ArticleSleep epidemiology2022
The bidirectional relationship between sleep and externalizing behavior: A systematic review.
Article in Sleep epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
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Who cites it
19 citing papers in PubMed.
- Evaluating the effect of sleep kits and training in foster care clinic visits.Journal of pediatric psychology · 2025Trial
- Links of fitbit-derived sleep architecture and fragmentation with ADHD symptoms and externalizing behaviors in adolescents.European child & adolescent psychiatry · 2026Article
- Childhood emotion reactivity and regulation as predictors of sleep quality: A longitudinal study.The British journal of developmental psychology · 2026Article
- Satisfaction with life in relation to sleep health among a nationally representative sample of U.S. adults.Scientific reports · 2026Article
- Daridorexant in children and adolescents with insomnia disorder: study protocol for a multicentre randomised controlled trial.BMJ open · 2026Article
- Associations Between Patterns of Sleep Disturbances and Mental Health Among Child Welfare-Involved Adolescents.Children (Basel, Switzerland) · 2026Article
- Mapping sleep disturbance and nap desire to dimensions of psychopathology in U.S. adults.Frontiers in psychology · 2026Article
- Bidirectional relationship between child happiness and sleep quality and the predictive role of prenatal psychosocial support: results from U.S. and China cohort studies.World journal of pediatrics : WJP · 2025Article
- Satisfaction with Life in relation to Sleep Health among a Nationally Representative Sample of U.S. Adults.medRxiv : the preprint server for health sciences · 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
- Sleep in the academic sphere: identifying sleep profiles and their influencing factors using latent profile analysis in German university students.BMC psychology · 2025Article
- Status and epidemiological characteristics of depression and anxiety among Chinese university students in 2023.BMC public health · 2025Article
- Persistent Aggressive Behaviour From Childhood to Adolescence: The Influence of Environmental Tobacco Exposure and the Protective Role of Fish Consumption.Criminal behaviour and mental health : CBMH · 2025Article
- A biopsychosocial approach to sleep health during puberty: Individual and contextual aspects and the role of gender differences. A narrative review.Cogent mental health · 2025Review
- Childhood lead exposure and sleep problems in adolescents: a longitudinal cohort study.International archives of occupational and environmental health · 2024Article
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- Child and adolescent sleep disturbances and psychopathology in a mental health clinic sample.Frontiers in sleep · 2024Article
- Improving adolescent sleep in long-term Juvenile correctional settings: case examples with clinical, research, and policy implications.Sleep advances : a journal of the Sleep Research Society · 2024Article
- The Role of Sleep in Links Between Daily Interpersonal Stress and Internalizing and Externalizing Symptoms During Middle Childhood.Journal of applied developmental psychologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
It is well-established that sleep and behavior are interrelated. Although studies have investigated this association, not many have evaluated the bidirectional relationship between the two. To our knowledge this is the first systematic review providing a comprehensive analysis of a reciprocal relationship between sleep and externalizing behavior. Five databases (PsycINFO, PubMed, Web of Science, Scopus, and Google Scholar) were utilized to yield a total of 3,762 studies of which 20 eligible studies, empirical articles examining bidirectionality of sleep and externalizing behavior, were selected for analysis. According to the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis, the varying methodological approaches used in these studies were analyzed and synthesized, including examining differences and similarities in outcomes between distinct study designs (longitudinal vs cross-sectional), sleep measures (objective vs subjective vs a combination of both), informants (parents, self-report, teachers), and recruited participants (clinical, subclinical and typical populations). The assessment of risk of bias and quality of studies was guided by the instruments employed in research on sleep and behavior in the past. This review establishes that a bidirectional relationship between sleep problems and externalizing behavior clearly exists, and identifies limitations in the existing literature. Furthermore, the importance of early interventions that target both externalizing behaviors and sleep problems is highlighted as a potentially effective way of breaking the sleep-externalizing behavior relationship. Nonetheless, causality cannot be claimed until more trials that manipulate sleep and evaluate changes in externalizing behavior are conducted.
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