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Updated: Mar 23, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Childhood Bedtime Problems Predict Adolescent Internalizing Symptoms Through Emotional Reactivity
Katharine C Reynolds1, Candice A Alfano2
1Department of Psychology, University of Houston kcreynolds@uh.edu.
Childhood bedtime problems, not waking issues, predict adolescent internalizing symptoms. Emotional reactivity in children may worsen this link, highlighting specific sleep issues and temperament in mental health risk.
Area of Science:
- Child Psychology
- Developmental Neuroscience
- Sleep Medicine
Background:
- Childhood sleep problems are common and linked to later internalizing symptoms.
- Previous research used broad sleep measures, limiting understanding of specific sleep issues.
- Mechanisms linking early sleep to internalizing symptoms require further investigation.
Purpose of the Study:
- Examine childhood bedtime and nighttime waking problems as predictors of adolescent internalizing symptoms.
- Investigate the role of emotional reactivity as a mediator in this relationship.
- Identify specific childhood sleep disturbances that forecast affective disturbances.
Main Methods:
- Utilized data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N=1,089).
- Analyzed childhood bedtime and nighttime waking problems as independent predictors.
- Assessed emotional reactivity in late childhood for its mediational role.
Main Results:
- Childhood bedtime problems significantly predicted adolescent internalizing problems.
- Nighttime waking problems did not show a significant predictive relationship.
- Child emotional reactivity partially mediated the link between bedtime problems and internalizing symptoms.
Conclusions:
- Specific childhood sleep problems, like bedtime difficulties, may be stronger predictors of later internalizing symptoms.
- Temperament-based emotional reactivity can amplify the affective risks associated with childhood sleep issues.
- Understanding these specific links is crucial for early intervention and prevention strategies.
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