Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome

Objective: The aim of the current study was to examine the potential relationship between sleep patterns, cortisol levels, and anxiety profiles in adolescents with Williams Syndrome (WS) compared to typically developing adolescents. Method: Thirteen adolescents with WS and thirteen TD adolescents (a...

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Main Authors: Jessica Hayton, Atiqah Azhari, Gianluca Esposito, Ray Iles, Michaella Chadiarakos, Giulio Gabrieli, Dagmara Dimitriou, Stephen Mangar
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Behavioral Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-328X/13/3/220
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author Jessica Hayton
Atiqah Azhari
Gianluca Esposito
Ray Iles
Michaella Chadiarakos
Giulio Gabrieli
Dagmara Dimitriou
Stephen Mangar
author_facet Jessica Hayton
Atiqah Azhari
Gianluca Esposito
Ray Iles
Michaella Chadiarakos
Giulio Gabrieli
Dagmara Dimitriou
Stephen Mangar
author_sort Jessica Hayton
collection DOAJ
description Objective: The aim of the current study was to examine the potential relationship between sleep patterns, cortisol levels, and anxiety profiles in adolescents with Williams Syndrome (WS) compared to typically developing adolescents. Method: Thirteen adolescents with WS and thirteen TD adolescents (age range 12–18 years) were recruited. Participants were provided with a “testing kit”, containing instructions for collecting data through a sleep diary, MotionWare actigraphy, the Childhood Sleep Habits Questionnaire (CSHQ), and the Spence Children’s Anxiety Scale, and a salivary cortisol collection kit. Results: Adolescents in the WS group did not show diurnal variation in salivary cortisol. Significantly higher scores were reported for two CSHQ subsections, night wakings and parasomnias, in the WS group. Regarding the actigraphy, only significantly longer sleep latency was observed in the WS group. In comparison to the TD group, the WS group had significantly higher anxiety. As expected, the TD group showed typical diurnal variation in cortisol, whereas the WS group showed a flattened cortisol profile throughout the day. Conclusions: From the developmental perspective, this study provides new data supporting the conclusion that sleep problems are not transient but continue to persist into adolescence in WS. Future studies ought to consider examining the role of cortisol and its interplay with anxiety levels and sleep problems across the lifespan in individuals with WS.
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spelling doaj.art-cb25d8be33ee475191eaa659a72201a62023-11-17T09:37:44ZengMDPI AGBehavioral Sciences2076-328X2023-03-0113322010.3390/bs13030220Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams SyndromeJessica Hayton0Atiqah Azhari1Gianluca Esposito2Ray Iles3Michaella Chadiarakos4Giulio Gabrieli5Dagmara Dimitriou6Stephen Mangar7Sleep Education and Research Laboratory, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UKPsychology Programme, School of Humanities and Behavioural Sciences, Singapore University of Social Sciences, Singapore 599494, SingaporeAffiliative Behaviour and Physiology Lab, Department of Psychology and Cognitive Science, University of Trento, 38068 Rovereto, ItalyDepartment of Veterinary Medicine, University of Cambridge, Cambridge CB2 1TN, UKSleep Education and Research Laboratory, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UKNeuroscience and Behaviour Laboratory, Italian Institute of Technology, 00161 Roma, ItalySleep Education and Research Laboratory, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UKDepartment of Clinical Oncology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London W6 8RF, UKObjective: The aim of the current study was to examine the potential relationship between sleep patterns, cortisol levels, and anxiety profiles in adolescents with Williams Syndrome (WS) compared to typically developing adolescents. Method: Thirteen adolescents with WS and thirteen TD adolescents (age range 12–18 years) were recruited. Participants were provided with a “testing kit”, containing instructions for collecting data through a sleep diary, MotionWare actigraphy, the Childhood Sleep Habits Questionnaire (CSHQ), and the Spence Children’s Anxiety Scale, and a salivary cortisol collection kit. Results: Adolescents in the WS group did not show diurnal variation in salivary cortisol. Significantly higher scores were reported for two CSHQ subsections, night wakings and parasomnias, in the WS group. Regarding the actigraphy, only significantly longer sleep latency was observed in the WS group. In comparison to the TD group, the WS group had significantly higher anxiety. As expected, the TD group showed typical diurnal variation in cortisol, whereas the WS group showed a flattened cortisol profile throughout the day. Conclusions: From the developmental perspective, this study provides new data supporting the conclusion that sleep problems are not transient but continue to persist into adolescence in WS. Future studies ought to consider examining the role of cortisol and its interplay with anxiety levels and sleep problems across the lifespan in individuals with WS.https://www.mdpi.com/2076-328X/13/3/220Williams Syndromecortisolanxietysleepadolescents
spellingShingle Jessica Hayton
Atiqah Azhari
Gianluca Esposito
Ray Iles
Michaella Chadiarakos
Giulio Gabrieli
Dagmara Dimitriou
Stephen Mangar
Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome
Behavioral Sciences
Williams Syndrome
cortisol
anxiety
sleep
adolescents
title Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome
title_full Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome
title_fullStr Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome
title_full_unstemmed Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome
title_short Short Report: Lack of Diurnal Variation in Salivary Cortisol Is Linked to Sleep Disturbances and Heightened Anxiety in Adolescents with Williams Syndrome
title_sort short report lack of diurnal variation in salivary cortisol is linked to sleep disturbances and heightened anxiety in adolescents with williams syndrome
topic Williams Syndrome
cortisol
anxiety
sleep
adolescents
url https://www.mdpi.com/2076-328X/13/3/220
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