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Sleep disturbance and depressive symptoms in adolescence: the role of catastrophic worry
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology (CHAMP))
Department of Psychology, University of California, Berkeley, Berkeley CA, United States.
Örebro University, School of Law, Psychology and Social Work.
Örebro University, School of Law, Psychology and Social Work. Department of Psychology, Stockholm University, Stockholm, Sweden.ORCID iD: 0000-0003-2059-1621
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2013 (English)In: Journal of Youth and Adolescence, ISSN 0047-2891, E-ISSN 1573-6601, Vol. 42, no 8, p. 1223-1233Article in journal (Refereed) Published
Abstract [en]

Depression is a common and debilitating disorder in adolescence. Sleep disturbances and depression often co-occur with sleep disturbances frequently preceding depression. The current study investigated whether catastrophic worry, a potential cognitive vulnerability, mediates the relationship between adolescent sleep disturbances and depressive symptoms, as well as whether there are gender differences in this relationship. High school students, ages 16–18, n = 1,760, 49 % girls, completed annual health surveys including reports of sleep disturbance, catastrophic worry, and depressive symptoms. Sleep disturbances predicted depressive symptoms 1-year later. Catastrophic worry partially mediated the relationship. Girls reported more sleep disturbances, depressive symptoms, and catastrophic worry relative to boys. The results, however, were similar regardless of gender. Sleep disturbances and catastrophic worry may provide school nurses, psychologists, teachers, and parents with non gender specific early indicators of risk for depression. Several potentially important practical implications, including suggestions for intervention and prevention programs, are highlighted. 

Place, publisher, year, edition, pages
Springer, 2013. Vol. 42, no 8, p. 1223-1233
Keywords [en]
Adolescence; Sleep; Depression; Catastrophizing; Worry; Gender
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-29023DOI: 10.1007/s10964-012-9811-6ISI: 000321973800009PubMedID: 22968332Scopus ID: 2-s2.0-84880514938OAI: oai:DiVA.org:oru-29023DiVA, id: diva2:621296
Available from: 2013-05-14 Created: 2013-05-14 Last updated: 2018-05-17Bibliographically approved
In thesis
1. Disturbed sleep and emotion: a developmental perspective
Open this publication in new window or tab >>Disturbed sleep and emotion: a developmental perspective
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Sleep disturbances are not only defining features, but also diagnostic criteria for most psychiatric disorders. Recently, researchers have proposed a theoretic role for sleep disturbances in emotion dysregulation, subsequently linking neurobiological processes and psychopathology. Most prior research examining the potential role for sleep disturbance in emotion dysregulation is from a neurophysiological or clinical perspective, or primarily focused on maintaining processes. Less well understood are how sleep disturbances may be involved at the levels of predisposition, precipitation, and perpetuation of emotion dysregulation concurrently and over time.

This dissertation presents findings from three studies that were designed to expand on what is known about sleep disturbance in the predisposition, precipitation, and perpetuation of emotion dysregulation. Study 1 examined the long-term relation between sleep-onset problems and neuroticism over twenty-years. Adolescent sleep-onset posed risk (predisposition) for neuroticism in midlife, not vice versa. Study 2 investigated the effects of 3-nights partial sleep deprivation (5-hours total time in bed) on the positive and negative affect and emotions of otherwise healthy adults. Following partial sleep deprivation, people reported significant reductions in positive affect and emotions compared to rested people (precipitation). The only impact on negative emotions was on the discrete level. Sleep deprived peo-ple reported significantly more irritability, loathing, hostility, and shakiness compared to controls. Study 3 measured adolescent sleep disturbances, depressive symptoms, and catastrophic worry. In addition to direct risk, sleep disturbances posed a non-gender specific risk for depressive symptoms one-year later through catastrophic worry (perpetuation). Overall, the results provide support for the role of sleep disturbances in the predis-position, precipitation, and perpetuation of emotion dysregulation. An implication is that sleep disturbances and catastrophic worry are two po-tentially modifiable markers of risk for emotion dysregulation.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 100
Series
Örebro Studies in Psychology, ISSN 1651-1328 ; 27
Keywords
sleep disturbance, emotion dysregulation, catastrophic worry, sleep-onset, partial sleep deprivation, neuroticism, depressive symptoms
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:oru:diva-28983 (URN)978-91-7668-930-1 (ISBN)
Public defence
2013-05-24, Hörsal L3, Långhuset, Örebro universitet, Fakultetsgatan 1, Örebro, 10:15 (English)
Opponent
Supervisors
Note

After publication of the thesis,unintended omissions of a figure and several tables were discovered. Therefore, an addendum is provided to make these materials available to the public.

Available from: 2013-05-14 Created: 2013-05-07 Last updated: 2017-10-17Bibliographically approved

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Danielsson, Nanette S.MacDonald, ShaneJansson-Fröjmark, MarkusLinton, Steven J.

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