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Updated: Jun 25, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
The relation between common sleep problems and emotional and behavioral problems among 2- and 3-year-olds in the
Graham J Reid1, Ryan Y Hong, Terrance J Wade
1Department of Psychology, The University of Western Ontario, London, ON, Canada. greid@uwo.ca
Insights
Childhood sleep problems significantly contribute to emotional and behavioral issues, independent of other risk factors. These sleep disturbances are as impactful as a mother's depression on a child's psychopathology.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Sleep Medicine
Background:
- Childhood emotional and behavioral problems are significant concerns.
- Known risk factors for psychopathology include genetics, environment, and parenting.
- The independent contribution of sleep problems requires further investigation.
Purpose of the Study:
- To examine the contribution of sleep problems to emotional and behavioral issues in young children.
- To assess if this contribution is independent of other established risk factors.
- To explore pathways linking risk factors, sleep problems, and child psychopathology.
Main Methods:
- Analysis of data from the Canadian National Longitudinal Study of Child and Youth (n ≈ 3000 per cohort).
- Inclusion of 2- and 3-year-old children representative of the Canadian population.
- Data collection from the person most knowledgeable (PMK), typically the mother, on child, parent, and family factors.
Main Results:
- Child sleep problems (night waking, bedtime resistance) independently predicted internalizing (anxiety) and externalizing (hyperactivity, aggression) problems.
- Sleep problems were as strongly associated with child emotional/behavioral issues as PMK depressive symptomatology.
- Adverse parenting, PMK symptomatology, and difficult temperament contributed to both sleep and emotional/behavioral problems.
Conclusions:
- Childhood sleep problems are a significant, independent correlate of emotional and behavioral problems.
- Sleep problems appear to exacerbate existing emotional and behavioral difficulties in young children.
- Interventions addressing sleep may be crucial for mitigating child psychopathology.
Abstract:
The contribution of sleep problems to emotional and behavioral problems among young children within the context of known risk factors for psychopathology was examined. Data on 2- and 3-year-olds, representative of Canadian children without a chronic illness, from three cross-sectional cohorts of the Canadian National Longitudinal Study of Child and Youth were analysed (n = 2996, 2822, and 3050). The person most knowledgeable (PMK), usually the mother, provided information about her child, herself, and her family. Predictors included: child health status and temperament; parenting and PMK depressive symptomatology; family demographics (e.g., marital status, income) and functioning. Child sleep problems included night waking and bedtime resistance. Both internalizing/emotional (i.e., anxiety) and externalizing/behavioral problems (i.e., hyperactivity, aggression) were examined. Adjusting for other known risk factors, child sleep problems accounted for a small, but significant, independent proportion of the variance in internalizing and externalizing problems. Structural equation models examining the pathways linking risk factors to sleep problems and emotional and behavioral problems were a good fit of the data. Results were replicated on two additional cross-sectional samples. The relation between sleep problems and emotional and behavioral problems is independent of other commonly identified risk factors. Among young children, sleep problems are as strong a correlate of child emotional and behavioral problems as PMK depressive symptomatology, a well-established risk factor for child psychopathology. Adverse parenting and PMK symptomatology, along with difficult temperament all contribute to both sleep problems and emotional and behavioral problems. Children's sleep problems appear to exacerbate emotional and behavioral problems.
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