ArticleJournal of youth and adolescence2020
Bidirectional Relationship of Sleep with Emotional and Behavioral Difficulties: A Five-year Follow-up of Finnish Adolescents.
Article in Journal of youth and adolescence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Sleep as a potential link between exposome, mental health and cognitive development in children and adolescents - a scoping review.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Childhood Physical Health and Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis of Modifiable Factors.Prevention science : the official journal of the Society for Prevention Research · 2024Pooled it
- The Social Side of Sleep: A Systematic Review of the Longitudinal Associations between Peer Relationships and Sleep Quality.International journal of environmental research and public health · 2023Pooled it
- Co-adapting a healthy sleep intervention with adolescents: impact and process evaluation of a Health CASCADE pilot study.BMC public health · 2025Trial
- Evaluating the effect of sleep kits and training in foster care clinic visits.Journal of pediatric psychology · 2025Trial
- Shared Behavioural Determinants of Short Sleep and Obesity From Childhood to Adolescence: An Analyses of Growing Up in Scotland Birth Cohort 1.Pediatric obesity · 2026Observational
- Parental report-based assessment of sleep problems and mental health in an unreferred cohort of children with a fragile X premutation.Frontiers in molecular neuroscience · 2026Article
- Inflammation-associated brain functional network topological disruption in female nurses with SWSD: associations with symptoms and transcriptomics.Frontiers in immunology · 2026Article
- Longitudinal Association Among Sleep Problems and Depressive Symptoms: Within-Person Mediated Effect of Thought Suppression.Journal of youth and adolescence · 2025Article
- Bidirectional associations between accelerometer-based sleep metrics and mental health symptoms from childhood to late adolescence: data from a Brazilian birth cohort.BMC medicine · 2025Article
- Associations of 24-hour movement behaviors with emotional and behavioral problems among Chinese adolescents.Social psychiatry and psychiatric epidemiology · 2025Article
- Insights into adolescent sleep and mental health in rural area of Northwestern China.Scientific reports · 2024Article
- Understanding Morning Emotions by Analyzing Daily Wake-Up Alarm Usage: Longitudinal Observational Study.JMIR human factors · 2024Observational
- Insomnia symptoms in children and adolescents: screening for sleep problems with the two-item Sleep Condition Indicator (SCI-02).BMC public health · 2024Article
- Association of macronutrient intake, physical activity, anxiety, and depression with sleep quality among Iranian male adolescents.BMC research notes · 2024Article
- Associations Between Multiple Dimensions of Sleep and Mood During Early Adolescence: A Longitudinal Daily Diary Study.Journal of youth and adolescence · 2024Article
- Exploration of Sex and Age as Moderators Between Social Cumulative Risk and Sleep in a Representative Sample of Children and Adolescents Living in the United States.International journal of behavioral medicine · 2024Article
- Examining the Bidirectional Associations Between Sleep Duration, Screen Time, and Internalizing Symptoms in the ABCD Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Childhood sleep: physical, cognitive, and behavioral consequences and implications.World journal of pediatrics : WJP · 2024Review
- Psychosocial Determinants of Sleep Behavior and Healthy Sleep Among Adolescents: A Two-Wave Panel Study.Journal of youth and adolescence · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
The long-term effects of sleep on adolescent psychosocial well-being are mostly unknown, although insufficient sleep has been associated with emotional and behavioral difficulties in cross-sectional studies. With a five-year follow-up of Finnish adolescents (Time 1: n = 8834; Mean age = 13 years, 51.1% female, Time 2: n = 5315, Mean age = 15 years, 51.6% female, Time 3: n = 3712; Mean age = 17 years; 50.2% female), the purpose of this longitudinal study was to investigate the relations between self-reported sleep duration, sleep problems, and emotional and behavioral difficulties during adolescence. Emotional and behavioral difficulties were assessed using The Strengths and Difficulties Questionnaire (SDQ) measuring emotional symptoms, conduct problems, hyperactivity, peer problems and total difficulties. Sleep duration was calculated by counting the hours between self-reported bedtime and wake-up time. Sleep problems were assessed with a single question about the general sleep problems. According to the cross-lagged models for sleep and emotional and behavioral difficulties, the findings of this study indicate a developmental process during adolescence where, firstly, short sleep duration is a stronger predictor for current and prospective emotional and behavioral difficulties than vice versa. Secondly, increased emotional and behavioral difficulties expose adolescents to current and later sleep problems more strongly than reverse. Thus, the results show that short sleep duration predisposed to emotional and behavioral difficulties across adolescence, which then led to more prospective sleep problems. These findings suggest a developmental process where sleep and emotional and behavioral difficulties are intertwined in shaping adolescents' health.
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