Book contents
- Frontmatter
- Contents
- List of Contributors
- Foreword
- Preface
- Adolescent Sleep Patterns
- 1 Sleep and Adolescence: A Social Psychologist's Perspective
- 2 Factors Influencing Sleep Patterns of Adolescents
- 3 Endocrine Changes Associated with Puberty and Adolescence
- 4 Maturational Changes in Sleep-Wake Timing: Longitudinal Studies of the Circadian Activity Rhythm of a Diurnal Rodent
- 5 Nutrition and Circadian Activity Offset in Adolescent Rhesus Monkeys
- 6 Toward a Comparative Developmental Ecology of Human Sleep
- 7 Sleep Patterns of High School Students Living in São Paulo, Brazil
- 8 Sleep Patterns and Daytime Function in Adolescence: An Epidemiological Survey of an Italian High School Student Sample
- 9 Risks of Driving While Sleepy in Adolescents and Young Adults
- 10 What Can the Study of Work Scheduling Tell Us about Adolescent Sleep?
- 11 Accommodating the Sleep Patterns of Adolescents within Current Educational Structures: An Uncharted Path
- 12 Bridging the Gap between Research and Practice: What Will Adolescents' Sleep-Wake Patterns Look Like in the 21st Century?
- 13 Influence of Irregular Sleep Patterns on Waking Behavior
- 14 Stress and Sleep in Adolescence: A Clinical-Developmental Perspective
- 15 The Search for Vulnerability Signatures for Depression in High-Risk Adolescents: Mechanisms and Significance
- 16 The Regulation of Sleep-Arousal, Affect, and Attention in Adolescence: Some Questions and Speculations
- Index
- References
15 - The Search for Vulnerability Signatures for Depression in High-Risk Adolescents: Mechanisms and Significance
Published online by Cambridge University Press: 22 September 2009
- Frontmatter
- Contents
- List of Contributors
- Foreword
- Preface
- Adolescent Sleep Patterns
- 1 Sleep and Adolescence: A Social Psychologist's Perspective
- 2 Factors Influencing Sleep Patterns of Adolescents
- 3 Endocrine Changes Associated with Puberty and Adolescence
- 4 Maturational Changes in Sleep-Wake Timing: Longitudinal Studies of the Circadian Activity Rhythm of a Diurnal Rodent
- 5 Nutrition and Circadian Activity Offset in Adolescent Rhesus Monkeys
- 6 Toward a Comparative Developmental Ecology of Human Sleep
- 7 Sleep Patterns of High School Students Living in São Paulo, Brazil
- 8 Sleep Patterns and Daytime Function in Adolescence: An Epidemiological Survey of an Italian High School Student Sample
- 9 Risks of Driving While Sleepy in Adolescents and Young Adults
- 10 What Can the Study of Work Scheduling Tell Us about Adolescent Sleep?
- 11 Accommodating the Sleep Patterns of Adolescents within Current Educational Structures: An Uncharted Path
- 12 Bridging the Gap between Research and Practice: What Will Adolescents' Sleep-Wake Patterns Look Like in the 21st Century?
- 13 Influence of Irregular Sleep Patterns on Waking Behavior
- 14 Stress and Sleep in Adolescence: A Clinical-Developmental Perspective
- 15 The Search for Vulnerability Signatures for Depression in High-Risk Adolescents: Mechanisms and Significance
- 16 The Regulation of Sleep-Arousal, Affect, and Attention in Adolescence: Some Questions and Speculations
- Index
- References
Summary
The association of a constellation of sleep disturbances in adults with major depressive episodes is perhaps the most robust and widely replicated abnormality in psychobiological studies of psychiatric disorders. Reduced sleep efficiency, deficits of slow wave sleep (SWS), reduced latency to the first rapid eye movement (REM) period, an increase of REM sleep time, and increased density of rapid eye movements (REMD) during REM sleep are strongly associated with depressive illness in most samples (Benca, Obermeyer, Thisted, & Gillin, 1992). Studies of children, adolescents, and young adults with major depressive episodes find similar sleep disruptions, although only partially expressed relative to findings in adults. As Table 15.1 summarizes, certain studies of adolescents with major depression have reported increased REM density, reduced sleep latency, increased time to sleep onset, and increased arousals, whereas others have found mixed results or no differences with nondepressed controls. Even in adults, the specificity of the association of disturbed sleep parameters with the state of depression has been questioned (Benca, Obermeyer, Thisted, & Gillin, 1992). In general, however, the changes in sleep macroarchitecture have been strongly connected to core features of depressive illness and likely parallel aspects of the underlying pathophysiology of severe depression.
More controversial have been claims that certain components of the depression-related sleep disturbances may point toward trait characteristics relating to vulnerability for depression in individuals.
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- Chapter
- Information
- Adolescent Sleep PatternsBiological, Social, and Psychological Influences, pp. 254 - 268Publisher: Cambridge University PressPrint publication year: 2002
References
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