Insomnia related to Stress and Anxiety in Adolescence

Insomnia, anxiety, and sadness are all linked in adolescence, according to the research. Anxiety and depression disorders are common and are linked with undesirable consequences. Objective: To better understand the interconnection between sleeplessness, anxiety disorders, and major depression in a community-based sample of adolescents. Methods: A cross sectional study was conducted at The University of Lahore, Lahore, during 4 months. A pre-tested questionnaire was used to collect data from 100 students through convenient sapling technique. SPSS version 21.0 was used to store and analyze the data. Results: The results revealed that insomnia is not common in mostly students but they have sleep issue due to exam disturbance and their diet. Late night phone usage is also a major cause in this study. Many students are worried about their current life situation and mostly have snore and choking issues due to worries. In general, the link between sleeplessness and depression was stronger and more constant in patients with serious depression than in those with depression symptoms. Conclusion: Adolescent insomnia has a signi�cant impact on future health and functioning, and it is thought to cause and perpetuate a variety of emotional and behavioral issues, notably anxiety and sadness.

Insomnia is the most common sleep disorder in the elderly clinical population and adolescents. The main complaint is di culty falling maintaining sleep or asleep or being unable to return to sleep, resulting in obvious daytime symptoms, containing di culty focusing and temper disorders [1]. Anxiety and depression disorders are common and are linked with undesirable consequences, such as increased hospitalization, decreased adherence to treatment, poor function, and increased mortality. However, despite the harmful effects of these disorders, depression, and anxiety in patients with heart failure have not been fully diagnosed and treated [2]. Some mental illnesses, such as anxiety and depression, have been shown to be closely related to insomnia. More severe symptoms of anxiety, depression, and stress before treatment have also reported increased daytime fatigue, the severity of insomnia, and sleepiness [3]. Although the prevalence of insomnia in adolescents is increasing. 30% of adults from different countries have symptoms of insomnia. However, in Pakistan, Nepal, India, and Bangladesh, the prevalence rates are 59. 04%, 35.4%, 70%, and 69.5%, respectively [4]. Sleeping pills are widely used to treat sleep disorders and insomnia. Users with short sleep time are three times more likely to have metabolic equivalent than non-users with short sleep time [5]. Insomnia is a composite interaction of mental and cognitive awakening and changes circadian tempo and self-balance apparatus. The decrease in sleep-wake switch function may also cause insomnia. During sleep, there is a slow transition from non-rapid eye movement (non-REM) to rapid eye movement (REM) sleep. AASM 21.0 was used to store and analyze the data. divides sleep into 5 progressive stages, such as W (awake), N1 (relaxed awake), N2 (light sleep), N3 (deep slow-waves wave sleep), and R (rapid eye movement sleep or dreaming). Stages N1-N3 are non-rapid eye movement sleep stages. In this stage, cerebral cortex activity is low, while in the REM sleep stage, brain activity is very active [6]. Sleeping and eating behavior are important lifestyle factors to safeguard the health of adolescents [7]. The eating and sleeping habits of adolescents are important factors affecting the health of adolescents. Nutritional intake levels are an important part of adolescents' daily lifestyle, and studying its comprehensive role in speci c adolescent groups can provide information for the improvement of prospective widespread interventions to prevent mental illness [8].
Proper family meals can serve as a role model for healthy ingestion behaviors [9]. Diet quality may also be a predictor of children's growth and development [10]. There is increasing evidence that modi able lifestyle factors, such as proper nutritional status, are particularly helpful in preventing mental illness [11]. In terms of nutrition, studies have found that adolescents' eating behavior is related to sleep time and sleep quality [12]. In addition, a large-scale survey (n = 5,003 Chinese adolescents) con rmed that healthy eating patterns are negatively correlated with the prevalence of depression and anxiety symptoms [13]. Therefore, adolescents with unhealthy eating behaviors may have an increased risk of metabolic syndrome, obesity, and poor mental health [14]. Therefore, in developed countries, the eating behavior of adolescents is considered an important social issue [15]. It is worth noting that most previous studies on this topic behavior on the impact of lifestyle behavior (e.g., nutritional intake) on sleep quality, depression, and/or anxiety [8]. Therefore, to better understand this topic, the rst purpose of this research is to separately investigate the relationship between lifestyle behavior (nutrition) and insomnia, depression, or anxiety. Disorders of eating behavior during adolescence lead to nutritional de ciencies and developmental delays and are even related to poor academic performance [16]. National Health and Nutrition Survey reported, from 1999 to 2000, 20.5% of 36.1% of young people aged 14-18 and children aged 9-13 did not eat breakfast [17]. Adolescents' eating behaviors tend to persist throughout their lives [18].
A cross sectional study was conducted at The University of Lahore, Lahore, during 4 months, from September to December 2022. Ethical approval was taken from IRB of The University of Lahore, Lahore, Pakistan. A pre-tested questionnaire was used to collect data from 100 students through convenient sapling technique. Prior written inform consent were taken from all the participants. SPSS version R E S U L T S Data of 100 students were gathered for the current investigation. The ndings showed that 65% of the population were male students, and 35% were female students. 35 students were graduated and 65 were undergraduate. Most students were between the weights of 40 and 50 as shown in Table 1  The authors declare no con ict of interest.   Blake et al., there is a high prevalence of negative impacts among adolescents. Insomnia was predicted by an increase in emotional reactivity and a decrease in emotion management capacity, according to the ndings [21]. In our study data was collected from 100 students. The results revealed that the majority of students were male i.e. 65 and 35 were females of the total population. 35 students were from graduated and 65 were undergraduate. Mostly students were from weight range of 40-50. As per many studies, mostly students like fast foods that disturb their sleep cycle. Our results showed a link between sleeplessness and serious depression in adolescents, showing that the two are linked. We also concluded that the more research into the paths of sleeplessness and major depression in childhood and adolescence is needed [22].

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The authors received no nancial support for the research, authorship and/or publication of this article.
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