Sleep and Internalizing Problems as Mediators of Medical Service Usage Among Youth with and without Conduct Problems.

Melina Tomasiello, Alexa Martin-Storey, Michèle Déry, Eric Latimer, Caroline E Temcheff

Abstract read

In one paragraph

Article in Child psychiatry and human development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

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

1 citing paper in PubMed.

A Chain mediation model linking experiential avoidance, cognitive flexibility, negative emotions, and sleep quality in university students.Scientific reports · 2026
Article

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.

Melina TomasielloDepartment of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada.

Alexa Martin-StoreyDépartement de Psychoéducation, Université de Sherbrooke, Longueuil, Québec, Canada.

Michèle DéryDépartement de Psychoéducation, Université de Sherbrooke, Longueuil, Québec, Canada.

Eric LatimerDouglas Mental Health University Institute, Lasalle, QC, Canada.

Caroline E TemcheffDepartment of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada. caroline.temcheff@mcgill.ca.

Funding

CIHR 82694Social Sciences and Humanities Research Council 37890

6 · The paper itself

Abstract

Childhood conduct problems are associated with high medical service use in adolescence, though the mechanisms are unclear. The current study examined whether sleep and internalizing problems mediate the association between childhood conduct problems and adolescent medical service usage. Participants were drawn from a longitudinal study (N = 744; 53% boys) evaluating the development of conduct problems among girls and boys (6.3-9.9 years at baseline; Mage = 8.43). Conduct problems, sleep, and internalizing problems were assessed by parents, teachers, and youth. Service use data was collected from public medical records. Significant indirect effects between childhood conduct problems and medical service usage via parent-reported sleep and internalizing problems were observed. Histories of conduct problems were associated with higher levels of sleep and internalizing difficulties which were subsequently linked to higher service usage. Findings support the importance of addressing sleep and internalizing problems in mitigating future health consequences for youth with conduct problems.

Indexed as

Conduct problemsInternalizing problemsLongitudinalMedical service utilizationSleep

Identifiers

PMID40694208

DOI10.1097/dbp.0b013e31821bd20b

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.