Sleep Duration and Internalizing Symptoms in Children

Liliana C Wu1, Nayantara Hattangadi2, Charles D G Keown-Stoneman3,4

  • 1Department of Psychology, University of Toronto, Toronto, Ontario.

Insights

Shorter sleep duration in children is linked to more anxiety and low mood. Further research is needed to understand insufficient sleep

Area of Science:

  • Pediatric Health
  • Sleep Medicine
  • Child Psychology

Background:

  • Emotional problems like anxiety and low mood are common in children.
  • Sleep problems in children are frequently associated with emotional difficulties.

Purpose of the Study:

  • To examine the link between sleep duration and internalizing symptoms (anxiety, low mood) in children aged 5-12 years.
  • To determine if insufficient sleep, based on National Sleep Foundation (NSF) guidelines, correlates with internalizing symptoms in children.

Main Methods:

  • A cross-sectional study involving 796 children aged 5-12 years from primary care settings in Toronto, Canada.
  • Linear regression analysis was used to assess the association between parent-reported sleep duration and internalizing symptoms (Strengths and Difficulties Questionnaire).
  • Analyses controlled for covariates including age, sex, socioeconomic factors, and BMI, and were repeated for insufficient sleep status.

Main Results:

  • A significant inverse association was found between sleep duration and internalizing symptoms (B = -0.33, p=0.012).
  • 14% of 5-year-olds and 6% of 6-12-year-olds experienced insufficient sleep.
  • A trend suggested a link between insufficient sleep and internalizing symptoms (B = 0.64, p=0.086).

Conclusions:

  • The association between insufficient sleep and internalizing symptoms in children warrants further investigation.
  • Children experiencing internalizing symptoms may benefit from sleep support interventions.
Abstract

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