Examining the impact of early life adversity on adolescent sleep health: Findings from the ABCD study
Sleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited. To investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adole...
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| Veröffentlicht in: | Child protection and practice Jg. 5; S. 100154 |
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01.07.2025
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| Abstract | Sleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited.
To investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adolescent Brain Cognitive Development (ABCD) Study.
The sample included 11,002 adolescents (mean age at 2-year follow-up = 12.03 years, SD = 0.67) from the ABCD Study (53 % boys and 47 % girls). Racial/ethnic composition was 53 % White, 14 % Black, 20 % Hispanic, and 13 % other/multi-racial.
Social jetlag and weekly sleep loss were assessed using the Munich Chronotype Questionnaire at 2-year and 3-year follow-ups. Concurrently, lifetime adversity was measured using 16 of 17 items from the Pediatric Early Adversity and Related Life Events Screener (PEARLS). Mixed-effects linear and logistic regression models examined associations between lifetime adversities and sleep, adjusting for key covariates.
Adolescents experienced an average of 2.13 ( ± 1.9) hours of weekly sleep loss, and 33.32 % reported four or more PEARLS. Adolescents with four or more PEARLS experienced greater weekly sleep loss (coef. = 0.38, 95 % CI: 0.26, 0.51), translating to 23 min of additional sleep loss per week. Adolescents with four or more PEARLS were also more likely to experience more than 1 h of social jetlag (aOR = 2.79, 95 % CI: 2.19, 3.55).
Early adversity is associated with social jetlag and sleep loss in adolescence, suggesting that targeted prevention approaches may improve sleep regularity and quantity.
•Adolescent sleep quality is impacted by early adversity, with greater social jetlag and sleep loss linked to childhood adversity.•Sex differences in sleep responses to adversity emerged, with girls showing higher odds of sleep disturbances.•Trauma-informed care is crucial, suggesting mitigating childhood adversity may improve adolescent sleep and development. |
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| AbstractList | Sleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited.
To investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adolescent Brain Cognitive Development (ABCD) Study.
The sample included 11,002 adolescents (mean age at 2-year follow-up = 12.03 years, SD = 0.67) from the ABCD Study (53 % boys and 47 % girls). Racial/ethnic composition was 53 % White, 14 % Black, 20 % Hispanic, and 13 % other/multi-racial.
Social jetlag and weekly sleep loss were assessed using the Munich Chronotype Questionnaire at 2-year and 3-year follow-ups. Concurrently, lifetime adversity was measured using 16 of 17 items from the Pediatric Early Adversity and Related Life Events Screener (PEARLS). Mixed-effects linear and logistic regression models examined associations between lifetime adversities and sleep, adjusting for key covariates.
Adolescents experienced an average of 2.13 ( ± 1.9) hours of weekly sleep loss, and 33.32 % reported four or more PEARLS. Adolescents with four or more PEARLS experienced greater weekly sleep loss (coef. = 0.38, 95 % CI: 0.26, 0.51), translating to 23 min of additional sleep loss per week. Adolescents with four or more PEARLS were also more likely to experience more than 1 h of social jetlag (aOR = 2.79, 95 % CI: 2.19, 3.55).
Early adversity is associated with social jetlag and sleep loss in adolescence, suggesting that targeted prevention approaches may improve sleep regularity and quantity.
•Adolescent sleep quality is impacted by early adversity, with greater social jetlag and sleep loss linked to childhood adversity.•Sex differences in sleep responses to adversity emerged, with girls showing higher odds of sleep disturbances.•Trauma-informed care is crucial, suggesting mitigating childhood adversity may improve adolescent sleep and development. Sleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited. To investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adolescent Brain Cognitive Development (ABCD) Study. The sample included 11,002 adolescents (mean age at 2-year follow-up = 12.03 years, SD = 0.67) from the ABCD Study (53 % boys and 47 % girls). Racial/ethnic composition was 53 % White, 14 % Black, 20 % Hispanic, and 13 % other/multi-racial. Social jetlag and weekly sleep loss were assessed using the Munich Chronotype Questionnaire at 2-year and 3-year follow-ups. Concurrently, lifetime adversity was measured using 16 of 17 items from the Pediatric Early Adversity and Related Life Events Screener (PEARLS). Mixed-effects linear and logistic regression models examined associations between lifetime adversities and sleep, adjusting for key covariates. Adolescents experienced an average of 2.13 (± 1.9) hours of weekly sleep loss, and 33.32 % reported four or more PEARLS. Adolescents with four or more PEARLS experienced greater weekly sleep loss (coef. = 0.38, 95 % CI: 0.26, 0.51), translating to 23 min of additional sleep loss per week. Adolescents with four or more PEARLS were also more likely to experience more than 1 h of social jetlag (aOR = 2.79, 95 % CI: 2.19, 3.55). Early adversity is associated with social jetlag and sleep loss in adolescence, suggesting that targeted prevention approaches may improve sleep regularity and quantity. Sleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited.BackgroundSleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited.To investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adolescent Brain Cognitive Development (ABCD) Study.ObjectiveTo investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adolescent Brain Cognitive Development (ABCD) Study.The sample included 11,002 adolescents (mean age at 2-year follow-up = 12.03 years, SD = 0.67) from the ABCD Study (53 % boys and 47 % girls). Racial/ethnic composition was 53 % White, 14 % Black, 20 % Hispanic, and 13 % other/multi-racial.Participants and settingThe sample included 11,002 adolescents (mean age at 2-year follow-up = 12.03 years, SD = 0.67) from the ABCD Study (53 % boys and 47 % girls). Racial/ethnic composition was 53 % White, 14 % Black, 20 % Hispanic, and 13 % other/multi-racial.Social jetlag and weekly sleep loss were assessed using the Munich Chronotype Questionnaire at 2-year and 3-year follow-ups. Concurrently, lifetime adversity was measured using 16 of 17 items from the Pediatric Early Adversity and Related Life Events Screener (PEARLS). Mixed-effects linear and logistic regression models examined associations between lifetime adversities and sleep, adjusting for key covariates.MethodsSocial jetlag and weekly sleep loss were assessed using the Munich Chronotype Questionnaire at 2-year and 3-year follow-ups. Concurrently, lifetime adversity was measured using 16 of 17 items from the Pediatric Early Adversity and Related Life Events Screener (PEARLS). Mixed-effects linear and logistic regression models examined associations between lifetime adversities and sleep, adjusting for key covariates.Adolescents experienced an average of 2.13 (± 1.9) hours of weekly sleep loss, and 33.32 % reported four or more PEARLS. Adolescents with four or more PEARLS experienced greater weekly sleep loss (coef. = 0.38, 95 % CI: 0.26, 0.51), translating to 23 min of additional sleep loss per week. Adolescents with four or more PEARLS were also more likely to experience more than 1 h of social jetlag (aOR = 2.79, 95 % CI: 2.19, 3.55).ResultsAdolescents experienced an average of 2.13 (± 1.9) hours of weekly sleep loss, and 33.32 % reported four or more PEARLS. Adolescents with four or more PEARLS experienced greater weekly sleep loss (coef. = 0.38, 95 % CI: 0.26, 0.51), translating to 23 min of additional sleep loss per week. Adolescents with four or more PEARLS were also more likely to experience more than 1 h of social jetlag (aOR = 2.79, 95 % CI: 2.19, 3.55).Early adversity is associated with social jetlag and sleep loss in adolescence, suggesting that targeted prevention approaches may improve sleep regularity and quantity.ConclusionsEarly adversity is associated with social jetlag and sleep loss in adolescence, suggesting that targeted prevention approaches may improve sleep regularity and quantity. Background: Sleep irregularity are associated with health outcomes, particularly during adolescence. Early adversity may exacerbate sleep irregularity, but longitudinal evidence remains limited. Objective: To investigate the relationship between early adversity, social jetlag, and weekly sleep loss in youth from the Adolescent Brain Cognitive Development (ABCD) Study. Participants and setting: The sample included 11,002 adolescents (mean age at 2-year follow-up = 12.03 years, SD = 0.67) from the ABCD Study (53 % boys and 47 % girls). Racial/ethnic composition was 53 % White, 14 % Black, 20 % Hispanic, and 13 % other/multi-racial. Methods: Social jetlag and weekly sleep loss were assessed using the Munich Chronotype Questionnaire at 2-year and 3-year follow-ups. Concurrently, lifetime adversity was measured using 16 of 17 items from the Pediatric Early Adversity and Related Life Events Screener (PEARLS). Mixed-effects linear and logistic regression models examined associations between lifetime adversities and sleep, adjusting for key covariates. Results: Adolescents experienced an average of 2.13 ( ± 1.9) hours of weekly sleep loss, and 33.32 % reported four or more PEARLS. Adolescents with four or more PEARLS experienced greater weekly sleep loss (coef. = 0.38, 95 % CI: 0.26, 0.51), translating to 23 min of additional sleep loss per week. Adolescents with four or more PEARLS were also more likely to experience more than 1 h of social jetlag (aOR = 2.79, 95 % CI: 2.19, 3.55). Conclusions: Early adversity is associated with social jetlag and sleep loss in adolescence, suggesting that targeted prevention approaches may improve sleep regularity and quantity. |
| ArticleNumber | 100154 |
| Author | Pfledderer, Christopher D. Chen, Baojiang Hoelscher, Deanna M. Fernandez, Alejandra Tapert, Susan F. Ferreira De Moraes, Augusto César Johnson, Micah E. Garavan, Hugh Nascimento-Ferreira, Marcus Vinicius Hunt, Ethan T. Potter, Alexandra S. Dube, Sarajane L. Allgaier, Nicholas Izabel, Sarah Sampaio Dooley, Erin E. Brazendale, Keith |
| Author_xml | – sequence: 1 givenname: Ethan T. orcidid: 0000-0002-7350-7369 surname: Hunt fullname: Hunt, Ethan T. email: Ethan.T.Hunt@uth.tmc.edu organization: Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, USA – sequence: 2 givenname: Keith surname: Brazendale fullname: Brazendale, Keith organization: Department of Health Sciences, University of Central Florida, Orlando, FL, USA – sequence: 3 givenname: Augusto César surname: Ferreira De Moraes fullname: Ferreira De Moraes, Augusto César organization: Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, USA – sequence: 4 givenname: Marcus Vinicius surname: Nascimento-Ferreira fullname: Nascimento-Ferreira, Marcus Vinicius organization: Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, USA – sequence: 5 givenname: Christopher D. surname: Pfledderer fullname: Pfledderer, Christopher D. organization: Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, USA – sequence: 6 givenname: Sarah Sampaio surname: Izabel fullname: Izabel, Sarah Sampaio organization: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA – sequence: 7 givenname: Erin E. surname: Dooley fullname: Dooley, Erin E. organization: Department of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, USA – sequence: 8 givenname: Baojiang surname: Chen fullname: Chen, Baojiang organization: Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, USA – sequence: 9 givenname: Alejandra surname: Fernandez fullname: Fernandez, Alejandra organization: University of Texas Southwestern Medical Center, Peter O'Donnell Jr. School of Public Health, Dallas, TX, USA – sequence: 10 givenname: Micah E. surname: Johnson fullname: Johnson, Micah E. organization: Department of Family Medicine, University of California at Los Angeles, Geffen School of Medicine, USA – sequence: 11 givenname: Hugh surname: Garavan fullname: Garavan, Hugh organization: College of Arts and Sciences, Department of Psychological Science, University of Vermont, Burlington, VT, USA – sequence: 12 givenname: Alexandra S. surname: Potter fullname: Potter, Alexandra S. organization: College of Arts and Sciences, Department of Psychological Science, University of Vermont, Burlington, VT, USA – sequence: 13 givenname: Sarajane L. surname: Dube fullname: Dube, Sarajane L. organization: College of Arts and Sciences, Department of Psychological Science, University of Vermont, Burlington, VT, USA – sequence: 14 givenname: Nicholas surname: Allgaier fullname: Allgaier, Nicholas organization: College of Arts and Sciences, Department of Psychological Science, University of Vermont, Burlington, VT, USA – sequence: 15 givenname: Deanna M. surname: Hoelscher fullname: Hoelscher, Deanna M. organization: Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health in Austin, Austin, TX, USA – sequence: 16 givenname: Susan F. surname: Tapert fullname: Tapert, Susan F. organization: Department of Psychiatry, University of California San Diego (USCD), San Diego, CA, USA |
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