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Published on: March 1, 2019
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.
Objective:
Emotional problems such as anxiety and low mood have been associated with sleep problems in children. The study's objectives were to 1) assess the association between sleep duration and internalizing symptoms (anxiety and low mood) in children aged 5-12 years (y), and 2) evaluate whether insufficient sleep according to the National Sleep Foundation (NSF) guidelines is associated with internalizing symptoms.
Methods:
A cross-sectional study of N =796 children aged 5-12y, recruited from primary care physicians' offices in Toronto, Canada was conducted through the TARGet Kids! research network. Using linear regression, we investigated 1) the cross-sectional association between parent reported 24-hour sleep duration (hours) and parent reported symptoms using the Strengths and Difficulties Questionnaire (SDQ), controlling for child age, sex, family income, maternal education, family composition, and standardized body-mass index (zBMI). The analysis was repeated using insufficient sleep per NSF guideline as the independent variable.
Results:
Sleep duration was inversely associated with internalizing symptoms, B estimate = -0.33 (95%CI -0.57, -0.07), p=0.012. Twenty-eight (14%) children aged 5 y, and 36 (6%) of those aged 6-12y, experienced insufficient sleep. There was a trend toward association between insufficient sleep and internalizing symptoms, B estimate = 0.64 (-0.09, 1.38), p=0.086.
Conclusion:
The relationship between insufficient sleep and internalizing symptoms among children requires further elucidation. Children who show internalizing symptoms may benefit from interventions supporting sleep.
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