TY - JOUR
T1 - Internalizing symptoms and sleep outcomes in urban children with and without asthma
AU - Seegan, Paige L.
AU - Martin, Sarah R.
AU - Boergers, Julie
AU - Kopel, Sheryl J.
AU - Bruzzese, Jean Marie
AU - Koinis-Mitchell, Daphne
N1 - Funding Information:
All authors have seen and approved this manuscript. This work was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development (R01 HD057220, D. Koinis-Mitchell, PI). The authors report no conflicts of interest.
Publisher Copyright:
© 2020 American Academy of Sleep Medicine. All rights reserved.
PY - 2020/2/15
Y1 - 2020/2/15
N2 - Study Objectives: This study examines associations between internalizing symptoms and sleep in a sample of urban children with and without asthma, whether asthma status moderates these associations, and whether associations differ by ethnic group. Methods: Participants were Latino, African American (AA), and non-Latino white (NLW) urban 7- to 9-year-olds with (n = 259) and without (n = 122) persistent asthma. Teacher-reported internalizing symptoms (anxiety, depressive, and somatic) were assessed using the Behavioral Assessment System for Children-2. Sleep duration, variability in sleep duration, and sleep onset latency were assessed with actigraphy. Results: Depressive symptoms were associated with variability in sleep duration and shorter sleep onset latency; somatic symptoms were associated with variability in sleep duration. In Latino children, depressive symptoms were associated with shorter sleep onset latency. In AA children, anxiety, depressive, and somatic symptoms were associated with variability in sleep duration; somatic symptoms were related to variability in sleep duration in NLW children. The association between internalizing symptoms and sleep outcomes did not differ by asthma status. However, asthma status was a significant moderator when examining these associations by ethnic group: among AA children, depressive symptoms were significantly related to variability in sleep duration only in children with asthma, whereas in NLW children, somatic symptoms were related to variability in sleep duration only in children without asthma. Conclusions: Targeting specific internalizing symptoms and sleep outcomes may be beneficial in the development of interventions tailored for urban children with and without asthma from specific ethnic groups.
AB - Study Objectives: This study examines associations between internalizing symptoms and sleep in a sample of urban children with and without asthma, whether asthma status moderates these associations, and whether associations differ by ethnic group. Methods: Participants were Latino, African American (AA), and non-Latino white (NLW) urban 7- to 9-year-olds with (n = 259) and without (n = 122) persistent asthma. Teacher-reported internalizing symptoms (anxiety, depressive, and somatic) were assessed using the Behavioral Assessment System for Children-2. Sleep duration, variability in sleep duration, and sleep onset latency were assessed with actigraphy. Results: Depressive symptoms were associated with variability in sleep duration and shorter sleep onset latency; somatic symptoms were associated with variability in sleep duration. In Latino children, depressive symptoms were associated with shorter sleep onset latency. In AA children, anxiety, depressive, and somatic symptoms were associated with variability in sleep duration; somatic symptoms were related to variability in sleep duration in NLW children. The association between internalizing symptoms and sleep outcomes did not differ by asthma status. However, asthma status was a significant moderator when examining these associations by ethnic group: among AA children, depressive symptoms were significantly related to variability in sleep duration only in children with asthma, whereas in NLW children, somatic symptoms were related to variability in sleep duration only in children without asthma. Conclusions: Targeting specific internalizing symptoms and sleep outcomes may be beneficial in the development of interventions tailored for urban children with and without asthma from specific ethnic groups.
KW - Asthma
KW - Internalizing symptoms
KW - Race/ethnicity
KW - Sleep
KW - Urban children
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U2 - 10.5664/JCSM.8168
DO - 10.5664/JCSM.8168
M3 - Article
C2 - 31992399
AN - SCOPUS:85084405150
SN - 1550-9389
VL - 16
SP - 207
EP - 217
JO - Journal of Clinical Sleep Medicine
JF - Journal of Clinical Sleep Medicine
IS - 2
ER -