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Indadequate sleep hygiene in adolescents

Authoring team

  • the most common paediatric sleep-wake problem encountered by general practitioners
    • there are various reasons why inadequate sleep hygiene is a problem in adolescents (1)
    • teenagers are unable to fall asleep before 10 30 or 11 pm owing to a physiological shift in the timing of release of melatonin (which generally induces sleep at around 8 30 pm in preadolescence)
    • social factors e.g. after-school sports, evening jobs, television, internet use, mobile phones, and homework may delay bedtime on school nights to between 11 pm and midnight
    • drug-induced effects
      • caffeine, nicotine, and illicit drugs may also interfere with timely sleep onset
    • school day
      • adolescents may have to wake early in order to travel to school.
    • poor sleep hygiene in this group is in the context of teenagers needing 9-9.5 hours of sleep to maintain optimum alertness
  • management consists primarily of counselling about sleep hygiene

Reference:

  1. Kotagal S, Pianosi P. Sleep disorders in children and adolescents. BMJ 2006;332:828-32.

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