ArticleSleep2021
Prospective examination of adolescent sleep patterns and behaviors before and during COVID-19.
Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.
- Prevalence of mental health symptoms in children and adolescents during the COVID-19 pandemic: A meta-analysis.Annals of the New York Academy of Sciences · 2023Pooled it
- A Behavioral Economic Characterization of the Impact of the COVID-19 Quarantine on Reinforcer Diversity, Behavior, and Health.Perspectives on behavior science · 2026Review
- Sleep Disturbance and Its Association With Purchasing Behavior of COVID-19 Medicine Among the Public After the Adjustment of Zero-COVID Policy in China: Results From a Web-Based Survey Study.Interactive journal of medical research · 2026Article
- The Role of Sleep in Mediating Mental Health Symptoms During the COVID-19 Pandemic in Children with and Without ADHD.Children (Basel, Switzerland) · 2026Article
- Prevalence and correlates of depression and anxiety in caregivers of children with attention-deficit/hyperactivity disorder during the fifth wave of COVID-19 and school closure in Hong Kong.Annals of general psychiatry · 2025Article
- The indirect effect of sleep quality on stress-related psychosocial outcomes in adolescents: an investigation across genders.Frontiers in psychology · 2025Article
- The impact of COVID-19 pandemic on sleep duration and mental health among middle school students: a 3-year cross-sectional survey.Frontiers in public health · 2025Article
- Development of a skills-based curriculum to equitably promote health behaviors through physical activity.Frontiers in psychology · 2025Article
- Chronotype Differences and Symptom Network Dynamics of Post-Pandemic Sleep in Adolescents and Young Adults.Journal of clinical medicine · 2024Article
- Instructional approach, sleep, and perceived academic well-being in adolescents during COVID-19: Evidence from the NESTED study.Sleep health · 2024Article
- The COVID-19 Experience in Adolescents: Emotional and Behavioral Recall at the End of the Pandemic.Diseases (Basel, Switzerland) · 2024Article
- Early life adversity and adolescent sleep problems during the COVID-19 pandemic.Stress and health : journal of the International Society for the Investigation of Stress · 2024Article
- Rumination as a Mechanism of the Longitudinal Association Between COVID-19-Related Stress and Internalizing Symptoms in Adolescents.Child psychiatry and human development · 2024Article
- Impact of School Start Time Delays and Learning Modality on Sleep Timing and Duration During COVID-19.Behavioral sleep medicine · 2024Article
- The sleep health of college students during the COVID-19 pandemic.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Pre-pandemic circadian phase predicts pandemic alcohol use among adolescents.Journal of sleep research · 2024Article
- Sleep Problems Before and During the COVID-19 Pandemic in Children with Autism Spectrum Disorder, Down Syndrome, and Typical Development.Journal of autism and developmental disorders · 2024Article
- Adolescent and young adult sleep and sleep-related behaviour change before and during the COVID-19 pandemic lockdown in Canada.Australian journal of psychology · 2024Article
- Sleep and Inflammation during COVID-19 Virtual Learning in Adolescents with Overweight or Obesity.Children (Basel, Switzerland) · 2023Article
- Emotion regulation difficulties and sleep quality in adolescence during the early stages of the COVID-19 lockdown.Journal of affective disorders · 2023Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
STUDY
objectivesTo prospectively examine changes in adolescent sleep before and during the COVID-19 pandemic in adolescents with and without ADHD.
methodsParticipants 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 to 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.
resultsParents 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.
conclusionsCOVID-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.
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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.