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Testing Reciprocal Links Between Trouble Getting to Sleep and Internalizing Behavior Problems, and Bedtime Resistance and Externalizing Behavior Problems in Toddlers

Child Psychiatry & Human Development volume 48, pages 678–689 (2017)Cite this article

Abstract

Sleep problems are associated with problematic adjustment in toddlers, but less is known regarding the direction of association between specific sleep problems and adjustment. To address this gap, we used data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1001) to examine reciprocal associations between sleep problems and behavior problems from 24- to 36-months. Results from cross-lagged path models suggested specificity of associations between type of sleep problem and behavior problem. Specifically, there were reciprocal associations between trouble getting to sleep and internalizing problems, and unidirectional links between externalizing problems and bedtime resistance from 24- to 36-months. Internalizing and externalizing problems at 24 months, however, predicted increases in bedtime resistance from 24- to 36-months for boys, but not girls. Findings highlight specific relations between sleep problems and internalizing and externalizing problems during toddlerhood, and the importance of examining sex differences.

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References

  1. Gregory AM, Sadeh A (2016) Annual research review: Sleep problems in childhood psychiatric disorders—a review of the latest science. J Child Psychol Psychiatry 57(3):296–317

    Article  PubMed  Google Scholar 

  2. Quach J, Hiscock H, Canterford L, Wake M (2009) Outcomes of child sleep problems over the school-transition period: Australian population longitudinal study. Pediatrics 123(5):1287–1292

    Article  PubMed  Google Scholar 

  3. Troxel WM, Trentacosta CJ, Forbes EE, Campbell SB (2013) Negative emotionality moderates associations among attachment, toddler sleep, and later behavior problems. J Fam Psychol 27(1):127–136

    Article  PubMed  PubMed Central  Google Scholar 

  4. Sivertsen B, Harvey AG, Reichborn-Kjennerud T, Torgersen L, Ystrom E, Hysing M. (2015). Later emotional and behavioral problems associated with sleep problems in toddlers: a longitudinal study. JAMA Pediatr 169(6):575–82

    Article  PubMed  Google Scholar 

  5. El-Sheikh M, Buckhalt JA (2015) Moving sleep and child development research forward: priorities and recommendations from the SRCD-sponsored forum on sleep and child development. Monogr Soc Res Child Dev 80:15–32

    Article  PubMed  Google Scholar 

  6. Anders TF, Dahl RE (2007) Classifying sleep disorders in infants and toddlers. In: Narrow WN, First MB, Sirovatka P, Regier DA (eds) Age and gender considerations in psychiatric diagnosis: a research agenda for DSM-V. American Psychiatric Association, Arlington

    Google Scholar 

  7. Hewitt K, Powell I, Tait V (1989) The behaviour of 9-month and 2-year olds as assessed by health visitors and parents. Health Visit 62(2):52–5

    PubMed  Google Scholar 

  8. Johnson CM (1991) Infant and toddler sleep: a telephone survey of parents in one community. J Dev Behav Pediatr 12(2):108–114

    Article  PubMed  Google Scholar 

  9. Byars KC, Yolton K, Rausch J, Lanphear B, Beebe DW (2012) Prevalence, patterns, and persistence of sleep problems in the first 3 years of life. Pediatrics 129(2):e276–e284

    Article  PubMed  PubMed Central  Google Scholar 

  10. Betramini AU, Hertzig ME (1983) Sleep and bedtime behavior in preschool-aged children. Pediatrics 71(2):153–158

    Google Scholar 

  11. Crowell J, Keener M, Ginsburg N, Anders T (1987) Sleep habits in toddlers 18- to 36-months-old. J Am Acad Child Adolesc Psychiatry 26(4):510–515

  12. Blader JC, Koplewicz HS, Abikoff H, Foley C (1997) Sleep problems of elementary school children. A community survey. Arch Pediatr Adolesc Med 151(5):473–480

    Article  PubMed  Google Scholar 

  13. Dahl RE (1996) The regulation of sleep and arousal: development and psychopathology. Dev Psychopathol 8:3–27

    Article  Google Scholar 

  14. Kopp CB (1989) Regulation of distress and negative emotions: a developmental view. Dev Psychol 25(3):343–354

    Article  Google Scholar 

  15. Sadeh A, Anders TF (1993) Sleep disorders. In: Zeanah CH (ed) Handbook of infant mental health. Guilford, New York, pp 305–316

  16. Miller AL, Seifer R, Crossin R, Lebourgeois MK (2015) Toddler’s self-regulation strategies in a challenge context are nap-dependent. J Sleep Res 24:279–287

    Article  PubMed  Google Scholar 

  17. Northerner LM, Trentacosta CJ, McLear CM (2016) Negative affectivity moderates associations between cumulative risk and at-risk toddlers’ behavior problems. J Child Fam Stud 25:691–699

    Article  PubMed  Google Scholar 

  18. Putnam SP, Stifter CA (2005) Behavioral approach-inhibition in toddlers: prediction from infancy, positive and negative affective components, and relations with behavior problems. Child Dev 76(1):212–226

    Article  PubMed  Google Scholar 

  19. Calkins SD, Dedmon SE (2000) Physiological and behavioral regulation in 2-year-old children with aggressive/destructive behavior problems. J Abnorm Child Psychol 28(2):103–118

    Article  PubMed  Google Scholar 

  20. Cortese S, Faraone SV, Konofal E, Lecendreux M (2009) Sleep in children with attention-deficit/hyperactivity disorder: meta-analysis of subjective and objective studies. J Am Acad Child Adolesc Psychiatry 48(9):894–908

    PubMed  Google Scholar 

  21. Hansen BH, Shirbekk B, Oerbeck B, Richter J, Kristensen H (2011) Comparison of sleep problems in children with anxiety and attention deficit/hyperactivity disorders. Eur Child Adolesc Psychiatry 20(6):321–330

    Article  PubMed  Google Scholar 

  22. Carvalho Bos S, Gomes A, Clemente V, Marques M, Pereira AT, Maia B, Soares MJ, Cabral AS, Macedo A, Gozal D, Azevedo MH (2009) Sleep and behavioral/emotional problems in children: a population-based study. Sleep Med 10(1):66–74

    Article  PubMed  Google Scholar 

  23. Molfese VJ, Rudasill KM, Prokasky A, Champagne C, Holmes M, Molfese DL, Bates JE (2015) Relations between toddler sleep characteristics, sleep problems, and temperament. Dev Neuropsychol 40(3):138–154

    Article  PubMed  PubMed Central  Google Scholar 

  24. Wilson KE, Lumeng JC, Kaciroti N, Yu-Pu Chen S, LeBourgeois MK, Chervin RD, Miller AL (2015). Sleep hygiene practices and bedtime resistance in low-income preschoolers: does temperament matter? Behav Sleep Med: 1–12

  25. Goodnight JA, Bates JE, Staples AD, Pettit GS, Dodge KA (2009) Temperamental resistance to control increases the association between sleep problems and externalizing behavior development. J Fam Psychol 21(1):39–48

    Article  Google Scholar 

  26. Shanahan L, Copeland WE, Angold A et al (2014) Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry 53(5):550–558

    Article  PubMed  PubMed Central  Google Scholar 

  27. Kelly RJ, El-Sheikh M (2014) Reciprocal relations between children’s sleep and their adjustment over time. Dev Psychol 50(4):1137–1147

    Article  PubMed  Google Scholar 

  28. Gregory AM, O’Conner TG (2002) Sleep problems in childhood: a longitudinal study of developmental change and associations with behavioral problems. J Am Acad Child Adolesc Psychiatry 41(8):964–971

    Article  PubMed  Google Scholar 

  29. Jansen P, Saridjan N, Hofman A et al (2011) Does disturbed sleeping precede symptoms of anxiety or depression in toddlers? The generation R study. Psychosom Med (Baltimore) 73(3):242–249

    Article  Google Scholar 

  30. Belanger ME, Bernier A, Simard V, Desrosiers K, Carrier J (2015) Sleeping towards behavioral regulation: relations between sleep and externalizing symptoms in toddlers and preschoolers. J Clin Child Adolesc Psychol 25:1–8

    Article  Google Scholar 

  31. Maccoby EE, Jacklin CN (1974) The psychology of sex differences. Stanford University Press, Stanford

    Google Scholar 

  32. Kochanska G, Coy KC, Murray KT (2001) The development of self-regulation in the first 4 years of life. Child Dev 72(4):1091–1111

    Article  PubMed  Google Scholar 

  33. Kochanska G, Murray KT, Harlan ET (2000) Effortful control in early childhood: continuity and change, antecedents, and implications for social development. Dev Psychol 36(2):220–232

    Article  PubMed  Google Scholar 

  34. NICHD Early Child Care Research Network (2002) Early child care and children’s development prior to school entry: results from the NICHD study of early child care. Am Educ Res J 39:133–164

    Article  Google Scholar 

  35. Achenbach TM (1992) Manual for the child behavior checklist/2–3 and 1992 profile, 1st ed. University of Vermont, Department of Psychiatry, Burlington

  36. Gregory AM, Cousins JC, Forbes EE, Trubnick L, Ryan ND, Axelson DA et al (2011) Sleep items in the Child Behavior Checklist: a comparison with sleep diaries, actigraphy, and polysomnography. J Am Acad Child Adolesc Psychiatry 50:499–507

    Article  PubMed  PubMed Central  Google Scholar 

  37. NICHD Early Child Care Research Network (1998) Early child care and self-control, compliance, and problem behavior at twenty-four and thirty-six months. Child Dev 69(4):1145–1170

  38. Carey WB, McDevitt SC (1978) Revision of the Infant Temperament Questionnaire. Pediatrics 61:735–739

  39. Pluess M, Belsky J (2009) Differential susceptibility to rearing experience: the case of childcare. J Child Psychol Psychiatry 50(4):396–404

    Article  PubMed  Google Scholar 

  40. Radloff LS (1977) The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1(3):385–401

    Article  Google Scholar 

  41. NICHD Early Child Care Research Network (1999) Child care and mother–child interaction in the first 3 years of life. Dev Psychol 35:1399–1413

    Article  Google Scholar 

  42. StataCorp (2013) Stata statistical software: release 13. StataCorp LP, College Station

  43. Sadeh A (1996) Evaluating night waking in sleep-disturbed infants: a methodological study of parental reports and actigraphy. Sleep 19(10):757–762

    Article  PubMed  Google Scholar 

  44. Berger RH, Miller AL, Seifer R, Cares SR, Lebourgeois MK et al (2012) Acute sleep restriction effects on emotion responses in 30- to 36-month-old children. J Sleep Res 21:235–246

    Article  PubMed  Google Scholar 

  45. LeBourgeois MK, Harsh JR (2016) Development and psychometric evaluation of the Children’s Sleep-Wake Scale. Sleep Health. doi:10.10106/j.sleh2016.04.001

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Author information

Affiliations

  1. School of Social Work, Columbia University, New York, NY, USA

    Anne Conway

  2. Columbia Population Research Center, Columbia University, New York, NY, USA

    Anne Conway & Anahid Modrek

  3. Department of Health Behavior and Health Education, University of Michigan, School of Public Health, Ann Arbor, MI, USA

    Alison L. Miller

  4. Center for Human Growth and Development, University of Michigan, Ann Arbor, MI, USA

    Alison L. Miller

  5. Developmental Psychology, Teachers College, Columbia University, New York, NY, USA

    Anahid Modrek

Authors
  1. Anne Conway
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  2. Alison L. Miller
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  3. Anahid Modrek
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Correspondence to Anne Conway.

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Conway, A., Miller, A.L. & Modrek, A. Testing Reciprocal Links Between Trouble Getting to Sleep and Internalizing Behavior Problems, and Bedtime Resistance and Externalizing Behavior Problems in Toddlers. Child Psychiatry Hum Dev 48, 678–689 (2017). https://doi.org/10.1007/s10578-016-0692-x

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  • DOI: https://doi.org/10.1007/s10578-016-0692-x

Keywords

  • Trouble getting to sleep
  • Bedtime resistance
  • Toddlerhood
  • Sex differences
  • Internalizing and externalizing behavior