Daily mood and sleep: reciprocal relations and links with adjustment problems
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Updated: Apr 24, 2026

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Published on: April 26, 2024
Chrystyna D Kouros1, Mona El-Sheikh
1Department of Psychology, Southern Methodist University, Dallas, TX, USA.
Insights
Children's sleep issues can negatively impact their daily mood, potentially leading to internalizing and externalizing symptoms. Addressing sleep problems may improve children's overall mental health.
Area of Science:
- Child Psychology
- Sleep Science
- Behavioral Health
Background:
- Sleep problems are prevalent in children and linked to adjustment difficulties.
- Understanding the daily interplay between sleep and mood is crucial for child mental health.
Purpose of the Study:
- To examine daily associations between children's sleep and mood.
- To investigate if daily mood mediates the relationship between sleep and behavioral symptoms.
Main Methods:
- Utilized a daily diary method and actigraphy over one week in 142 children (mean age 10.69).
- Parents completed daily interviews on child's mood, and later reported on child's adjustment.
- Employed multi-level models to analyze within-person and between-person relationships.
Main Results:
- Children's mood correlated with subsequent sleep fragmentation and latency.
- Sleep latency predicted subsequent mood on the following day.
- Negative daily mood mediated the link between poor sleep efficiency/long latency and internalizing/externalizing symptoms.
Conclusions:
- Daily mood disruptions may be a key mechanism connecting sleep problems to children's mental health issues.
- Findings highlight the importance of considering daily mood fluctuations in the context of children's sleep and behavioral adjustment.
Abstract:
Children's sleep problems are common and associated with increased risk for adjustment problems. We examined daily links between children's sleep and mood, using a daily diary method and actigraphy. We also tested children's daily mood as a mediator of relations among sleep and children's broader internalizing and externalizing symptoms. A community sample of 142 children (mean age = 10.69 years; 57% girls; 69% European American, 31% African American) and their parents participated. For 1 week, children wore actigraphs and parents completed a daily telephone interview about their child's mood. Following the week of actigraphy, mothers and fathers reported on their child's adjustment. Multi-level models indicated within-person relations between children's mood and subsequent sleep fragmentation (indicated by increased activity) and sleep latency, and between-person relations between sleep latency and subsequent mood on the next day. Significant indirect effects were found such that a more negative daily mood (aggregated across diary days) mediated relations between poor sleep efficiency and longer sleep latency and parent-reported internalizing and externalizing symptoms. Findings extend previous research by highlighting disruptions to children's daily mood as a potential mechanism linking sleep problems to children's mental health.
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