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[A change in sleep patterns often accompanies the onset of adolescence. Declining parental involvement in bedtime routines, increasing academic pressure, emergence of several distracters such as social media, Internet, electronic gadgets and cell phones have contributed in the shift towards later bedtimes from pre-adolescent to adolescent years. As a result, sleep debt accumulates over time leading to sleep deprivation which can have disastrous consequences on the physical, emotional and cognitive functioning of the individual. Chronic sleep deprivation leads to insufficient sleep which is major sleep problem faced by adolescents today. Sleep assessment is done using subjective and objective methods. Subjective methods include clinical sleep history taking which include physical examination, psychosocial history, interviews regarding bedtime routines and nocturnal behaviour. Several parent rated and self-rated questionnaires are also used for screening sleep disorders such as sleep-related breathing difficulties, restless legs syndrome, delayed sleep phase syndrome and narcolepsy. Objective methods include sleep diaries/sleep logs, actigraphy, polysomnography and multiple sleep latency tests. Early intervention at the school level (pre-adolescent stage) is important for inculcating healthy sleep habits. Sleep education during early years can help prevention of sleep problems as many of these problems are maintained due to maladaptive sleep hygiene practises. This chapter focuses on adolescent sleep struggles specifically insufficient sleep and discusses intervention strategies which include sleep education, stimulus control and sleep hygiene, troubleshooting adolescent’s difficulties in adhering to treatment guidelines, barriers to treatment followed by conclusions and future directions.]
Published: Feb 3, 2015
Keywords: Sleep deprivation; Sleep education; Sleep hygiene; Assessment; Intervention
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