Related Experiment Video
Updated: Mar 29, 2026

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
Published on: March 14, 2018
Sleeping Toward Behavioral Regulation: Relations Between Sleep and Externalizing Symptoms in Toddlers and
Marie-Ève Bélanger1, Annie Bernier1, Valérie Simard2
1a Department of Psychology , University of Montreal.
Insights
Better sleep in young children is linked to fewer behavioral problems. Improving sleep may help prevent ongoing externalizing symptoms, particularly in boys.
Area of Science:
- Child Psychology
- Sleep Science
- Behavioral Science
Background:
- Externalizing symptoms in young children are a significant concern.
- Sleep disturbances are common in early childhood and may impact behavior.
- Understanding the relationship between sleep and behavior is crucial for early intervention.
Purpose of the Study:
- To examine the concurrent and longitudinal associations between sleep patterns and externalizing symptoms in toddlers and preschoolers.
- To investigate the moderating role of child sex in the sleep-behavior relationship.
Main Methods:
- Longitudinal study with 64 families, assessing children at ages 2 and 4.
- Objective sleep monitoring using actigraphy for 72 hours at age 2.
- Parent and educator reports on child behavior using the Child Behavior Checklist at both time points.
Main Results:
- At age 2, longer sleep duration and higher sleep efficiency were associated with fewer externalizing symptoms reported by mothers.
- Higher sleep efficiency at age 2 predicted fewer externalizing symptoms at age 4, controlling for baseline symptoms.
- The association between sleep efficiency and externalizing symptoms was significant for boys only, as reported by mothers at age 2 and fathers at age 4.
Conclusions:
- Sleep difficulties in early childhood are linked to persistent behavioral maladjustment.
- Early intervention for sleep problems may be important for preventing long-term behavioral issues.
- Boys may be particularly vulnerable to the behavioral effects of sleep disturbances.
Abstract:
The aim of this study was to investigate the concurrent and longitudinal relations between sleep and externalizing symptoms among young children. Sixty-four families (mostly Caucasian; 36 boys) were met twice, when children were 2 (T1) and 4 years of age (T2). At T1, children wore an actigraph monitor for a 72-hr period, and both mothers and fathers completed the Child Behavior Checklist. At T2, both parents as well as the daycare educator filled the Child Behavior Checklist. At T1, longer sleep duration and higher sleep efficiency were associated with fewer externalizing symptoms as assessed by mothers. Results also indicated that higher sleep efficiency at T1 was related to fewer parent-reported externalizing symptoms at T2 (while controlling for prior externalizing symptoms). Relations between sleep efficiency at T1 and externalizing symptoms as assessed by mothers at T1 and by fathers at T2 were moderated by child sex, such that links were significant among boys only. Results pertaining to educators' reports were inconclusive. The current study highlights the importance of rapidly treating sleep difficulties, which are associated with persistent behavioral maladjustment, perhaps especially for boys.
More Related Videos
Related Concept Videos
Oppositional Defiant Disorder
Diagnostic Criteria and...
Nightmares and Night Terrors
Nightmares...
REM Sleep Behavior Disorder
RBD is significantly associated with...
Correlations
Socioemotional Development during Infancy
Primary Temperament Types
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....

