Adolescent Sleep Regulation and Behavior

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Questions and Answers

Around what age does a typical child usually stop taking daytime naps?

  • 8 to 9 years old
  • 2 to 3 years old
  • 6 to 7 years old
  • 4 to 5 years old (correct)

What is represented by the striped boxes in the provided sleep pattern diagram?

  • REM sleep stages (correct)
  • Non-REM sleep stages
  • Deep sleep stages (3 and 4)
  • Periods of wakefulness

How do sleep stages progress according to the content?

  • Stages progress from 4 to 1, with REM always occurring between Stage 2 and 3
  • Stages progress from 4 to 1, with REM appearing at highest depth
  • Stages progress from 1 to 4, with REM appearing at an intermediate level of depth (correct)
  • Stages alternate between 1 and 4 with no consistency

What is the approximate interval between REM sleep periods during the night?

<p>Every 60 to 90 minutes (D)</p> Signup and view all the answers

What specific changes occur in non-REM sleep during adolescent maturation?

<p>The duration and depth of non-REM sleep decrease (C)</p> Signup and view all the answers

What shift in the circadian pattern is seen in adolescents?

<p>A shift towards later bedtimes and wake-up times (B)</p> Signup and view all the answers

According to the content, what is often observed in studies of adolescents in natural environments regarding sleepiness?

<p>Dramatically elevated levels of daytime sleepiness (A)</p> Signup and view all the answers

What comparison is made regarding the sleepiness levels of some high school students?

<p>They have sleepiness levels similar to those with narcolepsy or sleep apnea (C)</p> Signup and view all the answers

What is the core issue in delayed sleep phase syndrome among adolescents?

<p>Difficulty aligning waking times to their body temperature minimum. (A)</p> Signup and view all the answers

Why do adolescents often struggle to change their weekend schedules to align with school days?

<p>They are often reluctant, even when motivated to wake up for school. (D)</p> Signup and view all the answers

During what period does the tendency toward delayed circadian patterns become apparent?

<p>The onset of adolescence, specifically during puberty. (A)</p> Signup and view all the answers

What is a key factor that interferes with sleep in adolescents, as mentioned in the text?

<p>Significant physical and emotional changes and social turmoil. (C)</p> Signup and view all the answers

According to the studies by Carskadon and colleagues, what happens to daytime sleepiness during midpuberty?

<p>Daytime sleepiness increases even when total sleep amount is constant. (D)</p> Signup and view all the answers

What does the text suggest about the cognitive aspect of falling asleep during adolescence?

<p>Cognitive components, such as rumination and worry, are more likely to impede sleep than in younger children. (A)</p> Signup and view all the answers

In the Stanford University sleep camp studies, what was observed regarding sleepiness as children progressed through puberty?

<p>Objective measures of sleepiness increased as maturation proceeded to Tanner Stages 3 and 4. (C)</p> Signup and view all the answers

What does the text suggest about the direction that is easier for the circadian timing system to adapt to?

<p>It adapts more easily to delays in the sleep/wake schedule. (D)</p> Signup and view all the answers

What does the concept of the 'pendulum of sleep and arousal' refer to during adolescence?

<p>Biological factors pulling away from sleep with strong drives for more activity and arousal. (D)</p> Signup and view all the answers

What is the fundamental principle mentioned concerning how to effectively realign the circadian system?

<p>Utilizing slow, steady, and consistent changes in sleep/wake timing. (B)</p> Signup and view all the answers

According to the provided text, how does travel to the west versus travel to the east affects the circadian rhythm?

<p>Traveling west is easier than traveling east. (B)</p> Signup and view all the answers

What biological change affects sleep in adolescents?

<p>Decrease in the biological depth of sleep due to multiple circadian changes at puberty. (B)</p> Signup and view all the answers

What is the primary reason it takes adolescents several days to adjust to an earlier schedule for school when on Eastern Time, after having been on a different schedule?

<p>Their temperature and hormone rhythms require several days of a stable schedule to shift. (B)</p> Signup and view all the answers

What consequence does missing school have on an adolescent's sleep schedule, especially during the middle of the week?

<p>They may experience difficulties making their sleep schedule match the school schedule. (C)</p> Signup and view all the answers

What is stated about the prevalence of stimulant use among adolescents?

<p>Stimulant use among adolescents is common and increasing. (B)</p> Signup and view all the answers

What is a typical adolescent sleep pattern that the text describes?

<p>A sleep schedule that involves going to bed late during the week to sleep in on weekends. (B)</p> Signup and view all the answers

What is the primary biological change in circadian patterns observed in adolescents?

<p>A shift from a lark-like pattern to an owl-like pattern. (C)</p> Signup and view all the answers

What is one effect of the adolescent shift towards later bedtimes?

<p>Adolescents have difficulty falling asleep due to increased body temperature during their desired bedtime. (A)</p> Signup and view all the answers

Which activity is NOT cited as a psychosocial factor contributing to sleep problems in adolescents?

<p>Consistent early morning workouts. (B)</p> Signup and view all the answers

What does the text suggest about the transition from a summer sleep schedule to a school sleep schedule for adolescents?

<p>The transition is often incomplete and requires gradual changes over several weeks. (D)</p> Signup and view all the answers

What does the text imply about the core body temperature rhythm and its relationship with adolescent sleep problems?

<p>The core body temperature rhythm is misaligned, which leads to difficulty falling asleep and waking up. (D)</p> Signup and view all the answers

Which factor can increase arousal in adolescents?

<p>Easy access to artificial light and many activities. (B)</p> Signup and view all the answers

Which of these is NOT mentioned in the text as an outcome of sleep deprivation in adolescents?

<p>Improved attention and focus in school. (B)</p> Signup and view all the answers

What is a consequence of teenagers' delayed sleep phase?

<p>Difficulty falling asleep and waking up at the required times. (D)</p> Signup and view all the answers

What was the primary factor that made it impossible for the 14-year-old student to fall asleep at 10 PM when school started?

<p>He was trying to sleep during the wrong phase of his circadian cycle, due to his changed Summer sleeping pattern. (B)</p> Signup and view all the answers

Why was the student able to sleep until 3 PM on a Saturday afternoon?

<p>He was making up for the sleep deprivation accumulated during the week. (B)</p> Signup and view all the answers

What is the impact of increased social activities on adolescent sleep patterns?

<p>Social activities, such as late-night activities, contribute to difficulties waking up in the mornings. (B)</p> Signup and view all the answers

What is not mentioned as a contributing factor to sleep disruption in adolescents?

<p>Dietary habits and poor nutrition (D)</p> Signup and view all the answers

What did the study reveal about high school students with part-time jobs and their sleep habits?

<p>Students working more than 20 hours a week have much higher rates of sleep complaints. (A)</p> Signup and view all the answers

When school started, what did the 14-year-old student try to do in order to adjust his sleep schedule?

<p>He tried to shift his circadian rhythm to an earlier bedtime. (A)</p> Signup and view all the answers

What was the consequence of the 14 year old trying to override his circadian sleep pattern?

<p>He began falling asleep in class as he became severely sleep deprived. (A)</p> Signup and view all the answers

Which factor was NOT a reason for the student's disturbed sleep pattern?

<p>Lack of access to multiple stimulating activities in the evening (B)</p> Signup and view all the answers

Which of the following is MOST directly affected by sleep deprivation, as indicated in the text?

<p>Subcortical regulatory functions (D)</p> Signup and view all the answers

According to the provided text, how do medications for psychiatric disorders primarily interact with sleep?

<p>They can influence sleep, and sleep loss can worsen symptoms. (B)</p> Signup and view all the answers

What did the study by Schlesinger et al. reveal about the impacts of a single night of sleep deprivation on young university students?

<p>No significant effect on performance. (A)</p> Signup and view all the answers

What is a typical subjective sleep complaint observed in a majority of children and adolescents diagnosed with major depressive disorder?

<p>Difficulty falling asleep (C)</p> Signup and view all the answers

According to the provided text, which of the following is MOST susceptible to the effects of sleep deprivation?

<p>Higher cortical functions (D)</p> Signup and view all the answers

In relation to sleep, how does the text describe the impact of daytime activities and changes in environment on children?

<p>They can have profound transient effects on sleeping patterns. (B)</p> Signup and view all the answers

What percentage of children and adolescents with major depressive disorder experience hypersomnia according to the text?

<p>25% (D)</p> Signup and view all the answers

What does the text suggest is particularly sensitive to sleep deprivation?

<p>Tasks that simultaneously challenge cognitive and emotional processing (A)</p> Signup and view all the answers

Flashcards

Non-REM Sleep

The stages of sleep that are not REM sleep, including stages 1, 2, 3, and 4.

These stages are characterized by progressively deeper sleep and are important for physical restoration.

REM Sleep

The stage of sleep where most dreaming occurs. It is also characterized by rapid eye movements and muscle paralysis.

Daytime Nap

A period of time during the day where a person sleeps lightly, usually lasting for a short period.

Circadian Rhythm

The biological clock that regulates our sleep-wake cycle, influencing our natural tendency to be awake during certain hours and sleep during others.

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Owl-like Tendency

A shift in an individual's sleep cycle, making them more likely to stay up late and sleep in, as seen in adolescents due to hormonal changes.

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Daytime Sleepiness

Feeling tired and drowsy during the day, often a symptom of insufficient sleep or sleep disorders.

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Sleep Regulation

The ability to adjust our sleep patterns to accommodate different schedules or time zones.

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Sleep Arousal

Periods of transition between different stages of sleep, often involving brief awakenings.

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Circadian Timing System Adaptability

The circadian timing system adapts easier to delaying sleep schedules than to advancing them, causing it to be easier to stay up later and sleep in later on weekends than weekdays. This explains why it is easier to travel Westbound than Eastbound.

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Puberty & Daytime Sleepiness

Daytime sleepiness increases during puberty, especially in the mid-puberty stage, despite maintaining the same amount of nighttime sleep.

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Sleep Camp Study Findings

Researchers studied children over several summers, controlling for total sleep time, and found increased sleepiness on EEG nap studies during the middle of puberty (Tanner Stages 3 and 4). The sleepiness was less pronounced when the children were prepubertal (Tanner Stages 1 and 2).

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Shifting Circadian Rhythms

The shift in circadian rhythms to Pacific Time takes a few days, while shifting back to Eastern Time necessitates several days of a stable schedule to adjust hormone and temperature rhythms.

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Adolescent Sleep Patterns and Circadian Rhythm

Adolescents often have drastic shifts in their sleep schedules due to school, social activities, and weekend routines. This is a direct consequence of the circadian timing system's adaptability.

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Increased Sleep Needs during Puberty

The study mentioned above showed that sleep needs might increase during pubertal maturation because teenagers become more sleepy regardless of the consistent total sleep time.

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Moderate Daytime Sleepiness during Puberty

Moderate increases in daytime sleepiness are typically observed throughout pubertal development, especially during the middle stages, even when nighttime sleep is consistently maintained.

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Stimulant Use and Sleep in Adolescence

The use of stimulants, such as caffeine and nicotine, is common among adolescents. This can contribute to irregular sleep patterns and can worsen sleep problems, such as daytime sleepiness, particularly among adolescents already experiencing sleep difficulties.

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Delayed Sleep Phase Syndrome (DSPS) in Adolescence

A condition where adolescents experience delayed sleep phase syndrome (DSPS), characterized by difficulties falling asleep at night and waking up in the morning.

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Body Temperature Minimum

The lowest point of body temperature, often occurring during the night, making it difficult to wake up.

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Puberty's Impact on Sleep

Puberty brings significant hormone changes that can affect sleep patterns, potentially leading to delayed sleep timing.

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Social and Technological Influences

The tendency for adolescents to prioritize social activities and screen time, interfering with their sleep schedules.

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Reduced Sleep Depth in Adolescence

The biological depth of sleep, or how deeply we sleep, decreases during adolescence. This reduction in sleep quality leads to potential fatigue and poor functioning.

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Resistance to Sleep Schedule Changes

Adolescents often resist changing their sleep schedule, even when motivated to wake up early for school, due to the strong influence of their circadian rhythm.

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Forces Pushing Adolescents Away from Sleep

Multiple factors during adolescence, like hormonal changes, social influences, and reduced sleep depth, combine to push the sleep-arousal balance away from sleep.

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Sleep and Daytime Function

The study of how sleep affects cognitive, emotional, and behavioral control during the day, especially in children and adolescents.

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Sleep Deprivation and Higher Cognitive Functions

Sleep deprivation can particularly impact higher-level thinking and problem-solving tasks.

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Sleep Deprivation and Complex Tasks

Tasks that challenge both thinking and emotions are more sensitive to sleep loss.

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Sleep Deprivation and Balance

Maintaining balance is a subcortical function that is affected by sleep deprivation.

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Sleep Difficulties in Depression

Sleep problems are common in children and teenagers with depression, including trouble falling asleep and feeling like they didn't sleep well.

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Teen Sleep Patterns

Teenagers experience a shift in their sleep-wake cycle due to hormonal changes, leading them to stay up later and sleep in.

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Medications and Sleep

Medications for mental health conditions can sometimes affect sleep quality.

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Sleep Loss and Mental Health

Sleep deprivation can worsen mood and behavior problems.

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Circadian Shift in Adolescence

A biological shift in the circadian system from a lark-like pattern (early to bed and early to rise) to a more owl-like pattern (later to bed and later to rise), often occurring around mid-puberty.

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Psychosocial Influences on Sleep

The desire to stay up late and engage in adult-like social activities, self-determined bedtimes, and easy access to a vast range of stimulating and arousing activities, all contributing to sleep problems in adolescents.

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Adolescent Sleep Patterns

Adolescents often have a later sleep schedule, especially during the summer, with bedtimes around 2:30 AM and wake-up times around noon, due to various factors including social activities and a natural shift in their circadian rhythm.

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Sleep Schedule Adjustment

When school starts, adolescents try to adjust to an earlier bedtime but often struggle to fall asleep before 3 AM, leading to difficulties waking up early for school. This is largely due to their circadian rhythm, which naturally shifts during adolescence, making them more prone to staying up late and sleeping in.

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Weekend Sleep Rebound

For a few days, the student could manage on motivation alone, but during weekends, he reverted to his usual late-night routine. This demonstrates that while teenagers attempt to adjust their sleep for school, they may not be able to permanently shift their natural circadian rhythm, resulting in inconsistent sleep patterns.

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Overriding Circadian Rhythm

The student's experience highlights the challenges faced when trying to force a change in a natural sleep-wake cycle. Despite efforts to adjust, the tendency for late bedtimes and sleep-ins persisted, impacting his school performance.

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Factors Contributing to Sleep Deprivation

Many factors contribute to sleep deprivation in adolescents, including early school start times, academic pressures, extracurricular activities, social pressures, anxiety, stress, and part-time jobs. These factors create a complex interplay that affects their sleep patterns.

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Part-time Jobs and Sleep

Holding part-time jobs, especially those exceeding 20 hours per week, increases the likelihood of sleep complaints and sleep deprivation among teenagers. The demands of work, combined with other commitments, interfere with their sleep schedule.

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Combined Factors Affecting Sleep

The biological tendency for later sleep in adolescence, social influences, access to stimulating activities, freedom to choose bedtimes, and increased stress and anxiety can all create significant sleep disruption in teenagers. These factors interact and contribute to irregular sleep patterns.

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Study Notes

Pathways to Adolescent Health: Sleep Regulation and Behavior

  • Sleep is crucial for healthy adolescent development, particularly during brain maturation.
  • Biological and psychosocial changes in sleep and circadian rhythms occur throughout puberty.
  • Interactions between physical and psychosocial factors can dramatically alter adolescent sleep patterns.
  • Many adolescents frequently obtain insufficient sleep.
  • Sleep deprivation negatively impacts behavioral control, emotional regulation, and attention.
  • Insufficient sleep is linked to higher-risk behaviors, such as substance abuse and accidents.
  • Sleep and behavior/emotional regulation share a bidirectional relationship.

Sleep: An Overview

  • Sleep is an active process, not just rest.
  • Sleep includes stages with varying levels of brain activity.
  • Continuity, timing, and patterning of sleep stages are crucial for restoration.
  • Sleep deprivation leads to daytime fatigue, tiredness, and mood changes.
  • Sleep requires feelings of safety and security

Sleep Physiology and Terminology

  • Sleep stages are categorized by EEG, EMG, and EOG patterns.
  • Stages 3 and 4 (delta sleep) represent the deepest stages of sleep and are most prevalent early in the night.
  • REM sleep is characterized by increased brain activity, resembling wakefulness, and is associated with dreaming.
  • REM sleep cycles occur approximately every 90 minutes.
  • Non-REM sleep encompasses stages 1, 2, 3, and 4.

Biological Changes in Sleep/Circadian Regulation During Pubertal Development

  • Adolescent sleep patterns show a shift toward later bedtimes and wake-up times ("owl-like" tendency).
  • There's a decrease in the duration and depth of slow-wave sleep (stages 3 and 4) and REM sleep during adolescence.
  • Daytime sleepiness increases during puberty.
  • The circadian timing system adapts slowly to changes in sleep-wake schedules.

Sleep Studies in Depression

  • Depressed adolescents often report sleep problems, such as reduced REM latency or sleep latency.
  • Sleep patterns in depressed adolescents are inconsistent in studies comparing them to controls.
  • Clinical sleep studies aren't often helpful in diagnosis or treatment.

Critical Questions and Future Directions

  • There's a lack of well-controlled studies to guide health policy on adolescent sleep.
  • Guidelines for defining adequate sleep in adolescents are lacking.
  • More research is needed on the links between sleep, behavior, and affect regulation.

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