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Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care

There is limited knowledge about sleep in adolescents with elevated levels of anxiety treated within primary health care settings, potentially resulting in sleep problems not being sufficiently addressed by primary health care workers. In the current study self-reported anxiety, insomnia, sleep onse...

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Autores principales: Haugland, Bente S. M., Hysing, Mari, Baste, Valborg, Wergeland, Gro Janne, Rapee, Ronald M., Hoffart, Asle, Haaland, Åshild T., Bjaastad, Jon Fauskanger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024547/
https://www.ncbi.nlm.nih.gov/pubmed/33841272
http://dx.doi.org/10.3389/fpsyg.2021.638879
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author Haugland, Bente S. M.
Hysing, Mari
Baste, Valborg
Wergeland, Gro Janne
Rapee, Ronald M.
Hoffart, Asle
Haaland, Åshild T.
Bjaastad, Jon Fauskanger
author_facet Haugland, Bente S. M.
Hysing, Mari
Baste, Valborg
Wergeland, Gro Janne
Rapee, Ronald M.
Hoffart, Asle
Haaland, Åshild T.
Bjaastad, Jon Fauskanger
author_sort Haugland, Bente S. M.
collection PubMed
description There is limited knowledge about sleep in adolescents with elevated levels of anxiety treated within primary health care settings, potentially resulting in sleep problems not being sufficiently addressed by primary health care workers. In the current study self-reported anxiety, insomnia, sleep onset latency, sleep duration, and depressive symptoms were assessed in 313 adolescents (12–16 years; mean age 14.0, SD = 0.84, 84.0% girls) referred to treatment for anxiety within primary health care. Results showed that 38.1% of the adolescents met criteria for insomnia, 34.8% reported short sleep duration (<7 h), and 83.1% reported long sleep onset latency (≥30 min). Total anxiety symptoms were related to all sleep variables after controlling for age and sex. Furthermore, all anxiety symptom sub-types were associated with insomnia and sleep onset latency, whereas most anxiety subtypes were associated with sleep duration. Adolescents’ depressive symptoms accounted for most of the anxiety-sleep associations, emphasizing the importance of depressive symptoms for sleep. However, anxiety was associated with insomnia and sleep onset latency also among youth with low levels of depressive symptoms. The findings suggests that primary health care workers should assess sleep duration, sleep onset latency, and insomnia in help-seeking adolescents with anxiety.
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spelling pubmed-80245472021-04-08 Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care Haugland, Bente S. M. Hysing, Mari Baste, Valborg Wergeland, Gro Janne Rapee, Ronald M. Hoffart, Asle Haaland, Åshild T. Bjaastad, Jon Fauskanger Front Psychol Psychology There is limited knowledge about sleep in adolescents with elevated levels of anxiety treated within primary health care settings, potentially resulting in sleep problems not being sufficiently addressed by primary health care workers. In the current study self-reported anxiety, insomnia, sleep onset latency, sleep duration, and depressive symptoms were assessed in 313 adolescents (12–16 years; mean age 14.0, SD = 0.84, 84.0% girls) referred to treatment for anxiety within primary health care. Results showed that 38.1% of the adolescents met criteria for insomnia, 34.8% reported short sleep duration (<7 h), and 83.1% reported long sleep onset latency (≥30 min). Total anxiety symptoms were related to all sleep variables after controlling for age and sex. Furthermore, all anxiety symptom sub-types were associated with insomnia and sleep onset latency, whereas most anxiety subtypes were associated with sleep duration. Adolescents’ depressive symptoms accounted for most of the anxiety-sleep associations, emphasizing the importance of depressive symptoms for sleep. However, anxiety was associated with insomnia and sleep onset latency also among youth with low levels of depressive symptoms. The findings suggests that primary health care workers should assess sleep duration, sleep onset latency, and insomnia in help-seeking adolescents with anxiety. Frontiers Media S.A. 2021-03-24 /pmc/articles/PMC8024547/ /pubmed/33841272 http://dx.doi.org/10.3389/fpsyg.2021.638879 Text en Copyright © 2021 Haugland, Hysing, Baste, Wergeland, Rapee, Hoffart, Haaland and Bjaastad. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Haugland, Bente S. M.
Hysing, Mari
Baste, Valborg
Wergeland, Gro Janne
Rapee, Ronald M.
Hoffart, Asle
Haaland, Åshild T.
Bjaastad, Jon Fauskanger
Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
title Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
title_full Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
title_fullStr Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
title_full_unstemmed Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
title_short Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care
title_sort sleep duration and insomnia in adolescents seeking treatment for anxiety in primary health care
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024547/
https://www.ncbi.nlm.nih.gov/pubmed/33841272
http://dx.doi.org/10.3389/fpsyg.2021.638879
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