ArticleSleep medicine2021
Longitudinal bidirectional association between sleep and behavior problems at age 6 and 11 years.
Article in Sleep medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- 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
- Sleep Disturbances and Disorders in Children and Adolescents with Cerebral Palsy: A Narrative Review.Journal of clinical medicine · 2025Review
- The relationship between sleep and problem behaviors in children with attention-deficit/hyperactivity disorder.European journal of pediatrics · 2025Article
- Association of parental adverse childhood experiences with offspring sleep problems: the role of psychological distress and harsh discipline.Child and adolescent psychiatry and mental health · 2024Article
- Examining bidirectional relations between sleep problems and non-suicidal self-injury/suicidal behavior in adolescents: emotion regulation difficulties and externalizing problems as mediators.European child & adolescent psychiatry · 2024Article
- Associations between Parental Educational Attainment, Children's 24-h Behaviors and Children's Hyperactivity Behavior in the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2024Article
- Childhood sleep: physical, cognitive, and behavioral consequences and implications.World journal of pediatrics : WJP · 2024Review
- Childhood sleep: assessments, risk factors, and potential mechanisms.World journal of pediatrics : WJP · 2024Review
- When they just don't sleep: differential impacts of reduced child sleep on depression, anxiety, and stress among caregivers of children with and without neurogenetic syndromes.Frontiers in psychiatry · 2024Article
- Longitudinal Relation between Family Socio-Economic Status and Problem Behaviors in Chinese Children: The Roles of Sense of Coherence and Maternal Warmth.Behavioral sciences (Basel, Switzerland) · 2023Article
- The bidirectional relationship between sleep and externalizing behavior: A systematic review.Sleep epidemiology · 2022Article
- Investigating the association between sleep and aspects of mental health in children: findings from the Canadian Health Survey on Children and Youth.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022Article
- The Role of Sleep in Links Between Daily Interpersonal Stress and Internalizing and Externalizing Symptoms During Middle Childhood.Journal of applied developmental psychologyArticle
- Screen Media Overuse and Associated Physical, Cognitive, and Emotional/Behavioral Outcomes in Children and Adolescents: An Integrative Review.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersReview
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundAlthough a growing number of longitudinal studies have found that sleep problems precede behavior problems, few have examined potential bidirectional relationships longitudinally. The present study examined prospective associations between sleep problems and internalizing, externalizing, and attention problems over the course of childhood.
methodsParticipants included 775 children from the China Jintan Cohort Study. Sleep problems were rated by mothers at ages six and 11.5, as well as self-reported by children at age 11.5. Behavior problems were rated by mothers and teachers at ages six and 11.5, and self-reported by children at age 11.5.
resultsAt age six, 15.0% of children were reported to have sleep problems as rated by mothers. At age 11, this prevalence was 12% as rated by mothers and 20% as rated by youth. Bidirectional relationships between sleep problems and behavior problems were observed. Mother-reported sleep problems at age six were predictive of self-reported internalizing and attention problems at age 11.5, even after controlling for baseline behavioral problems. At age six, teacher-reported externalizing, internalizing, and attention problems, and mother-rated internalizing and externalizing problems were all related to sleep problems at age 11.5, even after controlling for baseline sleep problems. Other sociodemographic covariates including child sex, age, and parental education were controlled for.
conclusionsFindings provide further support for the reciprocal relationship between sleep problems and behavior problems. Early interventions that target both types of problems may be especially effective in preventing this aggravating health-behavior cycle.
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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.