ArticleSleep medicine2022
Clinical characterization of insomnia in adolescents - an integrated approach to psychopathology.
Article in Sleep medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 17 citations in OpenAlex.
- Effects of insomnia-focused psychological and behavioral interventions on depressive symptoms in children and adolescents: a systematic review and meta-analysis.European child & adolescent psychiatry · 2026Review
- Translation and Validation of a Youth Self-Rated Insomnia Scale (YSIS) for Peruvian Adolescents.Healthcare (Basel, Switzerland) · 2026Article
- Network Analysis of Symptom-Level Interrelationships Between Adverse Childhood Experiences and Insomnia Symptoms in Adolescents: A Large-Sample Study.Nature and science of sleep · 2026Article
- Sleep disorders and mental health: Understanding the cognitive connection.World journal of psychiatry · 2025Article
- Associations Between Sleep Patterns, Circadian Preference, and Anxiety and Depression: A Two-Year Prospective Study Among Norwegian Adolescents.Clocks & sleep · 2025Article
- Molecular mechanisms explaining sex-specific functional connectivity changes in chronic insomnia disorder.BMC medicine · 2025Article
- Machine learning and Bayesian network analyses identifies associations with insomnia in a national sample of 31,285 treatment-seeking college students.BMC psychiatry · 2024Article
- SleepBP-Net: A Time-Distributed Convolutional Network for Nocturnal Blood Pressure Estimation from Photoplethysmogram.IEEE sensors journal · 2024Article
- Machine Learning and Bayesian Network Analyses Identifies Psychiatric Disorders and Symptom Associations with Insomnia in a national sample of 31,285 Treatment-Seeking College Students.Research square · 2024Article
- Psychometric properties of the Youth Self-rated Insomnia Scale (YSIS) in adolescent psychiatric patients.Sleep and biological rhythms · 2024Article
- Stress, hypothalamic pituitary adrenal axis activity and autonomic nervous system function in adolescents with insomnia.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2023Article
- Wearable and mobile technology to characterize daily patterns of sleep, stress, presleep worry, and mood in adolescent insomnia.Sleep health · 2023Article
- Psychotic-Like Experiences and Suicidal Ideation Among Adolescents: The Chain Mediating Role of Insomnia Symptoms and Resilience.Psychology research and behavior management · 2023Article
- A virtual reality-based mind-body approach to downregulate psychophysiological arousal in adolescent insomnia.Digital healthArticle
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
Abstract
OBJECTIVES/
backgroundInsomnia in adolescence is common and debilitating yet it remains poorly understood. Here, we examine the complexity of clinical, behavioral, and psychosocial factors characterizing insomnia in adolescents.
methodsNinety-five adolescents (16-19 years) with (N = 47, 31 female) and without (N = 48, 28 female) insomnia symptoms participated. In the insomnia group, 26 (20 female) met full DSM-5 criteria for insomnia disorder, while 21 (11 female) met partial criteria. Participants completed a clinical interview and assessments of clinical, behavioral, and psychosocial dimensions associated with insomnia. GLMs and network analyses were used to evaluate group and sex differences in severity and inter-relationships between symptoms.
resultsAdolescents with insomnia symptomatology had lower sleep hygiene and thought control, more depressive symptoms and dysfunctional sleep-related cognitions, and more substance use as a coping behavior than healthy controls. They also indicated higher neuroticism, stress levels, and sleep stress reactivity (p < 0.05), but no difference in adverse childhood experiences, than controls. Girls compared to boys with insomnia reported lower sleep quality, and more pre-sleep cognitive activity and sleep stress reactivity (p < 0.05). Compared to healthy girls, girls in the insomnia group reported lower sleep hygiene and higher agreeableness. Network analyses confirmed profound group differences in network topology, with the insomnia group having different levels of centrality and relationships between clinical characteristics compared with controls.
conclusionsFindings highlight clinical and sex-specific characteristics of adolescent insomnia, with network analyses revealing a complex interplay between clinical, behavioral, and psychosocial domains. Adolescents with insomnia symptoms, particularly girls, may benefit from interventions to improve negative cognition, mood, and stress, and behavioral strategies to counteract sleep-related maladaptive behaviors.
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