Main Article Content

Abstract

Sleep deprivation is increasingly common among high school students in grades 10–12
due to academic pressure, social factors, and lifestyle changes. Although adolescents
need 8–10 hours of sleep, most do not achieve this. Lack of sleep negatively impacts
their physical health (metabolism, immunity) and psychological well-being (mood,
thinking ability), and long-term deprivation can lead to depression, anxiety, obesity,
and poor academic performance. Understanding these physiological and psychological
factors is crucial for improving students’ overall health and school outcomes. The
objectives of this study are to identify the main sociodemographic characteristics of
high school students, to determine the physiological and psychological factors
associated with sleep deprivation, and to assess the association between selected
sociodemographic characteristics and the identified physiological and psychological
factors among the study sample. A quantitative cross-sectional study was conducted
from November 2024 to May 2025 to assess the prevalence and factors associated with
sleep deprivation among high school adolescents in Ranya City. A representative
sample was drawn from five randomly selected public schools using stratified random
sampling. Data were collected through a constructed questionnaire based on relevant
literature and standardized tools, validated by 19 experts, and shown to have a
reliability coefficient of r = 0.736. The questionnaire covered sociodemographic
information, academic performance, screen time, physical activity, caffeine intake, and
sleep patterns. Out of 327 participating students, 229 who reported sleep deprivation were included in the analysis of physiological
and psychological factors. Among them, 76.9% sometimes experienced physiological disruptions such as caffeine use, physical
discomfort, and hunger before sleep, while 54.6% reported psychological discomfort related to schoolwork, personal matters, and
emotional stress. Psychological factors showed significant associations with gender, grade level, parents’ occupations, and
economic status, whereas physiological factors were not significantly related to any sociodemographic characteristics. The
findings show that psychological factors contributing to sleep deprivation are closely tied to gender, grade level, parental
employment, and socioeconomic status, while physiological factors are shaped more by individual habits than by background
characteristics. Overall, the results highlight the need to prioritize psychological stressors when promoting better sleep health
among adolescents.

Keywords

Physiological factors psychological factors sleep deprivation

Article Details

References

  1. Mousavi Z, Troxel WM. Later school start times as a public health intervention to promote sleep health in adolescents.
  2. Current Sleep Medicine Reports. 2023;9(3):152-60. DOI:10.1007/s40675-023-00263-8
  3. Paruthi S, Brooks LJ, D'Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended Amount of Sleep for Pediatric
  4. Populations: A Consensus Statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12(6):785-6.
  5. DOI:10.5664/jcsm.5866
  6. Woodfield M, Butler NG, Tsappis M. Impact of sleep and mental health in adolescence: an overview. Curr Opin Pediatr.
  7. ;36(4):375-81. DOI:10.1097/MOP.0000000000001358
  8. Crowley R, Alderman E, Javadi A-H, Tamminen J. A systematic and meta-analytic review of the impact of sleep restriction
  9. on memory formation. Neuroscience & Biobehavioral Reviews. 2024:105929. DOI:10.1016/j.neubiorev.2024.105929
  10. Sullivan EC, James E, Henderson LM, McCall C, Cairney SA. The influence of emotion regulation strategies and sleep
  11. quality on depression and anxiety. Cortex. 2023;166:286-305. DOI:10.1016/j.cortex.2023.06.001
  12. Hong S, Lee D-B, Yoon D-W, Yoo S-L, Kim J. The Effect of Sleep Disruption on Cardiometabolic Health. Life.
  13. ;15(1):60. DOI:10.3390/life15010060
  14. Uccella S, Cordani R, Salfi F, Gorgoni M, Scarpelli S, Gemignani A, et al. Sleep deprivation and insomnia in adolescence:
  15. implications for mental health. Brain sciences. 2023;13(4):569. DOI:10.3390/brainsci13040569
  16. Sosso FAE, Holmes SD, Weinstein AA. Influence of socioeconomic status on objective sleep measurement: A systematic
  17. review and meta-analysis of actigraphy studies. Sleep health. 2021;7(4):417-28. DOI:10.1016/j.sleh.2021.05.005
  18. Chai R, Bian W-J. Adolescent sleep and its disruption in depression and anxiety. Frontiers in Neuroscience.
  19. ;18:1479420. DOI:10.3389/fnins.2024.1479420
  20. Xu G, Li L, Yi L, Li T, Chai Q, Zhu J. A pooled analysis of temporal trends in the prevalence of anxiety-induced sleep loss
  21. among adolescents aged
  22. DOI:10.3389/fpsyt.2023.1259442
  23. -15 years across 29 countries. Front Psychiatry. 2023;14:1259442.
  24. Zhang J, Xiang S, Li X, Tang Y, Hu Q. The impact of stress on sleep quality: a mediation analysis based on longitudinal
  25. data. Front Psychol. 2024;15:1431234. DOI:10.3389/fpsyg.2024.1431234
  26. Kelly RJ, Zeringue MM, El-Sheikh M. Adolescents' sleep and adjustment: Reciprocal effects. Child Dev. 2022;93(2):540
  27. DOI:10.1111/cdev.13703
  28. Mei Z, Cai C, Luo S, Zhang Y, Lam C, Luo S. The efficacy of cognitive behavioral therapy for insomnia in adolescents: a
  29. systematic review and meta-analysis of randomized controlled trials. Front Public Health. 2024;12:1413694.
  30. DOI:10.3389/fpubh.2024.1413694
  31. Castiglione-Fontanellaz CE, Tarokh L. Sleep and adolescent depression. Clinical and Translational Neuroscience.
  32. ;8(1):3. DOI:10.3390/ctn8010003
  33. Baker FC. Sleep disturbance predicts depression symptoms in early adolescence: initial findings from the adolescent brain
  34. cognitive development study. J Adolesc Health. 2022. DOI:10.1016/j.jadohealth.2019.12.005
  35. Nasim M, Saade M, AlBuhairan F. Sleep deprivation: prevalence and associated factors among adolescents in Saudi Arabia.
  36. Sleep medicine. 2019;53:165-71. DOI:10.1016/j.sleep.2018.08.031
  37. Liang M, Guo L, Huo J, Zhou G. Prevalence of sleep disturbances in Chinese adolescents: A systematic review and meta
  38. analysis. Plos one. 2021;16(3):e0247333. DOI:10.1371/journal.pone.0247333
  39. Zaborskis A, Kavaliauskienė A, Eriksson C, Dimitrova E, Makari J. Family structure through the adolescent eyes: A
  40. comparative study of current status and time trends over three decades of HBSC study. Societies. 2022;12(3):88.
  41. DOI:10.3390/soc12030088
  42. Mindell JA, Sedmak R, Boyle JT, Butler R, Williamson AA. Sleep well!: A pilot study of an education campaign to improve
  43. sleep of socioeconomically disadvantaged children. Journal of clinical sleep medicine. 2016;12(12):1593-9.
  44. DOI:10.5664/jcsm.6338
  45. Mutz-Dehbalaie I, Scheier M, Jerabek-Klestil S, Brantner C, Windbichler GH, Leitner H, et al. Perinatal mortality and
  46. advanced maternal age. Gynecologic and obstetric investigation. 2014;77(1):50-7. DOI:10.1159/000357168
  47. Hart CN, Carskadon MA, Considine RV, Fava JL, Lawton J, Raynor HA, et al. Changes in children’s sleep duration on food
  48. intake, weight, and leptin. Pediatrics. 2013;132(6):e1473-e80. DOI:10.1542/peds.2013-1274
  49. Drake C, Roehrs T, Shambroom J, Roth T. Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of
  50. clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2013;9(11):1195-200.
  51. DOI:10.5664/jcsm.3170
  52. Kredlow M, Capozzoli M, Hearon B, Calkins A, Otto M. The effects of physical activity on sleep: a meta-analytic review.
  53. Journal of behavioral medicine. 2015;38. DOI:10.1007/s10865-015-9617-6
  54. Weiss A, Xu F, Storfer-Isser A, Thomas A, Ievers-Landis C, Redline S. The Association of Sleep Duration with Adolescents'
  55. Fat and Carbohydrate Consumption. Sleep. 2010;33:1201-9. DOI:10.1093/sleep/33.9.1201
  56. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s sleep time duration
  57. recommendations: methodology and results summary. Sleep health. 2015;1(1):40-3. DOI:10.1016/j.sleh.2014.12.010
  58. Alfonsi V, Scarpelli S, D’Atri A, Stella G, De Gennaro L. Later school start time: the impact of sleep on academic
  59. performance and health in the adolescent population. International journal of environmental research and public health.
  60. ;17(7):2574. DOI:10.3390/ijerph17072574
  61. Short MA, Weber N, Reynolds C, Coussens S, Carskadon MA. Estimating adolescent sleep need using dose-response
  62. modeling. Sleep. 2018;41(4):zsy011. DOI:10.1093/sleep/zsy011
  63. Koenig HG. Religion, spirituality, and health: The research and clinical implications. International Scholarly Research
  64. Notices. 2012;2012(1):278730. DOI:10.5402/2012/278730
  65. Hantsoo L, Khou CS, White CN, Ong JC. Gender and cognitive–emotional factors as predictors of pre-sleep arousal and trait
  66. hyperarousal in insomnia. Journal of psychosomatic research. 2013;74(4):283-9. DOI:10.1016/j.jpsychores.2013.01.014
  67. Burgard SA, Ailshire JA. Gender and time for sleep among US adults. American sociological review. 2013;78(1):51-69.
  68. DOI:10.1177/0003122412472048
  69. Bright CL, Sacco P, Kolivoski KM, Stapleton LM, Jun H-J, Morris-Compton D. Gender differences in patterns of substance
  70. use and delinquency: A latent transition analysis. Journal of Child & Adolescent Substance Abuse. 2017;26(2):162-73.
  71. DOI:10.1080/1067828X.2016.1242100
  72. Rudolph KD, Davis MM, Monti JD. Cognition–emotion interaction as a predictor of adolescent depressive symptoms.
  73. Developmental psychology. 2017;53(12):2377. DOI:10.1037/dev0000397
  74. Dokuka S, Smirnov I. High academic performance is associated with shorter sleep and later bedtimes for young adults. arXiv
  75. preprint arXiv:200507806. 2020. (Note: This is an arXiv identifier, not a standard DOI.)
  76. Tsai KM, Dahl RE, Irwin MR, Bower JE, McCreath H, Seeman TE, et al. The Roles of Parental Support and Family Stress
  77. in Adolescent Sleep. Child development. 2018;89(5):1577-88. DOI:10.1111/cdev.12917
  78. Menasco MA. Family financial stress and adolescent substance use: An examination of structural and psychosocial factors.
  79. In: Economic stress and the family. Emerald Group Publishing Limited; 2012. p. 285-315. DOI:10.1108/S1530
  80. (2012)0000007011

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