The Bidirectional Association Between Daytime Affect and Nighttime Sleep in Youth With Anxiety and Depression
Open Access
- 27 July 2011
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Pediatric Psychology
- Vol. 36 (9), 969-979
- https://doi.org/10.1093/jpepsy/jsr036
Abstract
Objective This study examines relationships between affect and sleep in youth with affective disorders using ecological momentary assessment (EMA). Methods Participants included 94 youth, ages 8–16 (M = 11.73, 53% female) years with an anxiety disorder only (n = 23), primary major depressive disorder (with and without a secondary anxiety diagnoses; n = 42), and healthy controls (n = 29). A cell phone EMA protocol assessed affect and actigraphy measured sleep. Results The patterns of bidirectional relationships between affect and sleep differed across diagnostic groups. Higher daytime positive affect and positive to negative affect ratios were associated with more time in bed during the subsequent night for youth with primary depression and less time in bed for youth with anxiety only. More time asleep was associated with more positive affect for both diagnostic groups the following day. Conclusions This relationship may be important to consider in the treatment of youth affective disorders.Keywords
This publication has 34 references indexed in Scilit:
- Daily emotional dynamics in depressed youth: A cell phone ecological momentary assessment studyJournal of Experimental Child Psychology, 2011
- Sleep Items in the Child Behavior Checklist: A Comparison With Sleep Diaries, Actigraphy, and PolysomnographyJournal of the American Academy of Child & Adolescent Psychiatry, 2011
- Rapid Eye Movement Sleep in Relation to Overweight in Children and AdolescentsArchives of General Psychiatry, 2008
- Switching to Another SSRI or to Venlafaxine With or Without Cognitive Behavioral Therapy for Adolescents With SSRI-Resistant DepressionPublished by American Medical Association (AMA) ,2008
- Objective Sleep in Pediatric Anxiety Disorders and Major Depressive DisorderJournal of the American Academy of Child & Adolescent Psychiatry, 2008
- Neural systems of positive affect: Relevance to understanding child and adolescent depression?Development and Psychopathology, 2005
- Measuring Mood and Complex Behavior in Natural Environments: Use of Ecological Momentary Assessment in Pediatric Affective DisordersJournal of Child and Adolescent Psychopharmacology, 2003
- Lessons from the Past: Do People Learn from Experience that Emotional Reactions Are Short-Lived?Personality and Social Psychology Bulletin, 2001
- Sleep patterns and sleep disruptions in school-age children.Developmental Psychology, 2000
- Development and validation of brief measures of positive and negative affect: The PANAS scales.Journal of Personality and Social Psychology, 1988