TY - JOUR
T1 - Eveningness and Later Sleep Timing Are Associated with Greater Risk for Alcohol and Marijuana Use in Adolescence
T2 - Initial Findings from the National Consortium on Alcohol and Neurodevelopment in Adolescence Study
AU - Hasler, Brant P.
AU - Franzen, Peter L.
AU - de Zambotti, Massimiliano
AU - Prouty, Devin
AU - Brown, Sandra A.
AU - Tapert, Susan F.
AU - Pfefferbaum, Adolf
AU - Pohl, Kilian M.
AU - Sullivan, Edith V.
AU - De Bellis, Michael D.
AU - Nagel, Bonnie J.
AU - Baker, Fiona C.
AU - Colrain, Ian M.
AU - Clark, Duncan B.
N1 - Funding Information:
This work was supported by the U.S. National Institute on Alcohol Abuse and Alcoholism with cofunding from the National Institute on Drug Abuse, the National Institute of Mental Health, and the National Institute of Child Health and Human Development [NCANDA grant numbers: AA021695 (SAB, SFT), AA021692 (SAB, SFT), AA021697 (AP, KMP), AA021696 (IMC, FCB), AA021681 (MDD), AA021690 (DBC), AA021691 (BJN), also K01DA032557 (BPH)]. The authors do not have any conflicts of interest to disclose.
Publisher Copyright:
Copyright © 2017 by the Research Society on Alcoholism
PY - 2017/6
Y1 - 2017/6
N2 - Background: Abundant cross-sectional evidence links eveningness (a preference for later sleep–wake timing) and increased alcohol and drug use among adolescents and young adults. However, longitudinal studies are needed to examine whether eveningness is a risk factor for subsequent alcohol and drug use, particularly during adolescence, which is marked by parallel peaks in eveningness and risk for the onset of alcohol use disorders. This study examined whether eveningness and other sleep characteristics were associated with concurrent or subsequent substance involvement in a longitudinal study of adolescents. Methods: Participants were 729 adolescents (368 females; age 12 to 21 years) in the National Consortium on Alcohol and Neurodevelopment in Adolescence study. Associations between the sleep variables (circadian preference, sleep quality, daytime sleepiness, sleep timing, and sleep duration) and 3 categorical substance variables (at-risk alcohol use, alcohol bingeing, and past-year marijuana use [y/n]) were examined using ordinal and logistic regression with baseline age, sex, race, ethnicity, socioeconomic status, and psychiatric problems as covariates. Results: At baseline, greater eveningness was associated with greater at-risk alcohol use, greater bingeing, and past-year use of marijuana. Later weekday and weekend bedtimes, but not weekday or weekend sleep duration, showed similar associations across the 3 substance outcomes at baseline. Greater baseline eveningness was also prospectively associated with greater bingeing and past-year use of marijuana at the 1-year follow-up, after covarying for baseline bingeing and marijuana use. Later baseline weekday and weekend bedtimes, and shorter baseline weekday sleep duration, were similarly associated with greater bingeing and past-year use of marijuana at the 1-year follow-up after covarying for baseline values. Conclusions: Findings suggest that eveningness and sleep timing may be under recognized risk factors and future areas of intervention for adolescent involvement in alcohol and marijuana that should be considered along with other previously identified sleep factors such as insomnia and insufficient sleep.
AB - Background: Abundant cross-sectional evidence links eveningness (a preference for later sleep–wake timing) and increased alcohol and drug use among adolescents and young adults. However, longitudinal studies are needed to examine whether eveningness is a risk factor for subsequent alcohol and drug use, particularly during adolescence, which is marked by parallel peaks in eveningness and risk for the onset of alcohol use disorders. This study examined whether eveningness and other sleep characteristics were associated with concurrent or subsequent substance involvement in a longitudinal study of adolescents. Methods: Participants were 729 adolescents (368 females; age 12 to 21 years) in the National Consortium on Alcohol and Neurodevelopment in Adolescence study. Associations between the sleep variables (circadian preference, sleep quality, daytime sleepiness, sleep timing, and sleep duration) and 3 categorical substance variables (at-risk alcohol use, alcohol bingeing, and past-year marijuana use [y/n]) were examined using ordinal and logistic regression with baseline age, sex, race, ethnicity, socioeconomic status, and psychiatric problems as covariates. Results: At baseline, greater eveningness was associated with greater at-risk alcohol use, greater bingeing, and past-year use of marijuana. Later weekday and weekend bedtimes, but not weekday or weekend sleep duration, showed similar associations across the 3 substance outcomes at baseline. Greater baseline eveningness was also prospectively associated with greater bingeing and past-year use of marijuana at the 1-year follow-up, after covarying for baseline bingeing and marijuana use. Later baseline weekday and weekend bedtimes, and shorter baseline weekday sleep duration, were similarly associated with greater bingeing and past-year use of marijuana at the 1-year follow-up after covarying for baseline values. Conclusions: Findings suggest that eveningness and sleep timing may be under recognized risk factors and future areas of intervention for adolescent involvement in alcohol and marijuana that should be considered along with other previously identified sleep factors such as insomnia and insufficient sleep.
KW - Adolescence
KW - Alcohol
KW - Circadian Preference
KW - Marijuana
KW - Sleep
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U2 - 10.1111/acer.13401
DO - 10.1111/acer.13401
M3 - Article
C2 - 28421617
AN - SCOPUS:85019976046
VL - 41
SP - 1154
EP - 1165
JO - Alcoholism: Clinical and Experimental Research
JF - Alcoholism: Clinical and Experimental Research
SN - 0145-6008
IS - 6
ER -