Prospective Examination of Adolescent Sleep Patterns and Behaviors Before and During COVID-19

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dc.contributor.authorBecker, Stephen P.en
dc.contributor.authorDvorsky, Melissa R.en
dc.contributor.authorBreaux, Rosannaen
dc.contributor.authorCusick, Caroline N.en
dc.contributor.authorTaylor, Katherine P.en
dc.contributor.authorLangberg, Joshua M.en
dc.date.accessioned2021-07-16T18:19:04Zen
dc.date.available2021-07-16T18:19:04Zen
dc.date.issued2021-02-25en
dc.date.updated2021-07-16T18:19:02Zen
dc.description.abstractStudy objectives: To prospectively examine changes in adolescent sleep before and during the COVID-19 pandemic in adolescents with and without ADHD. Methods: Participants were 122 adolescents (ages 15-17; 61% male; 48% with ADHD). Parents reported on adolescents' sleep duration and difficulties initiating and maintaining sleep (DIMS); adolescents reported on sleep patterns, sleep duration, delayed sleep/wake behaviors, and daytime sleepiness before (September 2019-February 2020) and during (May-June 2020) COVID-19. Adolescents also reported on their health behaviors, COVID-19-related negative affect, and difficulties concentrating due to COVID-19. Results: Parents reported adolescents had more DIMS during COVID-19 than before COVID-19, with clinically-elevated rates increasing from 24% to 36%. Both bedtimes and waketimes shifted later during COVID-19, and adolescents reported more delayed sleep/wake behaviors. Adolescents also reported less daytime sleepiness and longer school night sleep duration during COVID-19. In considering differences between adolescents with and without ADHD, adolescents with ADHD did not experience an increase in school night sleep duration and were less likely to obtain recommended sleep duration during COVID-19. In the full sample, controlling for ADHD status, COVID-19-related sadness/loneliness was associated with increases in DIMS, and spending less time outside and more COVID-19-related worries/fears were associated with increases in delayed sleep/wake behaviors during COVID-19. Conclusions: COVID-19 had negative and positive impacts on adolescent sleep. Adolescents with ADHD did not experience the benefit of increased school night sleep duration during COVID-19 like adolescents without ADHD. Negative affect and health behaviors may be useful intervention targets for reducing negative impacts of COVID-19 for adolescent sleep.en
dc.description.versionPublished versionen
dc.format.mediumPrint-Electronicen
dc.identifier.doihttps://doi.org/10.1093/sleep/zsab054en
dc.identifier.eissn1550-9109en
dc.identifier.issn0161-8105en
dc.identifier.orcidBreaux, Rosanna [0000-0001-5500-6950]en
dc.identifier.otherPMC7928571 (pmc)en
dc.identifier.other6149938 (PII)en
dc.identifier.pmid33631014 (pubmed)en
dc.identifier.urihttp://hdl.handle.net/10919/104194en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/33631014en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectadolescenceen
dc.subjectattention-deficit/hyperactivity disorderen
dc.subjectcoronavirusen
dc.subjecthealth behaviorsen
dc.subjectnegative affecten
dc.subjectNeurology & Neurosurgeryen
dc.subject06 Biological Sciencesen
dc.subject11 Medical and Health Sciencesen
dc.subject17 Psychology and Cognitive Sciencesen
dc.subjectCOVID-19en
dc.titleProspective Examination of Adolescent Sleep Patterns and Behaviors Before and During COVID-19en
dc.title.serialSleepen
dc.typeArticle - Refereeden
dc.type.otherresearch-articleen
dc.type.otherJournal Articleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Scienceen
pubs.organisational-group/Virginia Tech/Science/Psychologyen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Science/COS T&R Facultyen

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