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Adolescent-Reported Sleep/Wake Patterns in the Relationships Between Inhibitory Control and Internalizing and

Molly C Basch1, Sarah E Stromberg2, Kendra Krietsch3

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Poor inhibitory control in youth is linked to internalizing and externalizing problems. Problematic sleep/wake patterns partially mediate this relationship, offering a potential target for intervention in adolescents.

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Area of Science:

  • Child Psychology
  • Neurodevelopmental Disorders
  • Sleep Medicine

Background:

  • Youth with deficits in inhibitory control face increased risks for internalizing and externalizing problems, impacting psychological, academic, and social functioning.
  • Modifying inhibitory control directly is difficult, necessitating research into alternative targets for mitigating these problems.
  • Sleep/wake patterns are associated with both inhibitory control deficits and emotional/behavioral problems, suggesting a potential mediating role.

Purpose of the Study:

  • To investigate the mediating role of sleep/wake patterns in the association between inhibitory control and internalizing/externalizing problems in adolescents.
  • To determine if sleep/wake patterns explain the link between poor inhibitory control and adverse psychological outcomes in youth.

Main Methods:

  • A study involving 155 adolescent-parent dyads (ages 12-15).
  • Utilized the Behavioral Rating Inventory of Executive Function, Pediatric Symptom Checklist, and Adolescent Sleep-Wake Scale.
  • Employed bootstrapped mediation analyses to examine indirect effects.

Main Results:

  • Problematic sleep/wake patterns partially mediated the link between poorer inhibitory control and increased internalizing problems (19% variance explained).
  • Problematic sleep/wake patterns also partially mediated the association between poorer inhibitory control and increased externalizing problems (58% variance explained).

Conclusions:

  • Sleep/wake patterns may represent a key mechanism linking inhibitory control deficits to internalizing and externalizing problems in youth.
  • Addressing sleep/wake patterns through behavioral interventions presents a modifiable target for reducing emotional and behavioral issues in adolescents with poor inhibitory control.