsivity, which prior research suggests is not sensitive to SR in adolescents. Wilcoxon Signed Rank tests compared questionnaire outcomes across the two conditions. Results: Participants averaged 2.5 more hours of sleep per night during HS relative to SR . Compared with HS , adolescents rated themselves as significantly more tense/anxious, angry/hostile, confused, and fatigued, and as less vigorous (p = .001–.01) during SR . Parents and adolescents also reported greater oppositionality/irritability and poorer emotional regulation during SR compared with HS ( p < .05). There were no cross‐condition differences in depression or hyperactivity/impulsivity ( p > .05). Conclusions: Findings complement prior correlational study results to show that after only a few days of shortened sleep, at a level of severity that is experienced regularly by millions of adolescents on school nights, adolescents have worsened mood and decreased ability to regulate negative emotions.
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Long-term sleep deprivation causes physiological and emotional changes in adolescents or affects their emotional regulation abilities.
“This may be explained by long-term sleep deprivation, which causes physiological and emotional changes in adolescents or affects their emotional regulation abilities (Baum et al., 2013).”
From The Effect of Sleep Quality on Academic Performance: A Systematic Review and Meta-Analysis Study (2026) · cites this paper as Baum et al., 2013
The Discussion and Conclusion report that five nights of shortened sleep worsened adolescents’ mood and ability to regulate emotions. They do not establish physiological changes or effects of sleep deprivation lasting longer than the study’s five-night restriction. (LLM, conf=0.86)
Experimental — accuracy not yet measuredElevated negative affect ratings were observed after 5 nights of restriction to 6.5 h of time in bed for sleep.
“Elevated negative affect ratings were observed after 5 nights of restriction to 6.5 h of TIB for sleep.20”
From Cognitive Performance, Sleepiness, and Mood in Partially Sleep Deprived Adolescents: The Need for Sleep Study (2016) · cites this paper as [20]
Unlike another study, we did not find an effect on negative mood.
“However, unlike another study, 20 we did not find an effect on negative mood.”
From Cognitive Performance, Sleepiness, and Mood in Partially Sleep Deprived Adolescents: The Need for Sleep Study (2016) · cites this paper as [20]
Poor sleep is associated with symptoms of depression and anxiety.
“poor sleep is associated with symptoms of depression and anxiety (1–12)”
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- Authors
- Baum, K. T., Desai, A., Field, J., Miller, L. E., Rausch, J., & Beebe, D. W.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Emory University (US)
- Corresponding author
- Beebe, Dean W.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2013-07-30
- Volume
- 55
- Issue
- 2
- Pages
- 180-190
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC4047523
- OpenAlex
- W2075277492
- Cited by
- 629
- References
- 52
- Citations by year
- 2026: 44 · 2025: 51 · 2024: 56 · 2023: 46 · 2022: 59 · 2021: 65 · 2020: 70 · 2019: 65 · 2018: 57 · 2017: 32 · 2016: 47 · 2015: 27 · 2014: 9 · 2013: 1
- FWCI
- 37.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01 HL092149, UL1 RR026314)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep restriction, adolescents, mood, emotion regulation, sleep deprivation, anxiety, irritability, oppositionality, hyperactivity/impulsivity, depression
- MeSH terms
- Adolescent, Adolescent Behavior, Affect, Clinical Protocols, Female, Humans, Male, Sleep Deprivation, Cross-Over Studies, Actigraphy
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