Abstract
There are several converging reasons to focus on sleep regulation in relation to healthy
adolescent development: (a) Sleep appears to be particularly important during periods
of brain maturation; (b) there are substantial biological and psychosocial changes
in sleep and circadian regulation exist across pubertal development; (c) interactions
between physical and psychosocial domains can lead to dramatic alterations in sleep
patterns and habits during adolescence; (d) increasing evidence that many adolescents
frequently obtain insufficient sleep exists; (e) there is mounting evidence that sleep
deprivation has its greatest negative effects on the control of behavior, emotion,
and attention, a regulatory interface that is critical in the development of social and academic
competence, and psychiatric disorders; (f) the most obvious direct health consequences
of insufficient sleep are high-risk behaviors associated with substance abuse and
automobile accidents; (g) substantial evidence for bidirectional effects between sleep
and behavioral/emotional regulation exists. Although the past decade has seen research
progress in these areas, there continue to be major gaps in existing knowledge and
a paucity of well-controlled studies to guide specific health policy decisions and
recommendations regarding sleep in adolescence. In particular, there is need for improved
understanding of the acute and chronic effects of inadequate sleep in adolescents,
guidelines for defining adequate sleep in adolescents, and a better delineation of
the links among sleep, behavior, and affect regulation. Finally, this paper briefly
examines one specific application of this knowledge area regarding early starting
times among some high schools
Keywords
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Article info
Publication history
Accepted:
August 22,
2002
Identification
Copyright
© 2002 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved.
