Eveningness and Later Sleep Timing Are Associated with Greater Risk for Alcohol and Marijuana Use in Adolescence: Initial Findings from the National Consortium on Alcohol and Neurodevelopment in Adolescence Study
- 19 April 2017
- journal article
- research article
- Published by Wiley in Alcohol: Clinical and Experimental Research
- Vol. 41 (6), 1154-1165
- https://doi.org/10.1111/acer.13401
Abstract
Background Abundant cross‐sectional evidence links eveningness (a preference for later sleep–wake timing) and increased alcohol and drug use among adolescents and young adults. However, longitudinal studies are needed to examine whether eveningness is a risk factor for subsequent alcohol and drug use, particularly during adolescence, which is marked by parallel peaks in eveningness and risk for the onset of alcohol use disorders. This study examined whether eveningness and other sleep characteristics were associated with concurrent or subsequent substance involvement in a longitudinal study of adolescents. Methods Participants were 729 adolescents (368 females; age 12 to 21 years) in the National Consortium on Alcohol and Neurodevelopment in Adolescence study. Associations between the sleep variables (circadian preference, sleep quality, daytime sleepiness, sleep timing, and sleep duration) and 3 categorical substance variables (at‐risk alcohol use, alcohol bingeing, and past‐year marijuana use [y/n]) were examined using ordinal and logistic regression with baseline age, sex, race, ethnicity, socioeconomic status, and psychiatric problems as covariates. Results At baseline, greater eveningness was associated with greater at‐risk alcohol use, greater bingeing, and past‐year use of marijuana. Later weekday and weekend bedtimes, but not weekday or weekend sleep duration, showed similar associations across the 3 substance outcomes at baseline. Greater baseline eveningness was also prospectively associated with greater bingeing and past‐year use of marijuana at the 1‐year follow‐up, after covarying for baseline bingeing and marijuana use. Later baseline weekday and weekend bedtimes, and shorter baseline weekday sleep duration, were similarly associated with greater bingeing and past‐year use of marijuana at the 1‐year follow‐up after covarying for baseline values. Conclusions Findings suggest that eveningness and sleep timing may be under recognized risk factors and future areas of intervention for adolescent involvement in alcohol and marijuana that should be considered along with other previously identified sleep factors such as insomnia and insufficient sleep.Keywords
Funding Information
- National Institute on Alcohol Abuse and Alcoholism
- National Institute on Drug Abuse
- National Institute of Mental Health
- National Institute of Child Health and Human Development (AA021695, AA021692, AA021697, AA021696, AA021681, AA021690, AA021691, K01DA032557)
This publication has 67 references indexed in Scilit:
- Circadian Misalignment, Reward‐Related Brain Function, and Adolescent Alcohol InvolvementAlcohol: Clinical and Experimental Research, 2013
- Drinking Frequency as a Brief Screen for Adolescent Alcohol ProblemsPEDIATRICS, 2012
- Morningness/eveningness, pubertal timing, and substance use in adolescent girlsPsychiatry Research, 2011
- Changes in Sensation Seeking and Risk‐Taking Propensity Predict Increases in Alcohol Use Among Early AdolescentsAlcohol: Clinical and Experimental Research, 2010
- Increased Alcohol Consumption, Nonmedical Prescription Drug Use, and Illicit Drug Use Are Associated With Energy Drink Consumption Among College StudentsJournal of Addiction Medicine, 2010
- Adolescent Sleep, Risk Behaviors, and Depressive Symptoms: Are They Linked?American Journal of Health Behavior, 2010
- Estimated Blood Alcohol Concentrations for Child and Adolescent Drinking and Their Implications for Screening InstrumentsPEDIATRICS, 2009
- Adolescent Changes in the Homeostatic and Circadian Regulation of SleepDevelopmental Neuroscience, 2009
- A Developmental Perspective on Alcohol and Youths 16 to 20 Years of AgePEDIATRICS, 2008
- Association between Morningness-Eveningness and Behavioral/Emotional Problems among AdolescentsJournal of Biological Rhythms, 2007