Publication date: Available online 2 March 2016
Source:Sleep Medicine
Author(s): Robert E. Roberts, Hao T. Duong
ObjectiveTo provide the first data on the prospective, reciprocal association between short sleep duration and DSM-IV anxiety disorders among adolescents.MethodsA community-based two-wave cohort study of 4,175 youths 11-17 at baseline, and 3,134 of these followed up a year later, drawn from a metropolitan area with a population of over 4 million. Anxiety is defined as any DSM-IV anxiety disorder in the past year: generalized anxiety, panic disorder, agoraphobia without panic, social phobia, and post-traumatic stress disorder. Short sleep duration is defined as ≤ 6 h of sleep per night.Results/ConclusionsIn multivariate analyses, short sleep duration every night at baseline predicted anxiety disorders at follow-up, controlling for anxiety at baseline. Examining the reciprocal association, anxiety disorders at baseline did not predict short sleep duration at follow-up. We are the first to examine reciprocal effects for anxiety disorders and sleep duration among adolescents using prospective data. The data suggest reduced quantity of sleep may increase risk for anxiety, but anxiety does not increase risk for decreased sleep duration.
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