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

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dc.contributor.author Morales-Munoz, Isabel
dc.contributor.author Lemola, Sakari
dc.contributor.author Saarenpää-Heikkilä, Outi
dc.contributor.author Kylliäinen, Anneli
dc.contributor.author Pölkki, Pirjo
dc.contributor.author Paunio, Tiina
dc.contributor.author Broome, Matthew R.
dc.contributor.author Paavonen, E. Juulia
dc.date.accessioned 2020-08-03T14:08:01Z
dc.date.available 2020-08-03T14:08:01Z
dc.date.issued 2020
dc.identifier.citation 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
dc.identifier.other PURE: 133773734
dc.identifier.other PURE UUID: c9dbd746-9917-4963-b7e6-88f611e6965d
dc.identifier.other ORCID: /0000-0002-1421-9877/work/78467085
dc.identifier.other WOS: 000672547800024
dc.identifier.uri http://hdl.handle.net/10138/318121
dc.description.abstract 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. fi
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof BMJ Paediatrics Open
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3123 Gynaecology and paediatrics
dc.title Parent-reported early sleep problems and internalising, externalising and dysregulation symptoms in toddlers en
dc.type Article
dc.contributor.organization HUS Psychiatry
dc.contributor.organization Department of Psychiatry
dc.contributor.organization SLEEPWELL Research Program
dc.contributor.organization University of Helsinki
dc.contributor.organization HUS Children and Adolescents
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1136/bmjpo-2019-000622
dc.relation.issn 2399-9772
dc.rights.accesslevel openAccess
dc.type.version publishedVersion
dc.identifier.url https://www.birmingham.ac.uk/news/latest/2020/03/poor-sleep-in-infancy-linked-to-behavioural-and-emotional-problems-in-toddlers.aspx

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