ArticleBMJ paediatrics open2020
Parent-reported early sleep problems and internalising, externalising and dysregulation symptoms in toddlers.
Article in BMJ paediatrics open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- The association between sleep consolidation and growth and development in early childhood: A systematic review.Health promotion perspectives · 2024Pooled it
- Early identification of sleep phenotypes in infants by videosomnography: a cross-sectional study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- A pilot bedtime routine intervention for toddlers in primary care: variation by caregiver educational attainment.Frontiers in sleep · 2025Article
- Infants' early recovery from sleep disturbance is associated with a lower risk of developmental delay in the Japan Environment and Children's Study.Scientific reports · 2024Article
- Early sleep duration trajectories and children's cognitive development: a prospective cohort study.European journal of pediatrics · 2023Article
- Sleep across the first year of life is prospectively associated with brain volume in 12-months old infants.Neurobiology of sleep and circadian rhythms · 2023Article
- Bedtime routines, development, and caregiver educational attainment in toddlerhood.Frontiers in sleep · 2023Article
- Non-Linear and Sex-Specific Effect of Maternal Pre-Pregnancy BMI on Emotional and Behavioral Development of Preschool Children: A Population-Based Cohort Study.International journal of environmental research and public health · 2022Article
- Article
- Anxiety disorders across middle childhood and early adolescence in a UK population-based cohort.JCPP advances · 2022Article
- Socioemotional behaviour of toddlers influenced by the sleep patterns: Prevalence study.Journal of family medicine and primary care · 2022Article
- Association of sleep quality with temperament among one-month-old infants in The Japan Environment and Children's Study.PloS one · 2022Article
- Article
- Understanding the Relationship Between Sleep Problems in Early Childhood and Borderline Personality Disorder: A Narrative Review.Nature and science of sleep · 2021Review
- Sleep and Mood Disorders Among Youth.Child and adolescent psychiatric clinics of North America · 2021Review
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe concurrence of sleep and socio-emotional development in children is well accepted. However, the predictive role of sleep problems in infancy and the development of emotional and behavioural problems later in childhood remain still unclear. Therefore, in this study we examined the associations between sleep problems in early childhood and internalising, externalising and dysregulation symptoms in toddlers.
methods1679 families entered the study during pregnancy and 936 children participated at 24 months. Parent-reported sleep duration, sleep-onset latency, night wakings, proportion of daytime sleep and bedtime at 3, 8, 18 and 24 months were assessed with two sleep questionnaires. Externalising, internalising and dysregulation problems at 24 months were examined with the Brief Infant-Toddler Social and Emotional Assessment.
resultsShort sleep duration at 3 and 8 months, more night wakings at 3, 8, 18 and 24 months and greater proportion of daytime sleep at 24 months were associated with internalising symptoms. Shorter sleep duration at 8, 18 and 24 months and longer sleep-onset latency and more night wakings at all time points, in addition to earlier bedtime at 8 months and greater proportion of daytime sleep at 24 months, were related to dysregulation. Finally, more night wakings at 3 and 24 months, and longer sleep-onset latency at 24 months were associated with externalising problems.
conclusionShorter sleep and poorer sleep quality in infancy were prospectively related to emotional and behavioural symptoms in toddlers, and these associations were strongest for internalising and dysregulation symptoms. This study contributes to the recent research on the role of early sleep problems in socio-emotional development, suggesting that shorter sleep duration, longer sleep-onset latency and higher waking frequency are related to internalising, externalising and dysregulation symptoms in toddlers, and thus it might be beneficial to provide early interventions for those infants reporting these sleep problems.
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