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2 - Factors Influencing Sleep Patterns of Adolescents

Published online by Cambridge University Press:  22 September 2009

Mary A. Carskadon
Affiliation:
Brown Medical School
Mary A. Carskadon
Affiliation:
Brown University, Rhode Island
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Summary

How I hated her method of waking me. My adolescent sleeps were long, dark and sullen. Never once in all those years did I wake of my own accord. It was Margaret, always, knocking on my door like some rodent trapped behind a wall. This would bring me to a rage of wakefulness and I would stomp into the bathroom, bad-tempered and clearly in the wrong, while Margaret, who had been up and gone to six o'clock Mass, would watch me with a silent and superior reproach. That would increase my fury; it is impossible to feel the equal of someone who's been awake longer than you.

Mary Gordon, Final Payments

Sleep patterns in humans emerge from a complex interplay of several distinct processes: maturation and development, behavioral phenomena, and intrinsic sleep and circadian regulatory mechanisms. Each factor likely plays an important role during the transition from childhood to adulthood, a time when significant changes in sleep patterns occur. Sleep also affects many facets of waking human life, although a definitive explanation of sleep's function(s) remains undiscovered. Unquestioned, however, is the obligatory nature of sleep and our commonsense intuition that sleep fulfills some vital role in our waking lives, a role that enhances our abilities to think, perform, feel, and interact.

The patterns of sleep that unfold during adolescence differ markedly from those of preadolescents. Our sense is that many adolescents in the United States obtain insufficient and ill-timed sleep and that daytime functioning suffers as a consequence.

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