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Sleep Disturbance and Depressive Symptoms in Adolescence: The Role of Catastrophic Worry

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Abstract

Depression is a common and debilitating disorder in adolescence. Sleep disturbances and depression often co-occur with sleep disturbances frequently preceding depression. The current study investigated whether catastrophic worry, a potential cognitive vulnerability, mediates the relationship between adolescent sleep disturbances and depressive symptoms, as well as whether there are gender differences in this relationship. High school students, ages 16–18, n = 1,760, 49 % girls, completed annual health surveys including reports of sleep disturbance, catastrophic worry, and depressive symptoms. Sleep disturbances predicted depressive symptoms 1-year later. Catastrophic worry partially mediated the relationship. Girls reported more sleep disturbances, depressive symptoms, and catastrophic worry relative to boys. The results, however, were similar regardless of gender. Sleep disturbances and catastrophic worry may provide school nurses, psychologists, teachers, and parents with non-gender specific early indicators of risk for depression. Several potentially important practical implications, including suggestions for intervention and prevention programs, are highlighted.

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The research in this paper was supported by the pupils and staff at Lindeskolan.

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Authors and Affiliations

  1. Center for Health and Medical Psychology (CHAMP), School of Law, Psychology, and Social Work, Örebro University, 70182, Örebro, Sweden

    Nanette S. Danielsson, Shane MacDonald, Markus Jansson-Fröjmark & Steven J. Linton

  2. Department of Psychology, University of California, Berkeley, Berkeley, CA, USA

    Allison G. Harvey

  3. Department of Psychology, Stockholm University, Stockholm, Sweden

    Markus Jansson-Fröjmark

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  1. Nanette S. Danielsson
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  2. Allison G. Harvey
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Correspondence to Nanette S. Danielsson.

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Danielsson, N.S., Harvey, A.G., MacDonald, S. et al. Sleep Disturbance and Depressive Symptoms in Adolescence: The Role of Catastrophic Worry. J Youth Adolescence 42, 1223–1233 (2013). https://doi.org/10.1007/s10964-012-9811-6

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