Top

Published in:

01-02-2017 | Psychiatry and Preclinical Psychiatric Studies - Original Article

Insomnia complaints and substance use in German adolescents: did we underestimate the role of coffee consumption? Results of the KiGGS study

Authors: Christian Skarupke, Robert Schlack, Karoline Lange, Monique Goerke, Alexander Dueck, Johannes Thome, Bertram Szagun, Stefan Cohrs

Published in: Journal of Neural Transmission | Special Issue 1/2017

Abstract

The purpose of the study was to study the associations of tobacco, alcohol, marijuana, and coffee use and insomnia complaints (IC) in adolescents with special consideration of the influence of coffee consumption on these relationships. 7698 Subjects aged 11–17 years were investigated in a cross-sectional study within the German Health Interview and Examination Survey for Children and Adolescents. Self-report questionnaires were distributed to the participants. Hierarchical regression analyses were performed to assess possible effects of coffee consumption on the association of tobacco, alcohol, and marijuana use with IC. Common risk factors for insomnia were included in the adjusted analyses. Tobacco, alcohol, marijuana and coffee use displayed significant bivariate associations with IC. After adjusting the first three substances for coffee consumption, their associations with IC were reduced considerably. After additionally adjusting for other potential confounders (age, gender, socio-economic status, externalizing and internalizing psychiatric problems, media use, bodyweight, medical condition), frequent coffee consumption, high alcohol intake and frequent smoking contributed to the prediction of IC in male subjects while frequent coffee consumption and high alcohol intake predicted the occurrence of IC in females. Coffee consumption could be an important risk factor for IC in adolescents and it significantly affects the association of smoking, alcohol, and marijuana with IC. Future research that includes long-term studies about psychoactive substance use (PSU) and sleep should also consider coffee consumption. Parents, educators, clinicians, and researchers should be aware of the potentially hazardous influence of PSU, especially coffee, alcohol and tobacco, on sleep in young individuals.

American Academy of Sleep Medicine (AASM) (2005) The international classification of sleep disorders, 2nd edn. American Academy of Sleep Medicine, Westchester

American Psychiatric Association (APA) (2000) Diagnostic and statistical manual of mental disorders: DSM-IV-TR. The American Psychiatric Association, Washington, DC

Bartel KA, Gradisar M, Williamson P (2015) Protective and risk factors for adolescent sleep: a meta-analytic review. Sleep Med Rev 21:72–85. doi:10.1016/j.smrv.2014.08.002 CrossRefPubMed

Bottorff JL, Johnson JL, Moffat BM, Mulvogue T (2009) Relief-oriented use of marijuana by teens. Subst Abuse Treat Prev Policy 4:7. doi:10.1186/1747-597X-4-7 CrossRefPubMedPubMedCentral

Cain N, Gradisar M (2010) Electronic media use and sleep in school-aged children and adolescents: a review. Sleep Med 11(8):735–742. doi:10.1016/j.sleep.2010.02.006 CrossRefPubMed

Calamaro CJ, Mason TB, Ratcliffe SJ (2009) Adolescents living the 24/7 lifestyle: effects of caffeine and technology on sleep duration and daytime functioning. Pediatrics 123(6):e1005–e1010. doi:10.1542/peds.2008-3641 CrossRefPubMed

Chung KF, Cheung MM (2008) Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents. Sleep 31(2):185–194PubMedPubMedCentral

Dohnt H, Gradisar M, Short MA (2012) Insomnia and its symptoms in adolescents: comparing DSM-IV and ICSD-II diagnostic criteria. J Clin Sleep Med 8(3):295–299. doi:10.5664/jcsm.1918 PubMedPubMedCentral

Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586CrossRefPubMed

Gradisar M, Gardner G, Dohnt H (2011) Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med 12(2):110–118. doi:10.1016/j.sleep.2010.11.008 CrossRefPubMed

Gromov I, Gromov D (2009) Sleep and substance use and abuse in adolescents. Child Adolesc Psychiatr Clin N Am 18(4):929–946. doi:10.1016/j.chc.2009.04.004 CrossRefPubMed

Gyllenhaal C, Merritt SL, Peterson SD, Block KI, Gochenour T (2000) Efficacy and safety of herbal stimulants and sedatives in sleep disorders. Sleep Med Rev 4(3):229–251. doi:10.1053/smrv.1999.0093 CrossRefPubMed

Huang YS, Wang CH, Guilleminault C (2010) An epidemiologic study of sleep problems among adolescents in North Taiwan. Sleep Med 11(10):1035–1042. doi:10.1016/j.sleep.2010.04.009 CrossRefPubMed

Istvan J, Matarazzo JD (1984) Tobacco, alcohol, and caffeine use: a review of their interrelationships. Psychol Bull 95(2):301–326CrossRefPubMed

Jacobus J, Bava S, Cohen-Zion M, Mahmood O, Tapert SF (2009) Functional consequences of marijuana use in adolescents. Pharmacol Biochem Behav 92(4):559–565. doi:10.1016/j.pbb.2009.04.001 CrossRefPubMedPubMedCentral

Jaehne A, Loessl B, Barkai Z, Riemann D, Hornyak M (2009) Effects of nicotine on sleep during consumption, withdrawal and replacement therapy. Sleep Med Rev. doi:10.1016/j.smrv.2008.12.003 PubMed

Johnson EO, Breslau N (2001) Sleep problems and substance use in adolescence. Drug Alcohol Depend 64(1):1–7CrossRefPubMed

Johnson EO, Roth T, Schultz L, Breslau N (2006) Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics 117(2):e247–e256. doi:10.1542/peds.2004-2629 CrossRefPubMed

Kaneita Y, Ohida T, Osaki Y, Tanihata T, Minowa M, Suzuki K, Wada K, Kanda H, Hayashi K (2006) Insomnia among Japanese adolescents: a nationwide representative survey. Sleep 29(12):1543–1550PubMed

Kurth BM, Kamtsiuris P, Holling H, Schlaud M, Dolle R, Ellert U, Kahl H, Knopf H, Lange M, Mensink GB, Neuhauser H, Rosario AS, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U (2008) The challenge of comprehensively mapping children’s health in a nation-wide health survey: design of the German KiGGS-Study. BMC Public Health 8:196. doi:10.1186/1471-2458-8-196 CrossRefPubMedPubMedCentral

Lampert T, Thamm M (2007) Consumption of tobacco, alcohol and drugs among adolescents in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsbla 50(5–6):600–608. doi:10.1007/s00103-007-0221-y CrossRef

Lipton J, Becker RE, Kothare SV (2008) Insomnia of childhood. Curr Opin Pediatr 20(6):641–649. doi:10.1097/MOP.0b013e32831897cb CrossRefPubMed

Manni R, Ratti MT, Marchioni E, Castelnovo G, Murelli R, Sartori I, Galimberti CA, Tartara A (1997) Poor sleep in adolescents: a study of 869 17-year-old Italian secondary school students. J Sleep Res 6(1):44–49CrossRefPubMed

McPherson M, Arango P, Fox H, Lauver C, McManus M, Newacheck PW, Perrin JM, Shonkoff JP, Strickland B (1998) A new definition of children with special health care needs. Pediatrics 102(1 Pt 1):137–140CrossRefPubMed

Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6(2):97–111CrossRefPubMed

Ohayon MM, Roberts RE (2001) Comparability of sleep disorders diagnoses using DSM-IV and ICSD classifications with adolescents. Sleep 24(8):920–925PubMed

Ohayon MM, Zulley J (2001) Correlates of global sleep dissatisfaction in the German population. Sleep 24(7):780–787PubMed

Ohida T, Osaki Y, Doi Y, Tanihata T, Minowa M, Suzuki K, Wada K, Kaneita Y (2004) An epidemiologic study of self-reported sleep problems among Japanese adolescents. Sleep 27(5):978–985PubMed

Orbeta RL, Overpeck MD, Ramcharran D, Kogan MD, Ledsky R (2006) High caffeine intake in adolescents: associations with difficulty sleeping and feeling tired in the morning. J Adolesc Health 38(4):451–453. doi:10.1016/j.jadohealth.2005.05.014 CrossRefPubMed

Owens J (2014) Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics 134(3):e921–e932. doi:10.1542/peds.2014-1696 CrossRefPubMed

Owens JA, Mindell J, Baylor A (2014) Effect of energy drink and caffeinated beverage consumption on sleep, mood, and performance in children and adolescents. Nutr Rev 72(Suppl 1):65–71. doi:10.1111/nure.12150 CrossRefPubMed

Pasch KE, Latimer LA, Cance JD, Moe SG, Lytle LA (2012) Longitudinal bi-directional relationships between sleep and youth substance use. J Youth Adolesc 41(9):1184–1196. doi:10.1007/s10964-012-9784-5 CrossRefPubMedPubMedCentral

Pieters S, Burk WJ, Van der Vorst H, Dahl RE, Wiers RW, Engels RC (2015) Prospective relationships between sleep problems and substance use, internalizing and externalizing problems. J Youth Adolesc 44(2):379–388. doi:10.1007/s10964-014-0213-9 CrossRefPubMed

Pollak CP, Bright D (2003) Caffeine consumption and weekly sleep patterns in US seventh-, eighth-, and ninth-graders. Pediatrics 111(1):42–46CrossRefPubMed

Porkka-Heiskanen T (2011) Methylxanthines and sleep. Handbook of experimental pharmacology, vol 200, 2010/09/23 edn. Springer Verlag, Berlin. doi:10.1007/978-3-642-13443-2_12

Reid A, Maldonado CC, Baker FC (2002) Sleep behavior of South African adolescents. Sleep 25(4):423–427PubMed

Roberts RE, Lee ES, Hemandez M, Solari AC (2004) Symptoms of insomnia among adolescents in the lower Rio Grande Valley of Texas. Sleep 27(4):751–760PubMed

Roehrs T, Roth T (2001) Sleep, sleepiness, sleep disorders and alcohol use and abuse. Sleep Med Rev 5(4):287–297. doi:10.1053/smrv.2001.0162 CrossRefPubMed

Roehrs T, Roth T (2008) Caffeine: sleep and daytime sleepiness. Sleep Med Rev 12(2):153–162. doi:10.1016/j.smrv.2007.07.004 CrossRefPubMed

Schierenbeck T, Riemann D, Berger M, Hornyak M (2008) Effect of illicit recreational drugs upon sleep: cocaine, ecstasy and marijuana. Sleep Med Rev 12(5):381–389. doi:10.1016/j.smrv.2007.12.004 CrossRefPubMed

Shibley HL, Malcolm RJ, Veatch LM (2008) Adolescents with insomnia and substance abuse: consequences and comorbidities. J Psychiatr Pract 14(3):146–153. doi:10.1097/01.pra.0000320113.30811.46 CrossRefPubMed

Sivertsen B, Skogen JC, Jakobsen R, Hysing M (2015) Sleep and use of alcohol and drug in adolescence. A large population-based study of Norwegian adolescents aged 16 to 19 years. Drug Alcohol Depend 149:180–186. doi:10.1016/j.drugalcdep.2015.01.045 CrossRefPubMed

Temple JL (2009) Caffeine use in children: what we know, what we have left to learn, and why we should worry. Neurosci Biobehav Rev 33(6):793–806. doi:10.1016/j.neubiorev.2009.01.001 CrossRefPubMedPubMedCentral

Winkler J, Stolzenberg H (1999) Social class index in the Federal Health Survey. Gesundheitswesen 61:S178–S183PubMed

Wong MM, Brower KJ, Zucker RA (2009) Childhood sleep problems, early onset of substance use and behavioral problems in adolescence. Sleep Med 10(7):787–796. doi:10.1016/j.sleep.2008.06.015 CrossRefPubMedPubMedCentral

Wong MM, Robertson GC, Dyson RB (2015) Prospective relationship between poor sleep and substance-related problems in a national sample of adolescents. Alcohol Clin Exp Res 39(2):355–362. doi:10.1111/acer.12618 CrossRefPubMedPubMedCentral

Zhang B, Wing YK (2006) Sex differences in insomnia: a meta-analysis. Sleep 29(1):85–93PubMed

Zhang J, Lam SP, Li SX, Li AM, Lai KY, Wing YK (2011) Longitudinal course and outcome of chronic insomnia in Hong Kong Chinese children: a 5-year follow-up study of a community-based cohort. Sleep 34(10):1395–1402. doi:10.5665/SLEEP.1286 PubMedPubMedCentral

Title: Insomnia complaints and substance use in German adolescents: did we underestimate the role of coffee consumption? Results of the KiGGS study
Authors: Christian Skarupke
Robert Schlack
Karoline Lange
Monique Goerke
Alexander Dueck
Johannes Thome
Bertram Szagun
Stefan Cohrs
Publication date: 01-02-2017
Publisher: Springer Vienna
Published in: Journal of Neural Transmission / Issue Special Issue 1/2017
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI: https://doi.org/10.1007/s00702-015-1448-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Insomnia complaints and substance use in German adolescents: did we underestimate the role of coffee consumption? Results of the KiGGS study

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Special Issue 1/2017

Sustained attention in adult ADHD: time-on-task effects of various measures of attention

Successful physical exercise-induced weight loss is modulated by habitual sleep duration in the elderly: results of a pilot study

How does healthy aging impact on the circadian clock?

From sleep to arousal to attention deficits in neuropsychiatric disorders

The role of sleep problems and circadian clock genes in attention-deficit hyperactivity disorder and mood disorders during childhood and adolescence: an update

Sleep and inflammatory markers in different psychiatric disorders