ArticleJournal of child psychology and psychiatry, and allied disciplines2026
Associations between prenatal alcohol exposure and parent-reported sleep disturbances in 10,336 adolescents: an Adolescent Brain Cognitive Development study.
Article in Journal of child psychology and psychiatry, and allied disciplines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Prenatal and early-life determinants of neurodevelopment: A decade of discoveries and new directions in ABCD.Developmental cognitive neuroscience · 2026Review
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10 authors.
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Abstract
backgroundThis study investigated the associations between prenatal alcohol exposure (PAE), including low and moderate levels of exposure, and parent-reported sleep disturbances during adolescence. This is an area that remains understudied despite evidence linking PAE, particularly heavy PAE, to poor sleep in younger children and the growing recognition of harms associated with low levels of PAE.
methodsParticipants were 10,336 adolescents (aged 12-13) from the fourth assessment wave of the Adolescent Brain Cognitive Development Study. Cross-sectional generalised linear mixed models and generalised additive mixed models were used to assess the impact of prenatal alcohol exposure, conceptualised as the presence or absence of PAE, total drinks consumed during pregnancy (i.e. dose) and patterns of PAE (i.e. abstainers, light reducing, light stable, heavy reducing), on parent-reported adolescent sleep disturbances, while controlling for important birth related, environmental and medical factors.
resultsAdolescents with any PAE experienced worse overall parent-reported sleep disturbances compared to those without, with sleep-wake transitions, excessive somnolence and sleep breathing being the domains most impacted. There was limited support for a dose-response relationship between low-level PAE and sleep problems in adolescence. However, those with a pattern of PAE before knowledge of pregnancy, compared to abstainers, experienced greater problems with sleep-wake transitions and sleep breathing.
conclusionsThese findings contribute to the growing evidence that there are no safe levels of alcohol consumption during pregnancy, as even low to moderate PAE negatively impacts adolescent sleep. Identifying sleep-wake transitions, excessive somnolence and sleep breathing as the most affected domains provides targets for both screening and intervention.
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