Evidence map›Paper›PMID 34495321›Full record

ArticleSleep2022

Discrimination and adjustment in adolescence: the moderating role of sleep.

Mona El-Sheikh, Megan M Zeringue, Ekjyot K Saini, Thomas E Fuller-Rowell, Tiffany Yip

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  5. Skin-deep resilience in Black youth: Striving and sleep reactivity to daily stress.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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  7. Sleep as a Protective Factor: Multiple Forms of Discrimination and Substance Use Intention Among Racially and Ethnically Minoritized United States Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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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

5 authors at 3 institutions in 1 country.

Mona El-SheikhDepartment of Human Development and Family Science, Auburn University, Auburn, AL, USA.ORCID 0000-0001-5784-8318
Megan M ZeringueDepartment of Psychology, Middle Tennessee State University, Murfreesboro, TN, USA.ORCID 0000-0002-5955-5970
Ekjyot K SainiDepartment of Human Development and Family Science, Auburn University, Auburn, AL, USA.ORCID 0000-0002-5254-6422
Thomas E Fuller-RowellDepartment of Human Development and Family Science, Auburn University, Auburn, AL, USA.ORCID 0000-0002-1447-1175
Tiffany YipDepartment of Psychology, Fordham University, Bronx, NY, USA.ORCID 0000-0001-7488-533X
Auburn University · USFordham University · USMiddle Tennessee State University · US

Funding

Sleep as a Mechanism and Moderator in the Development of Health DisparitiesR01HL136752 · NHLBI · AUBURN UNIVERSITY AT AUBURN · PI Mona M El-Sheikh · 2017 to 2026
$5.8M
Sleep and Child Developmental Outcomes: Physiological and Contextual InfluencesR01HL093246 · NHLBI · AUBURN UNIVERSITY AT AUBURN · PI EL-SHEIKH, MONA M · 2009 to 2012
$2.7M
NHLBI NIH HHS R01 HL093246NHLBI NIH HHS R01 HL136752
6 · The paper itself

Abstract

STUDY

objectivesWe examined multiple actigraphy-based sleep parameters as moderators of associations between experiences of general and racial discrimination and adolescent internalizing symptoms (anxiety, depression) and externalizing behavior (rule-breaking). Adolescent sex and race were examined as additional moderators.

methodsParticipants were 272 adolescents (Mage = 17.3 years, SD = 0.76; 51% male; 59% White/European American, 41% Black/African American). Sleep was assessed using actigraphs for 7 consecutive nights from which sleep duration (minutes), efficiency, and variability in minutes over the week were derived. Youth reported on their experiences of general discrimination, racial discrimination, anxiety, depressive symptoms, and rule-breaking behavior.

resultsBoth types of discrimination were associated with poorer adjustment outcomes. Longer sleep duration, greater sleep efficiency, and less variability in sleep duration were protective in associations between race-specific and general discrimination and internalizing symptoms. Findings for duration and efficiency were more pronounced for females such that the adverse effects of discrimination were minimized among females with longer and more efficient sleep. Greater variability in sleep exacerbated rule-breaking behavior among adolescents experiencing general or racial discrimination. Associations did not differ by adolescent race.

conclusionsShort and poor-quality sleep may exacerbate internalizing symptoms for adolescents experiencing discrimination, particularly females. Variability in sleep duration was a key moderator of associations between discrimination and internalizing symptoms as well as rule-breaking behavior. Findings illustrate that actigraphy-assessed sleep parameters play a key role in ameliorating or exacerbating adjustment problems associated with discrimination.

Indexed as

RacismSleep Initiation and Maintenance DisordersActigraphyAdolescentFemaleHumansMaleSleepWhite Peopleactigraphyadjustmentadolescencediscriminationexternalizing problemsinternalizing symptomssleep

Identifiers

PMID34495321
PMCPMC8754494
OpenAlexW3197616136

What OpenQuestion holds

Textmetadata
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.