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Longitudinal bidirectional effects between sleep quality and internalizing problems.

Alexander T Vazsonyi1, Dan Liu1, Marek Blatny2

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Poor sleep quality and internalizing problems like depression and anxiety symptoms are bidirectionally linked in adolescents. These connections between sleep quality and mental health symptoms remain consistent across genders.

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Area of Science:

  • Adolescent Psychology
  • Sleep Science
  • Mental Health Research

Background:

  • Internalizing problems, including depressive and anxiety symptoms, are prevalent in early adolescence.
  • Sleep quality is a critical factor in adolescent development and well-being.
  • Understanding the interplay between sleep and mental health is crucial for early intervention.

Purpose of the Study:

  • To investigate the longitudinal, bidirectional relationship between sleep quality and internalizing problems (depressive and anxiety symptoms) in early adolescents.
  • To examine whether these relationships differ between males and females.

Main Methods:

  • Longitudinal study design with data collected from 570 early adolescents over 1.5 years (four assessment points).
  • Cross-lagged panel models were employed to analyze the bidirectional links between sleep quality and symptoms of depression and anxiety.
  • Multigroup tests were used to assess potential sex differences in these associations.

Main Results:

  • Developmental changes in sleep quality were negatively associated with developmental changes in depressive symptoms and anxiety symptoms over time, and vice versa.
  • The bidirectional associations between sleep quality and internalizing symptoms were significant.
  • No significant sex differences were found in the relationships between sleep quality and internalizing symptoms.

Conclusions:

  • The findings support a bidirectional and intertwined relationship between poor sleep quality and both depressive and anxiety symptoms in early adolescents.
  • These results suggest that sleep quality and internalizing problems influence each other reciprocally over time.
  • Clinicians should consider assessing and addressing both sleep quality and internalizing symptoms concurrently for effective case conceptualization and treatment planning in adolescents.