Concurrent developmental course of sleep problems and emotional/behavioral problems in childhood and adolescence as reflected by the dysregulation profile

Biyao Wang, Peter R. Eastwood, Andreas Becker, Corinna Isensee, Janice W.Y. Wong, Rae Chi Huang, Kevin C. Runions, Richard M. Stewart, Thomas Meyer, L. G. Brüni, Aribert Rothenberger, Florian D. Zepf

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Abstract

Objectives Longitudinal data on the course and relationship of concurrent psychopathology in youth are scarce but are of need for better practical patient care and prevention. This study explores the course of (and relationships over time) between sleep problems and concurrent dimensional difficulties relating to anxiety/depression, attention deficiency, and aggressive behaviors in childhood and adolescence. The latter three may jointly form a broad syndrome, the dysregulation profile. Methods Young people from the Raine Study, a large community cohort sample (N = 1625) were followed from age 5 to 17 years. Developmental courses of sleep problems and its concurrent regulatory difficulties were estimated separately and jointly. Results The majority of adolescents reported low levels of problems and which appeared to be stable over time, while a small group (rates between 7.8% and 10.1%) reported enduring problematic developmental courses. Sleep problems and regulatory difficulties shared a strong association in their development over time (individual's probabilities of having the same courses, i.e. low-low and high-high, were between 89.8% and 92.3%). Furthermore, having persistent sleep problems over time was associated with an increased risk of having regulatory difficulties by approximately 10 times, and vice versa. Conclusion Findings from this study provide empirical evidence for a strong mutual association in the development of sleep problems and difficulties of dysregulation with emotion, cognition, and aggression. It may be suggested that a positive screening of one such psychopathological dimension should lead to a careful assessment, not only to reduce the problem in question but also to prevent the youth from further problems.

Original languageEnglish
Article numberzsy243
JournalSleep
Volume42
Issue number3
DOIs
Publication statusPublished - 19 Mar 2019

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Sleep
Aggression
Psychopathology
Cognition
Patient Care
Emotions
Anxiety
Problem Behavior
Depression

Cite this

@article{e1a8a522a1e644229869f9b04c16a626,
title = "Concurrent developmental course of sleep problems and emotional/behavioral problems in childhood and adolescence as reflected by the dysregulation profile",
abstract = "Objectives Longitudinal data on the course and relationship of concurrent psychopathology in youth are scarce but are of need for better practical patient care and prevention. This study explores the course of (and relationships over time) between sleep problems and concurrent dimensional difficulties relating to anxiety/depression, attention deficiency, and aggressive behaviors in childhood and adolescence. The latter three may jointly form a broad syndrome, the dysregulation profile. Methods Young people from the Raine Study, a large community cohort sample (N = 1625) were followed from age 5 to 17 years. Developmental courses of sleep problems and its concurrent regulatory difficulties were estimated separately and jointly. Results The majority of adolescents reported low levels of problems and which appeared to be stable over time, while a small group (rates between 7.8{\%} and 10.1{\%}) reported enduring problematic developmental courses. Sleep problems and regulatory difficulties shared a strong association in their development over time (individual's probabilities of having the same courses, i.e. low-low and high-high, were between 89.8{\%} and 92.3{\%}). Furthermore, having persistent sleep problems over time was associated with an increased risk of having regulatory difficulties by approximately 10 times, and vice versa. Conclusion Findings from this study provide empirical evidence for a strong mutual association in the development of sleep problems and difficulties of dysregulation with emotion, cognition, and aggression. It may be suggested that a positive screening of one such psychopathological dimension should lead to a careful assessment, not only to reduce the problem in question but also to prevent the youth from further problems.",
keywords = "aggressive behavior, anxiety/depression, attention problems, childhood and adolescence, dysregulation profile, joint courses/trajectories, Raine Study, sleep problems",
author = "Biyao Wang and Eastwood, {Peter R.} and Andreas Becker and Corinna Isensee and Wong, {Janice W.Y.} and Huang, {Rae Chi} and Runions, {Kevin C.} and Stewart, {Richard M.} and Thomas Meyer and Br{\"u}ni, {L. G.} and Aribert Rothenberger and Zepf, {Florian D.}",
year = "2019",
month = "3",
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doi = "10.1093/sleep/zsy243",
language = "English",
volume = "42",
journal = "Sleep",
issn = "0161-8105",
publisher = "Oxford University Press",
number = "3",

}

Concurrent developmental course of sleep problems and emotional/behavioral problems in childhood and adolescence as reflected by the dysregulation profile. / Wang, Biyao; Eastwood, Peter R.; Becker, Andreas; Isensee, Corinna; Wong, Janice W.Y.; Huang, Rae Chi; Runions, Kevin C.; Stewart, Richard M.; Meyer, Thomas; Brüni, L. G.; Rothenberger, Aribert; Zepf, Florian D.

In: Sleep, Vol. 42, No. 3, zsy243, 19.03.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Concurrent developmental course of sleep problems and emotional/behavioral problems in childhood and adolescence as reflected by the dysregulation profile

AU - Wang, Biyao

AU - Eastwood, Peter R.

AU - Becker, Andreas

AU - Isensee, Corinna

AU - Wong, Janice W.Y.

AU - Huang, Rae Chi

AU - Runions, Kevin C.

AU - Stewart, Richard M.

AU - Meyer, Thomas

AU - Brüni, L. G.

AU - Rothenberger, Aribert

AU - Zepf, Florian D.

PY - 2019/3/19

Y1 - 2019/3/19

N2 - Objectives Longitudinal data on the course and relationship of concurrent psychopathology in youth are scarce but are of need for better practical patient care and prevention. This study explores the course of (and relationships over time) between sleep problems and concurrent dimensional difficulties relating to anxiety/depression, attention deficiency, and aggressive behaviors in childhood and adolescence. The latter three may jointly form a broad syndrome, the dysregulation profile. Methods Young people from the Raine Study, a large community cohort sample (N = 1625) were followed from age 5 to 17 years. Developmental courses of sleep problems and its concurrent regulatory difficulties were estimated separately and jointly. Results The majority of adolescents reported low levels of problems and which appeared to be stable over time, while a small group (rates between 7.8% and 10.1%) reported enduring problematic developmental courses. Sleep problems and regulatory difficulties shared a strong association in their development over time (individual's probabilities of having the same courses, i.e. low-low and high-high, were between 89.8% and 92.3%). Furthermore, having persistent sleep problems over time was associated with an increased risk of having regulatory difficulties by approximately 10 times, and vice versa. Conclusion Findings from this study provide empirical evidence for a strong mutual association in the development of sleep problems and difficulties of dysregulation with emotion, cognition, and aggression. It may be suggested that a positive screening of one such psychopathological dimension should lead to a careful assessment, not only to reduce the problem in question but also to prevent the youth from further problems.

AB - Objectives Longitudinal data on the course and relationship of concurrent psychopathology in youth are scarce but are of need for better practical patient care and prevention. This study explores the course of (and relationships over time) between sleep problems and concurrent dimensional difficulties relating to anxiety/depression, attention deficiency, and aggressive behaviors in childhood and adolescence. The latter three may jointly form a broad syndrome, the dysregulation profile. Methods Young people from the Raine Study, a large community cohort sample (N = 1625) were followed from age 5 to 17 years. Developmental courses of sleep problems and its concurrent regulatory difficulties were estimated separately and jointly. Results The majority of adolescents reported low levels of problems and which appeared to be stable over time, while a small group (rates between 7.8% and 10.1%) reported enduring problematic developmental courses. Sleep problems and regulatory difficulties shared a strong association in their development over time (individual's probabilities of having the same courses, i.e. low-low and high-high, were between 89.8% and 92.3%). Furthermore, having persistent sleep problems over time was associated with an increased risk of having regulatory difficulties by approximately 10 times, and vice versa. Conclusion Findings from this study provide empirical evidence for a strong mutual association in the development of sleep problems and difficulties of dysregulation with emotion, cognition, and aggression. It may be suggested that a positive screening of one such psychopathological dimension should lead to a careful assessment, not only to reduce the problem in question but also to prevent the youth from further problems.

KW - aggressive behavior

KW - anxiety/depression

KW - attention problems

KW - childhood and adolescence

KW - dysregulation profile

KW - joint courses/trajectories

KW - Raine Study

KW - sleep problems

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U2 - 10.1093/sleep/zsy243

DO - 10.1093/sleep/zsy243

M3 - Article

VL - 42

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 3

M1 - zsy243

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