Less sleep associated with risk behavior among adolescents, study finds



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"Less sleep hours per night of middle school [is] associated with increased probabilities of all selected unsafe behaviors, "the authors write, including risk-taking while driving, impaired driving, potentially dangerous sexual activity, aggressive behavior and the use of alcohol, tobacco and other substances. drug addicts.

The participants' sleep duration was eight hours or more, seven hours, six hours or less than six hours, and then measured against high-risk behaviors, in the study published Monday in the journal JAMA Pediatrics.

The team found the strongest associations in mood and self harm. Teenagers who slept less than six hours per night were three times more likely to report suicide, to plan a suicide attempt, or to try to do so compared to adolescents who slept eight hours or more. They were also four times more likely to have reported a suicide attempt that had led them to need treatment.

Researchers used data from the Youth Risk Behavior Survey from February 2007 to May 2015, an American survey exploring behaviors related to health risks for young people., and found that over 70% of high school students slept less than the recommended eight hours of sleep per night.
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"Previous reports have shown that high school students who slept less than eight hours were at increased risk for unwanted behavior," said Matthew Weaver, a Harvard Medical School medical instructor and associate epidemiologist with the Department of Sleep Disorders and Disorders. Women's Hospital, who led the study. "Our study adds to this literature by using a larger updated dataset over a longer study interval and incorporating more detailed information about sleep and examining a broader range of risk behaviors."
The size of the sample and the categorization of sleep duration were beneficial for the study, according to Reut Gruber, director of the Attention, Behavior and Sleep laboratory at the Douglas Mental Health University Institute and Associate Professor in the Department of Psychiatry at McGill University. Gruber was not involved in the study.

"I think that reinforces what we believe to be the case," said Gruber. "I am not sure that each of the conclusions is completely a surprise or a novelty, but that certainly validates what we think.Sometimes the challenge with other studies they might be much smaller, or the l & # 39; sample might not be selected correctly, could be biased, so I think the methodology in terms of sampling and sample size is a real asset. "

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Weaver and Gruber both note that the limitations of the study include the fact that the data are self-reported by the participants and that the research does not show a cause-and-effect relationship between sleep and high-risk behaviors.

Gruber advises parents to respect the sleep schedule of their children, because teens are not always able to manage their own sleep and may not know when is the best time to turn off the lights.

"I think my message to parents is that it's a priority.This will make a huge difference in the lives, performance, mood and behavior of their children," Gruber said. "My experience, my impression, is that we still have to give priority to parents, just like what we do with other things we know are unhealthy for kids."

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