Evidence map›Paper›PMID 26745822›Full record

ArticleBehavioral sleep medicine

Family Chaos and Child Functioning in Relation to Sleep Problems Among Children at Risk for Obesity.

Richard E Boles, Ann C Halbower, Stephen Daniels, Thrudur Gunnarsdottir, Nancy Whitesell, Susan L Johnson

Abstract read
In one paragraph

Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Parental Exposure to Work Schedule Instability and Child Sleep Quality.Work, employment & society : a journal of the British Sociological Association · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Family vulnerability, disruption, and chaos predict parent and child COVID-19 health-protective behavior adherence.Families, systems & health : the journal of collaborative family healthcare · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. The association between home chaos and academic achievement: The moderating role of sleep.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Richard E Bolesa Department of Pediatrics , University of Colorado-Anschutz Medical Campus , Aurora , Colorado.
Ann C Halbowera Department of Pediatrics , University of Colorado-Anschutz Medical Campus , Aurora , Colorado.
Stephen Danielsa Department of Pediatrics , University of Colorado-Anschutz Medical Campus , Aurora , Colorado.
Thrudur Gunnarsdottirb Department of Psychiatry , Washington University , St. Louis , Missouri.
Nancy Whitesella Department of Pediatrics , University of Colorado-Anschutz Medical Campus , Aurora , Colorado.
Susan L Johnsona Department of Pediatrics , University of Colorado-Anschutz Medical Campus , Aurora , Colorado.
University of Colorado Anschutz Medical Campus · USWashington University in St. Louis · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
Environmental Influences on Early Childhood ObesityK23DK087826 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BOLES, RICHARD · 2011 to 2015
$692k
NIDDK NIH HHS K23 DK087826
6 · The paper itself

Abstract

This study evaluated the influence of child and family functioning on child sleep behaviors in low-income minority families who are at risk for obesity. A cross-sectional study was utilized to measure child and family functioning from 2013 to 2014. Participants were recruited from Head Start classrooms while data were collected during home visits. A convenience sample of 72 low-income Hispanic (65%) and African American (32%) families of preschool-aged children were recruited for this study. We assessed the association of child and family functioning with child sleep behaviors using a multivariate multiple linear regression model. Bootstrap mediation analyses examined the effects of family chaos between child functioning and child sleep problems. Poorer child emotional and behavioral functioning related to total sleep behavior problems. Chaos associated with bedtime resistance significantly mediated the relationship between Behavioral and Emotional Screening System (BESS) and Bedtime Resistance. Families at high risk for obesity showed children with poorer emotional and behavioral functioning were at higher risk for problematic sleep behaviors, although we found no link between obesity and child sleep. Family chaos appears to play a significant role in understanding part of these relationships. Future longitudinal studies are necessary to establish causal relationships between child and family functioning and sleep problems to further guide obesity interventions aimed at improving child sleep routines and increasing sleep duration.

Indexed as

Family RelationsBlack or African AmericanChild BehaviorChild, PreschoolCross-Sectional StudiesEmotionsFemaleHispanic or LatinoHumansLongitudinal StudiesMaleMinority HealthObesityPovertySleepSleep Wake Disorders

Identifiers

PMID26745822
PMCPMC4938783
OpenAlexW2232395692

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.