Summary

Adolescence is marked by profound changes in sleep architecture, circadian timing and psychosocial demands, all of which interplay to shape mental health trajectories. Biological shifts during puberty delay evening sleepiness and curtail total sleep time, while academic pressures, digital engagement and extracurricular commitments further erode sleep opportunity. Poor sleep quality and insufficient duration are consistently associated with elevated rates of depression, anxiety and impaired emotional regulation, as well as diminished attention, learning and resilience. Socioeconomic factors, family routines and cultural norms modulate these patterns, yielding marked global variability in sleep health. Intervention strategies—ranging from delayed school start times and sleep‐hygiene education to family‐centred behavioural approaches—have demonstrated promise in restoring sleep balance and mitigating emotional distress. A systems perspective that integrates biological, social and environmental influences is essential for advancing adolescent wellbeing on a population scale.

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Adolescent Sleep Quality and Mental Health publication trend

The graph below shows the total number of articles in adolescent sleep quality and mental health across all publications each year (not limited to Nature Index journals).

Technical terms

Sleep disturbances: A spectrum of difficulties initiating or maintaining sleep, including insomnia, frequent awakenings and non-restorative rest.

Total sleep time (TST): The cumulative duration of sleep obtained during a sleep episode, typically measured in hours per night.

Chronic sleep deprivation: A prolonged state of insufficient sleep relative to age-appropriate recommendations, often persisting over weeks or months.

Health literacy (HL): The ability to obtain, interpret and utilise health information to make informed decisions concerning one’s wellbeing.

References

  1. Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys. Translational Psychiatry (2024).
  2. Total Sleep Time Severely Drops during Adolescence. PLOS ONE (2012).
  3. Sono em adolescentes de diferentes níveis socioeconômicos: revisão sistemática. Revista Paulista de Pediatria (2015).
  4. Chronic sleep deprivation and gender-specific risk of depression in adolescents: a prospective population-based study. BMC Public Health (2018).
  5. Association of health literacy and sleep problems with mental health of Chinese students in combined junior and senior high school. PLOS ONE (2019).
  6. Factors associated with short sleep duration in adolescents. Revista Paulista de Pediatria (2015).
  7. Developing a whole systems action plan promoting Dutch adolescents’ sleep health. International Journal of Behavioral Nutrition and Physical Activity (2025).

About these summaries

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