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Published on: October 2, 2019
Sleep as a Developmental Process: A Systematic Review of Cognitive, Emotional, and Behavioral Outcomes in Children
Adriana Félix1, Adelinda Candeias1
1School of Health and Human Development, Comprehensive Health Research Centre, Universidade de Évora, 7000-812 Évora, Portugal.
Insights
Good sleep is vital for children's development, improving cognition and behavior. This review highlights sleep's role in mitigating risks from screen time and stress, emphasizing its potential for early interventions.
Area of Science:
- Child Development
- Sleep Science
- Environmental Health
Background:
- Sleep is crucial for cognitive, emotional, behavioral, and physical development in children.
- Environmental factors like screen time and stress significantly impact child sleep.
- Understanding sleep's role in development is key for identifying modifiable risk factors.
Purpose of the Study:
- To systematically review recent empirical findings on the associations between sleep (duration, quality, patterns) and developmental outcomes in children aged 6-12 years.
- To synthesize evidence from cross-sectional and cohort studies published between 2019 and 2024.
- To evaluate the methodological quality of included studies.
Main Methods:
- Systematic literature search across EBSCO, Scopus, and Web of Science databases.
- Inclusion of cross-sectional and cohort studies focusing on children aged 6-12 years (2019-2024).
- Quality assessment using Joanna Briggs Institute tools.
Main Results:
- Consistent associations found between better sleep and enhanced cognitive performance, emotional well-being, and fewer behavioral problems.
- Sleep acts as a mediator between screen use and behavioral issues, with gender and socioeconomic status as moderators.
- Correlational evidence suggests sleep is a potentially modifiable factor influencing developmental outcomes.
Conclusions:
- Improved sleep is linked to better developmental outcomes in children.
- Sleep interventions may mitigate negative effects of environmental risks like screen exposure.
- Future research needs longitudinal, objective measures for causal insights and targeted interventions.
Abstract:
Sleep is essential for child development, influencing cognition, emotional regulation, behavior, and physical health. Recent studies increasingly frame sleep as both a key developmental process and a modifiable factor shaped by, and shaping environmental risks-including digital screen exposure and psychosocial stress. This systematic review synthesized empirical findings from cross-sectional and cohort studies published between 2019 and 2024 on the associations between sleep duration, quality, and patterns and developmental outcomes in typically developing children aged 6-12 years. Searches were conducted in EBSCO, Scopus, and Web of Science databases, yielding 99 records, of which 20 met inclusion criteria. Methodological quality was evaluated using Joanna Briggs Institute tools. Findings show consistent associations between better sleep and enhanced cognitive performance, emotional well-being, and reduced behavioral problems. Some studies identified sleep as a mediator between screen use and behavioral difficulties, whit additional moderating effects related to gender and socioeconomic status. However, most studies used cross-sectional designs and self-reported measures, limiting causal interpretation. Overall, sleep emerge as a potentially modifiable factor influencing developmental outcomes, based on correlational evidence. Future research should prioritize longitudinal and ecologically valid designs, objective measures, and computational approaches to identify sleep-related risk profiles and guide early interventions.
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