@article{ref1,
title="Daily bidirectional relationships between sleep and mental health symptoms in youth with emotional and behavioral problems",
journal="Journal of pediatric psychology",
year="2016",
author="Van Dyk, Tori R. and Thompson, Ronald W. and Nelson, Timothy D.",
volume="41",
number="9",
pages="983-992",
abstract="OBJECTIVE:  The present study examined the daily, bidirectional relationships between sleep and mental health symptoms in youth presenting to mental health treatment. <br><br>METHODS:  Youth aged 6 to 11 (36% female, 44% European American) presenting to outpatient behavioral health treatment (N = 25) were recruited to participate in the study. Children and parents completed daily questionnaires regarding the child's sleep, mood, and behavior for a 14-day period, while youth wore an actigraph watch to objectively measure sleep. <br><br>RESULTS:  Examining between- and within-person variance using multilevel models, results indicate that youth had poor sleep duration and quality and that sleep and mental health symptoms were highly related at the daily level. Between-person effects were found to be most important and significant bidirectional relationships exist. <br><br>CONCLUSIONS:  Identifying and addressing sleep problems in the context of mental health treatment is important, as poor sleep is associated with increased symptomology and may contribute to worsened mental health.<br><br>© The Author 2016. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.<p /> <p>Language: en</p>",
language="en",
issn="0146-8693",
doi="10.1093/jpepsy/jsw040",
url="http://dx.doi.org/10.1093/jpepsy/jsw040"
}