The Interplay of Sleep Disturbance, Anxiety, and Depression in Children

Chorney, Daniel B.; Detweiler, Michael F.; Morris, Tracy L.; Kuhn, Brett R.

doi:10.1093/jpepsy/jsm105

Cited by 189 publications

(135 citation statements)

References 87 publications

(74 reference statements)

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“…• published since 1975 (this date was chosen due to the surge in sleep research from that time) • delivered in a school setting to a non-clinical population • written in English; • delivered to school aged participants (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) • described the study in detail including:…”

Section: Methodsmentioning

confidence: 99%

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Lessons Learned from Sleep Education in Schools: A Review of Dos and Don'ts

Blunden

Rigney

2015

Journal of Clinical Sleep Medicine

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Study Objectives: Sleep duration and quality are associated with negative neuropsychological and psychosocial outcomes in children and adolescents. However, community awareness of this is low and sleep education programs in schools are attempting to address this issue. Several studies now exist assessing the effi cacy of these sleep education programs for improving sleep knowledge, sleep hygiene and sleep patterns. This paper presents these sleep education programs, most particularly, it presents the strengths and weaknesses of the current available studies in the hope that this can identify areas where future sleep education programs can improve. Methods: A systematic search of all school-based sleep education studies in adolescents was undertaken. Studies were scrutinized for author, teacher and participant comment regarding strengths and limitations of each study, which were then extracted and summarized. Results: Two specifi c types of sleep education programs emerged from the review, those that sought to change sleep behavior and those that sought simply to disseminate information. Issues that dictated the strength or weakness of a particular study including who delivers the program, the theoretical basis, the tools utilized to measure sleep patterns, the content, and their capacity to engage students were assessed. Sleep education was considered important by teachers, students and parents alike. Conclusions: Future sleep education programs need to take into account lessons learned from previous sleep education efforts in order to maximize the potential for sleep education programs to improve the sleep health of our young people. Commentary: A commentary on this article appears in this issue on page 595.

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Section: Methodsmentioning

confidence: 99%

“…Inattention, poorer memory capacity, behavioral problems and poorer academic performance are reported. 10,11 Sleep loss more generally has been associated with stress, depression and increased anxiety, 12 with…”

mentioning

confidence: 99%

Lessons Learned from Sleep Education in Schools: A Review of Dos and Don'ts

Blunden

Rigney

2015

Journal of Clinical Sleep Medicine

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“…These rates of inadequate and problematic sleep are on the rise among young adults (Hicks et al, 2001;Wolfson, 2010). Furthermore, adolescents and young adults may be especially prone to both mental health and sleep problems (Chorney et al, 2008;Ehlers et al, 2010;Hicks and Garcia, 1987). In fact, disturbances in sleep and self-reported sleep dissatisfaction represent core symptoms of depression (Brooks et al, 2009;Mayers et al, 2009;Moo-Estrella et al, 2005;Riemann et al, 2001).…”

Section: Mental Health and Sleepmentioning

confidence: 99%

Mental Health, Sleep Quality, Drinking Motives, and Alcohol-Related Consequences: A Path-Analytic Model

Kenney

Lac

LaBrie

et al. 2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Poor mental health, sleep problems, drinking motivations, and high-risk drinking are prevalent among college students. However, research designed to explicate the interrelationships among these health risk behaviors is lacking. This study was designed to assess the direct and indirect infl uences of poor mental health (a latent factor consisting of depression, anxiety, and stress) to alcohol use and alcohol-related consequences through the mediators of global sleep quality and drinking motives in a comprehensive model. Method: Participants were 1,044 heavy-drinking college students (66.3% female) who completed online surveys. Results: A hybrid structural equation model tested hypotheses involving relations leading from poor mental health to drinking motives and poorer global sleep quality to drinking outcomes. Results showed that poor mental health signifi cantly predicted all four subscales of drinking motivations (social, coping, conformity, and enhancement) as well as poor sleep. Most of the drinking motives and poor sleep were found to explain alcohol use and negative alcohol consequences. Poor sleep predicted alcohol consequences, even after controlling for all other variables in the model. The hypothesized mediational pathways were examined with tests of indirect effects. Conclusions: This is the fi rst study to assess concomitantly the relationships among three vital health-related domains (mental health, sleep behavior, and alcohol risk) in college students. Findings offer important implications for college personnel and interventionists interested in reducing alcohol risk by focusing on alleviating mental health problems and poor sleep quality. (J. Stud. Alcohol Drugs, 74, 841-851, 2013)

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“…1 Obtaining suffi cient sleep is important for multiple aspects of health and well-being in children. Disturbed or insuffi cient sleep has been associated with obesity [2][3][4][5] ; poorer cognitive functioning, including learning, attention, and school performance [6][7][8][9] ; diffi culties with emotion regulation, including symptoms of depression and anxiety [10][11][12] ; and disrupted family functioning. 13 Thus, it is important to have measures that capture different aspects of children's sleep.…”

mentioning

confidence: 99%

The Children's Report of Sleep Patterns (CRSP): A Self-Report Measure of Sleep for School-Aged Children

Meltzer

Avis

Biggs

et al. 2013

Journal of Clinical Sleep Medicine

111

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Study Objectives: (1) Present preliminary psychometrics for the Children's Report of Sleep Patterns (CRSP), a threemodule measure of Sleep Patterns, Sleep Hygiene, and Sleep Disturbance; and (2) explore whether the CRSP provides information about a child's sleep above and beyond parental report. Methods: A multi-method, multi-reporter approach was used to validate the CRSP with 456 children aged 8-12 years (inclusive). Participants were recruited from pediatricians' offi ces, sleep clinics/laboratories, children's hospitals, schools, and the general population. Participants completed measures of sleep habits, sleep hygiene, anxiety, and sleepiness, with actigraphy and polysomnography used to provide objective measures of child sleep. Results: The CRSP demonstrated good reliability and validity. Differences in sleep hygiene and sleep disturbances were found for children presenting to a sleep clinic/laboratory (vs. community population); for younger children (vs. older children); and for children who slept less than 8 hours or had a sleep onset later than 22:00 on actigraphy. Further, signifi cant associations were found between the CRSP and child-reported anxiety or sleepiness. Notably, approximately 40% of parents were not aware of child reported diffi culties with sleep onset latency, night wakings, or poor sleep quality. Conclusions:The three modules of the CRSP can be used together or independently, providing a reliable and valid selfreport measure of sleep patterns, sleep hygiene, and sleep disturbances for children ages 8-12 years. Children not only provide valid information about their sleep, but may provide information that would not be otherwise captured in both clinical and research settings if relying solely on parental report. keywords: Children, sleep, sleep hygiene, sleep patterns, sleep disturbances, validation, measurement, self-report Citation: Meltzer LJ; Avis KT; Biggs S; Reynolds AC; Crabtree VM; Bevans KB. The Children's Report of Sleep Patterns (CRSP): a self-report measure of sleep for school-aged children. J Clin Sleep Med 2013;9(3):235-245.

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The Interplay of Sleep Disturbance, Anxiety, and Depression in Children

Cited by 189 publications

References 87 publications

Lessons Learned from Sleep Education in Schools: A Review of Dos and Don'ts

Lessons Learned from Sleep Education in Schools: A Review of Dos and Don'ts

Mental Health, Sleep Quality, Drinking Motives, and Alcohol-Related Consequences: A Path-Analytic Model

The Children's Report of Sleep Patterns (CRSP): A Self-Report Measure of Sleep for School-Aged Children

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