Original Investigation

Sleep Health Dimensions From Wearables and Transdiagnostic Mental Health in Young Adolescents

JAMA Pediatrics 10.1001/jamapediatrics.2026.0335

March 23, 2026 at 6:00 AM EDT

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What is the dimensionality of wearable-measured sleep health in young adolescents, and which dimensions are associated with concurrent and future mental health?Using Fitbit data in a longitudinal cohort of 3393 young adolescents, 6 sleep health dimensions were identified: irregularity, timing, duration, social jetlag, weekend oversleep, and continuity. Greater irregularity was associated with higher concurrent transdiagnostic mental health symptoms, whereas shorter duration was associated with higher symptoms at 1-year follow-up.These findings demonstrate the multidimensional nature of adolescent sleep health and can help guide selection of sleep health domains and representative measures to enhance reproducibility and suggest potential intervention targets.

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