Disturbed sleep and patterns of psychiatric symptoms and function in a school-based sample of adolescents

Lie Åslund*, Anna Andreasson, Mats Lekander, Eva Henje, Inga Dennhag

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
27 Downloads (Pure)


Background: Sleep problems are common in adolescence and often related to psychopathology and impaired functioning. However, most studies have used summative scores, and little is known about how adolescents with disrupted sleep perceive their specific symptoms and dysfunctions. This study explored differences in levels of psychiatric symptoms and functional ability between Swedish adolescents with and without self-reported disturbed sleep in a school-based sample. Methods: Swedish adolescents (n = 618, mean age 15.7+/-1.9yrs) answered the PROMIS pediatric measures for fatigue, anxiety, depression, pain interference, anger, physical activity and peer and family relationships. Logistic regression analyses were performed to assess differences between respondents with and without disturbed sleep. Results: Disturbed sleep was associated with higher levels of symptoms of fatigue, anxiety, depression, anger and pain interference, as well as lower functional abilities in terms of physical activity and peer- and family relationships. Adolescents reporting disturbed sleep generally displayed a pattern of impaired executive functioning, internal emotional distress and school- and sleep related worry and dysfunction, as compared to physical disability, aggressive behavior, stress and generalized worry. Conclusions: The present study adds to the understanding of how disturbed sleep and specific psychiatric symptoms and functional ability are interrelated, which may also have clinical implications.

Original languageEnglish
Pages (from-to)1524-1535
Number of pages12
JournalClinical Child Psychology and Psychiatry
Issue number4
Early online date27 Sept 2022
Publication statusPublished - Oct 2023
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • adolescent
  • comorbidity
  • family relationship
  • functional disability
  • peer relationship
  • physical activity
  • psychiatric disorders
  • sleep problems


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