ArticleSleep2021
Natural history of insomnia symptoms in the transition from childhood to adolescence: population rates, health disparities, and risk factors.
Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- European expert guidance on management of sleep onset insomnia and melatonin use in typically developing children.European journal of pediatrics · 2024Guideline
- Current and Emerging Therapies for Pediatric Sleep Disorders: A Narrative Review.Neurology and therapy · 2026Review
- Data-driven derivation of a multidimensional sleep health framework in adolescents.Sleep health · 2026Article
- Polysomnography demonstrates worse sleep in children and adolescents with disorders of gut-brain interaction (DGBI) compared to healthy children: A case-control study.Sleep medicine · 2026Article
- Longitudinal and Bidirectional Relationships Between Sleep, Emotional Wellbeing and Weight Status in Childhood and Adolescence: Growing Up in Scotland Cohort Analysis.Journal of sleep research · 2026Article
- Developing a Cognitive Behavioural Therapy for Insomnia Intervention for Adolescents With Co-Morbid Mental Health Using an Iterative Expert Consultation Process.Journal of sleep research · 2026Article
- Community-engaged and Implementation Science-informed Pediatric Sleep Intervention Research.Current sleep medicine reports · 2026Review
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- Article
- Implementing an Electronic Health Record-Integrated Pediatric Primary Care Sleep Screener.JAMA network open · 2025Observational
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- Individual, social, and environmental predictors of insomnia symptom trajectories in a population cohort of Australian adolescents aged 13 to 17 years.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Weighted blankets used in pediatric sleep treatment in attention-deficit/hyperactivity disorder and childhood maltreatment: where are we now and where are we going?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Diagnosis of sleep disorders in child healthcare settings.Sleep medicine · 2024Article
- Racial/ethnic disparities in the trajectories of insomnia symptoms from childhood to young adulthood.Sleep · 2024Article
- When shall we intervene to prevent insomnia development among minoritized youth?: the earlier, the better.Sleep · 2024Article
- Gender Differences in the Co-Use of Tranquilizers, Sedatives, Sleeping Pills and Alcohol among Spanish Adolescents: A Nationwide Population-Based Study.Children (Basel, Switzerland) · 2024Article
- Edward O. Bixler, PhD: from the Apollo project and chimpanzees to sleep epidemiology.Sleep advances : a journal of the Sleep Research Society · 2024Article
- The mediating effect of after-midnight use of digital media devices on the association of internet-related addictive behavior and insomnia in adolescents.Frontiers in public health · 2024Article
- The association between sleep quality and obstructive sleep apnea with health-related quality of life in children with obesity.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
objectivesTo determine the sociodemographic, behavioral, and clinical risk factors associated with the persistence, remission, and incidence of insomnia symptoms in the transition from childhood to adolescence.
methodsThe Penn State Child Cohort is a random, population-based sample of 700 children (5-12 years at baseline), of whom 421 were followed-up as adolescents (12-23 years at follow-up). Subjects underwent polysomnography, clinical history, physical exam, and parent- and self-reported scales at baseline and follow-up. Insomnia symptoms were defined as a parent- or self-report of difficulty falling and/or staying asleep.
resultsThe 421 subjects with baseline (Mage = 8.8 years) and follow-up (Mage = 17 years) data were 53.9% male and 21.9% racial/ethnic minorities. The persistence of childhood insomnia symptoms (CIS) was 56% (95% CI = 46.5-65.4), with only 30.3% (95% CI = 21.5-39.0) fully remitting. The incidence of adolescent insomnia symptoms was 31.1% (95% CI = 25.9-36.3). Female sex, racial/ethnic minority, and low socioeconomic status as well as psychiatric/behavioral or neurological disorders, obesity, smoking, and evening chronotype were associated with a higher persistence or incidence of insomnia symptoms.
conclusionsCIS are highly persistent, with full remission occurring in only a third of children in the transition to adolescence. Sex-, racial/ethnic-, and socioeconomic-related disparities in insomnia occur as early as childhood, while different mental/physical health and lifestyle/circadian risk factors play a key role in the chronicity of CIS versus their incidence in adolescence. CIS should not be expected to developmentally remit and should become a focus of integrated pediatric/behavioral health strategies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.