Evidence map›Paper›PMID 41313963›Full record

SynthesisSleep medicine reviews2026

Unpacking sleep and mental health disparities across childhood and adolescence: A meta-analytic and systematic review.

Morgan J Thompson, Alexandra D Ehrhardt, Ekjyot K Saini, Emily F Brigham, Zeynep Su Altinoz, Tiffany Yip, Joseph A Buckhalt, Mona El-Sheikh

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Sleep medicine reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Morgan J ThompsonAuburn University, USA.
Alexandra D EhrhardtAuburn University, USA.
Ekjyot K SainiPennsylvania State University, USA.
Emily F BrighamAuburn University, USA.
Zeynep Su AltinozAuburn University, USA.
Tiffany YipFordham University, USA.
Joseph A BuckhaltAuburn University, USA.
Mona El-SheikhAuburn University, USA. Electronic address: elshemm@auburn.edu.

Funding

Predicting Young Adult Health: Family Aggression and Bioregulatory PathwaysR01HD046795 · NICHD · AUBURN UNIVERSITY AT AUBURN · PI EL-SHEIKH, MONA M · 2004 to 2023
$8.0M
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 HL136752NICHD NIH HHS R01 HD046795
6 · The paper itself

Abstract

Children and adolescents from racial and ethnic minority and socioeconomically disadvantaged backgrounds are at greater risk for health disparities. This meta-analysis examined the association between sleep and mental health, with attention to variations by: (a) race, ethnicity, and socioeconomic status, and (b) individual sleep parameters and mental health domains. The review included 104 studies (66 independent samples, 326,478 participants). Less optimal sleep was associated with worse mental health (r = -.20, 95% CI [-.23, -.16]). Subjective sleep quality was a stronger correlate of mental health relative to all other sleep parameters (bs ranged from .11 to .19, ps < .001). Sleep schedule was a stronger correlate than objective sleep duration and quality (bs = .08 and .07, respectively, ps < .01). Sleep consistency was also a stronger correlate than objective sleep duration (b = .05, p = .03). Socioeconomic status moderated two associations. Objective sleep quality was more strongly linked to mental health among middle- relative to mixed-SES samples (b = .11, p = .01). Sleep consistency was more strongly associated with mental health among low- compared to mixed-SES samples (b = .05, p = .002). Findings are discussed in the context of methodological challenges in studying health disparities.

Indexed as

Health Status DisparitiesMental HealthSleepAdolescentChildEthnicityHumansSleep QualitySocial ClassAdolescenceChildhoodChronobiologyHealth disparitiesMental healthMeta-analysisSleep consistencySleep durationSleep healthSleep qualitySleep schedule

Identifiers

PMID41313963
PMCPMC12853373

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Registered trials

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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.