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Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 3/2017

22-07-2016 | Original Article

Self-Reported Time in Bed and Sleep Quality in Association with Internalizing and Externalizing Symptoms in School-Age Youth

Auteurs: Sonia L. Rubens, Spencer C. Evans, Stephen P. Becker, Paula J. Fite, Andrea M. Tountas

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 3/2017

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Abstract

This study investigated the relationship between self-reported time in bed and sleep quality in association with self-reported internalizing and externalizing symptoms in a sample of 285 elementary school students (52 % female) recruited from a rural Midwestern elementary school. Path models were used to estimate proposed associations, controlling for grade level and gender. Curvilinear associations were found between time in bed and anxiety, depressive symptoms, and irritability. Marginal curvilinear trends were found between time in bed and emotion dysregulation, reactive aggression, and proactive aggression. Sleep quality was negatively associated with anxiety, depressive symptoms, irritability, reactive aggression, and delinquency engagement. Gender and grade differences were found across models. Findings suggest that examining self-reported time in bed (both linear and quadratic) and sleep quality is important for understanding internalizing and externalizing symptoms associated with sleep in school-age youth. Incorporating self-reported sleep assessments into clinical practice and school-based evaluations may have implications for a child’s adjustment.
vorige artikel Parental Involvement in Cognitive Behavior Therapy for Children with Anxiety Disorders: 3-Year Follow-Up
volgende artikel Spanish Validation of the Separation Anxiety Assessment Scale
Voetnoten
1
We considered whether the extreme observations for time in bed might exert a disproportionate effect on the model compared to other participants (i.e., possible outlier effects). To assess this, we re-estimated all models after dropping the cases with the maximum (14.5 h) and minimum (5 h) values. Results showed that nearly all parameter estimates that were previously significant or marginally significant (p < .1) remained within this range (ps = < .001–.082). The only exception was that the previously marginally significant associations between time in bed and proactive aggression and delinquency became nonsignificant, both with and without the quadratic terms included in the model (all ps > .2). Thus, overall, the results appear to be largely unaffected by extreme values. Accordingly, all model results reported in this paper are based on analyses using all data from the entire sample.
 
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Metagegevens
Titel
Self-Reported Time in Bed and Sleep Quality in Association with Internalizing and Externalizing Symptoms in School-Age Youth
Auteurs
Sonia L. Rubens
Spencer C. Evans
Stephen P. Becker
Paula J. Fite
Andrea M. Tountas
Publicatiedatum
22-07-2016
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 3/2017
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-016-0672-1

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