Associations of Executive Function With Sleepiness and Sleep Duration in Adolescents

  • Anderson B
  • Storfer-Isser A
  • Taylor H
 et al. 
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BACKGROUND: Sleep deprivation and sleepiness are associated with poorer school performance, impaired neurobehavioral functioning, and behavioral problems. OBJECTIVE: To determine if adolescents with high levels of sleepiness or short sleep duration have impaired executive functioning. METHODS: Ours was a cross-sectional analysis of data from 236 healthy adolescents in a community-based cohort study. Sleepiness was measured by using a modified version of the Epworth Sleepiness Scale. Participants underwent 5- to 7-day wrist actigraphy at home before overnight polysomnography. Exposure variables were excessive sleepiness (Epworth Sleepiness Scale > or = 11) and weekday mean sleep duration. The main outcome measures were the global executive composite scale from the Behavior Rating Inventory of Executive Function and the tower test-total achievement score from the Delis-Kaplan Executive Functioning System. RESULTS: Participants (N = 236) were 13.7 +/- 0.8 years of age, and 52.1% were boys. Mean weekday sleep duration was 7.70 +/- 1.03 hours; 11% slept

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  • B. Anderson

  • A. Storfer-Isser

  • H. G. Taylor

  • C. L. Rosen

  • S. Redline

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