Parent-reported early sleep problems and internalising, externalising and dysregulation symptoms in toddlers

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http://hdl.handle.net/10138/318121

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Morales-Munoz , I , Lemola , S , Saarenpää-Heikkilä , O , Kylliäinen , A , Pölkki , P , Paunio , T , Broome , M R & Paavonen , E J 2020 , ' Parent-reported early sleep problems and internalising, externalising and dysregulation symptoms in toddlers ' , BMJ Paediatrics Open , vol. 4 , no. 1 , pp. 1-9 . https://doi.org/10.1136/bmjpo-2019-000622

Titel: Parent-reported early sleep problems and internalising, externalising and dysregulation symptoms in toddlers
Författare: Morales-Munoz, Isabel; Lemola, Sakari; Saarenpää-Heikkilä, Outi; Kylliäinen, Anneli; Pölkki, Pirjo; Paunio, Tiina; Broome, Matthew R.; Paavonen, E. Juulia
Upphovmannens organisation: HUS Psychiatry
Department of Psychiatry
SLEEPWELL Research Program
University of Helsinki
HUS Children and Adolescents
Datum: 2020
Språk: eng
Sidantal: 9
Tillhör serie: BMJ Paediatrics Open
ISSN: 2399-9772
DOI: https://doi.org/10.1136/bmjpo-2019-000622
Permanenta länken (URI): http://hdl.handle.net/10138/318121
Abstrakt: Background The concurrence of sleep and socio-emotional development in children is well accepted. However, the predictive role of sleep problems in infancy and the development of emotional and behavioural problems later in childhood remain still unclear. Therefore, in this study we examined the associations between sleep problems in early childhood and internalising, externalising and dysregulation symptoms in toddlers. Methods 1679 families entered the study during pregnancy and 936 children participated at 24 months. Parent-reported sleep duration, sleep-onset latency, night wakings, proportion of daytime sleep and bedtime at 3, 8, 18 and 24 months were assessed with two sleep questionnaires. Externalising, internalising and dysregulation problems at 24 months were examined with the Brief Infant-Toddler Social and Emotional Assessment. Results Short sleep duration at 3 and 8 months, more night wakings at 3, 8, 18 and 24 months and greater proportion of daytime sleep at 24 months were associated with internalising symptoms. Shorter sleep duration at 8, 18 and 24 months and longer sleep-onset latency and more night wakings at all time points, in addition to earlier bedtime at 8 months and greater proportion of daytime sleep at 24 months, were related to dysregulation. Finally, more night wakings at 3 and 24 months, and longer sleep-onset latency at 24 months were associated with externalising problems. Conclusion Shorter sleep and poorer sleep quality in infancy were prospectively related to emotional and behavioural symptoms in toddlers, and these associations were strongest for internalising and dysregulation symptoms. This study contributes to the recent research on the role of early sleep problems in socio-emotional development, suggesting that shorter sleep duration, longer sleep-onset latency and higher waking frequency are related to internalising, externalising and dysregulation symptoms in toddlers, and thus it might be beneficial to provide early interventions for those infants reporting these sleep problems.
Subject: 3123 Gynaecology and paediatrics
Referentgranskad: Ja
Licens: cc_by_nc
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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