Self-Reported Time in Bed and Sleep Quality in Association with Internalizing and Externalizing Symptoms in School-Age Youth

Overview

Journal Child Psychiatry Hum Dev

Specialties Pediatrics
Psychiatry

Date 2016 Jul 23

PMID 27448289

Citations 21

Authors

Sonia L Rubens

Spencer C Evans

Stephen P Becker

Paula J Fite

Andrea M Tountas

Affiliations

Soon will be listed here.

Abstract

This study investigated the relationship between self-reported time in bed and sleep quality in association with self-reported internalizing and externalizing symptoms in a sample of 285 elementary school students (52 % female) recruited from a rural Midwestern elementary school. Path models were used to estimate proposed associations, controlling for grade level and gender. Curvilinear associations were found between time in bed and anxiety, depressive symptoms, and irritability. Marginal curvilinear trends were found between time in bed and emotion dysregulation, reactive aggression, and proactive aggression. Sleep quality was negatively associated with anxiety, depressive symptoms, irritability, reactive aggression, and delinquency engagement. Gender and grade differences were found across models. Findings suggest that examining self-reported time in bed (both linear and quadratic) and sleep quality is important for understanding internalizing and externalizing symptoms associated with sleep in school-age youth. Incorporating self-reported sleep assessments into clinical practice and school-based evaluations may have implications for a child's adjustment.

Citing Articles

The Role of Sleep in Links Between Daily Interpersonal Stress and Internalizing and Externalizing Symptoms During Middle Childhood.

Li C, Lecarie E, Walter D, Lemery-Chalfant K, Brown R, Davis M J Appl Dev Psychol. 2024; 95.

PMID: 39398638 PMC: 11466285. DOI: 10.1016/j.appdev.2024.101713.

Trajectories of actigraphy-derived sleep duration, quality, and variability from childhood to adolescence: downstream effects on mental health.

Thompson M, Gillis B, Hinnant J, Erath S, Buckhalt J, El-Sheikh M Sleep. 2024; 47(8).

PMID: 38758702 PMC: 11321856. DOI: 10.1093/sleep/zsae112.

Associations between sleep quality and irritability: Testing the mediating role of emotion regulation.

Whiting C, Bellaert N, Deveney C, Tseng W Pers Individ Dif. 2024; 213.

PMID: 38549685 PMC: 10978035. DOI: 10.1016/j.paid.2023.112322.

Sleepless nights, sour moods: daily sleep-irritability links in a pediatric clinical sample.

Meigs J, Kiderman M, Kircanski K, Cardinale E, Pine D, Leibenluft E J Child Psychol Psychiatry. 2024; 65(9):1175-1183.

PMID: 38355141 PMC: 11322421. DOI: 10.1111/jcpp.13959.

Epidemiology of sleep patterns and circadian typology in uruguayan children: The contribution of school shifts.

Olivera A, Estevan I, Tassino B, Rossel C, Silva A Sleep Med X. 2024; 7:100099.

PMID: 38234312 PMC: 10792258. DOI: 10.1016/j.sleepx.2023.100099.

References

OBrien E, Mindell J . Sleep and risk-taking behavior in adolescents. Behav Sleep Med. 2005; 3(3):113-33. DOI: 10.1207/s15402010bsm0303_1. View

Dayyat E, Spruyt K, Molfese D, Gozal D . Sleep estimates in children: parental versus actigraphic assessments. Nat Sci Sleep. 2013; 3:115-23. PMC: 3630966. DOI: 10.2147/NSS.S25676. View

Becker S, Ramsey R, Byars K . Convergent validity of the Child Behavior Checklist sleep items with validated sleep measures and sleep disorder diagnoses in children and adolescents referred to a sleep disorders center. Sleep Med. 2014; 16(1):79-86. DOI: 10.1016/j.sleep.2014.09.008. View

Moffitt T, Caspi A . Childhood predictors differentiate life-course persistent and adolescence-limited antisocial pathways among males and females. Dev Psychopathol. 2001; 13(2):355-75. DOI: 10.1017/s0954579401002097. View

Paavonen E, Aronen E, Moilanen I, Piha J, Rasanen E, Tamminen T . Sleep problems of school-aged children: a complementary view. Acta Paediatr. 2000; 89(2):223-8. DOI: 10.1080/080352500750028870. View

Chervin R, Dillon J, Archbold K, Ruzicka D . Conduct problems and symptoms of sleep disorders in children. J Am Acad Child Adolesc Psychiatry. 2003; 42(2):201-8. DOI: 10.1097/00004583-200302000-00014. View

Matricciani L, Olds T, Petkov J . In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep Med Rev. 2011; 16(3):203-11. DOI: 10.1016/j.smrv.2011.03.005. View

Dodge K, Lochman J, HARNISH J, Bates J, Pettit G . Reactive and proactive aggression in school children and psychiatrically impaired chronically assaultive youth. J Abnorm Psychol. 1997; 106(1):37-51. DOI: 10.1037//0021-843x.106.1.37. View

Mindell J, Meltzer L . Behavioural sleep disorders in children and adolescents. Ann Acad Med Singap. 2008; 37(8):722-8. View

10.

Costello E, Copeland W, Angold A . Trends in psychopathology across the adolescent years: what changes when children become adolescents, and when adolescents become adults?. J Child Psychol Psychiatry. 2011; 52(10):1015-25. PMC: 3204367. DOI: 10.1111/j.1469-7610.2011.02446.x. View

11.

Aronen E, Paavonen E, Fjallberg M, Soininen M, Torronen J . Sleep and psychiatric symptoms in school-age children. J Am Acad Child Adolesc Psychiatry. 2000; 39(4):502-8. DOI: 10.1097/00004583-200004000-00020. View

12.

OBrien L . The neurocognitive effects of sleep disruption in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2009; 18(4):813-23. DOI: 10.1016/j.chc.2009.04.008. View

13.

Soffer-Dudek N, Sadeh A, Dahl R, Rosenblat-Stein S . Poor sleep quality predicts deficient emotion information processing over time in early adolescence. Sleep. 2011; 34(11):1499-508. PMC: 3198205. DOI: 10.5665/sleep.1386. View

14.

Gruber R, Cassoff J, Frenette S, Wiebe S, Carrier J . Impact of sleep extension and restriction on children's emotional lability and impulsivity. Pediatrics. 2012; 130(5):e1155-61. DOI: 10.1542/peds.2012-0564. View

15.

Javaheri S, Storfer-Isser A, Rosen C, Redline S . Association of short and long sleep durations with insulin sensitivity in adolescents. J Pediatr. 2010; 158(4):617-23. PMC: 3076647. DOI: 10.1016/j.jpeds.2010.09.080. View

16.

Sharp C, Goodyer I, Croudace T . The Short Mood and Feelings Questionnaire (SMFQ): a unidimensional item response theory and categorical data factor analysis of self-report ratings from a community sample of 7-through 11-year-old children. J Abnorm Child Psychol. 2006; 34(3):379-91. DOI: 10.1007/s10802-006-9027-x. View

17.

Stringaris A, Goodman R, Ferdinando S, Razdan V, Muhrer E, Leibenluft E . The Affective Reactivity Index: a concise irritability scale for clinical and research settings. J Child Psychol Psychiatry. 2012; 53(11):1109-17. PMC: 3484687. DOI: 10.1111/j.1469-7610.2012.02561.x. View

18.

Fergusson D, Woodward L, Horwood L . Childhood peer relationship problems and young people's involvement with deviant peers in adolescence. J Abnorm Child Psychol. 1999; 27(5):357-69. DOI: 10.1023/a:1021923917494. View

19.

Matricciani L, Olds T, Blunden S, Rigney G, Williams M . Never enough sleep: a brief history of sleep recommendations for children. Pediatrics. 2012; 129(3):548-56. DOI: 10.1542/peds.2011-2039. View

20.

Meltzer L, Avis K, Biggs S, Reynolds A, Crabtree V, Bevans K . The Children's Report of Sleep Patterns (CRSP): a self-report measure of sleep for school-aged children. J Clin Sleep Med. 2013; 9(3):235-45. PMC: 3578690. DOI: 10.5664/jcsm.2486. View