Sleepless nights, sour moods: daily sleep-irritability links in a pediatric clinical sample.

Autor: Meigs JM; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA., Kiderman M; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA., Kircanski K; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA., Cardinale EM; Psychology Department, The Catholic University of America, Washington, DC, USA., Pine DS; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA., Leibenluft E; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA., Brotman MA; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA., Naim R; School of Psychological Sciences, Tel-Aviv University, Tel-Aviv, Israel.; Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA.
Jazyk: angličtina
Zdroj: Journal of child psychology and psychiatry, and allied disciplines [J Child Psychol Psychiatry] 2024 Sep; Vol. 65 (9), pp. 1175-1183. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1111/jcpp.13959
Abstrakt: Background: Sleep, or a lack thereof, is strongly related to mood dysregulation. Although considerable research uses symptom scales to examine this relation, few studies use longitudinal, real-time methods focused on pediatric irritability. This study leveraged an ecological momentary assessment (EMA) protocol, assessing bidirectional associations between momentary irritability symptoms and daily sleep duration in a transdiagnostic pediatric sample enriched for irritability.
Methods: A total of N = 125 youth (M age  = 12.58 years, SD = 2.56 years; 74% male; 68.8% White) completed digital, in vivo surveys three times a day for 7 days. For a subset of youth, their parents also completed the EMA protocol. Trait irritability was measured using youth-, parent-, and clinician-report to test its potential moderating effect on the association between sleep duration and momentary irritability.
Results: Results from multilevel modeling dynamically linked sleep to irritability. Specifically, according to youth- and parent-report, decreased sleep duration was associated with increased morning irritability (bs ≤ -.09, ps < .049). A bidirectional association between parent-reported nightly sleep duration and anger was found-increased evening anger related to decreased nightly sleep duration, and decreased sleep duration related to increased morning anger (bs ≤ -.17, ps < .019). Trait irritability moderated this association, which was stronger for more irritable youth (b = -.03, p < .027).
Conclusions: This study adds to the literature and suggests sleep-irritability dynamics as a potential treatment target.
(© 2024 The Author(s). Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.)
Databáze: MEDLINE
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