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Updated: Jul 9, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Children's sleep and adjustment: the moderating role of vagal regulation
Mona El-Sheikh1, Stephen A Erath, Peggy S Keller
1Department of Human Development & Family Studies, Auburn University, Auburn, AL, USA. elshemm@auburn.edu
Insights
Children with lower vagal tone face higher risks for adjustment issues when experiencing sleep disruptions. However, strong vagal suppression can protect against externalizing behaviors linked to poor sleep.
Area of Science:
- Pediatric Psychology
- Developmental Neuroscience
- Sleep Medicine
Background:
- Sleep disruptions in children are linked to various adjustment problems.
- Vagal tone and vagal suppression are key indicators of physiological regulation.
- Understanding individual differences in physiological regulation is crucial for child development.
Purpose of the Study:
- To investigate vagal tone and vagal suppression as moderators between sleep disruptions and adjustment problems in children.
- To explore how individual differences in vagal functioning influence the relationship between sleep and behavior.
- To identify potential protective factors within physiological regulation for children experiencing sleep issues.
Main Methods:
- Utilized actigraphy for objective sleep monitoring (Sleep Efficiency, Wake Minutes, Sleep Minutes) over seven days.
- Assessed children's baseline vagal tone and vagal suppression response to inter-adult arguments.
- Analyzed data from a sample of 167 children aged 8–9 years and their parents.
Main Results:
- Lower vagal tone increased risk for externalizing problems, depression, and higher BMI associated with sleep disruptions.
- Children with lower vagal tone showed poorer sleep efficiency and more wake time during sleep.
- Higher vagal suppression acted as a protective factor against externalizing behaviors linked to sleep disruptions.
Conclusions:
- Vagal tone significantly moderates the association between sleep disruptions and adjustment problems, with lower tone indicating vulnerability.
- Vagal suppression demonstrates a protective role, mitigating negative behavioral outcomes associated with sleep disturbances.
- Individual differences in children's vagal functioning are critical for understanding and addressing sleep and adjustment challenges.
Abstract:
Children's vagal tone and vagal suppression were examined as moderators of associations between children's sleep disruptions and adjustment problems. A relatively large sample (n = 167) of boys and girls who ranged in age between 8 and 9 years participated with their parents. Sleep was examined via actigraphy in the child's home for seven consecutive days. Children's vagal tone was examined during baseline conditions, and their vagal suppression was assessed in response to an inter-adult argument. In comparison with children exhibiting higher levels of vagal tone, those with lower vagal tone were at increased risk of externalizing problems, depression symptoms and higher body mass index associated with increased sleep disruptions (i.e. lower Sleep Efficiency, increased Wake Minutes and fewer Sleep Minutes). Thus, lower vagal tone functioned as a vulnerability factor for adjustment problems in the context of sleep problems. A higher level of vagal suppression to the inter-adult argument functioned as a protective factor against externalizing behaviors otherwise associated with increased Wake Minutes and reduced Sleep Efficiency. Findings demonstrating the moderating role of vagal functioning in the context of sleep disruptions are novel, and highlight the importance of individual differences in children's physiological regulation for sleep and adjustment.
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