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Beitragstitel A question of perspective? Both child and parent-reported internalizing problems are associated with reduced sleep quality in early adolescence.
Beitragscode P13
  1. Salome Wild UPD Bern, Universitätsklinik für Kinder- und Jugendpsychiatrie und Psychotherapie Vortragender
  2. Sarah Schmidt 1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
  3. Michael Kaess Universitäre Psychiatrische Dienste Bern
  4. Leila Tarokh University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
Präsentationsform Poster
  • T04 - Adolescents
Abstract Introduction:

Mental health in adolescence is characterized by a high share of co-occurrence of psychiatric conditions. The three-factor model of psychopathology with the higher-order factors internalizing, externalizing, and thought disorders, is a dimensional and transdiagnostic approach that considers the high comorbidity amongst psychiatric diagnoses. In developmental samples, the three dimensions can be assessed using parent and child-report. Like comorbidity, impaired sleep quality is an omnipresent phenomenon transcending psychiatric disorders defined in categorial classification systems. By contrast, in dimensional and transdiagnostic conceptualizations, the role of sleep remains unclear. Consequently, this study seeks to elucidate the associations between the three-factor model and sleep quality from both the child and parent perspective.


The higher-order factors internalizing, externalizing and other problems of the child-behavior checklist (CBCL; a parent-report) and its self-report version, the Youth Self Report (YSR; child-report) as well as its lower-order syndrome scales were used as predictors of subjective sleep quality in a stepwise regression analysis. The Pittsburg Sleep Quality Index (PSQI) was used to assess sleep quality. The sample consisted of thirty-three adolescents aged 11 to 12 years (mean = 11.73 (± 0.45); 15 girls).


Sleep quality (PSQI) was significantly predicted by internalizing problems (β⁠ = .806, p < .001) and externalizing problems (β⁠ = -.512, p = .026) identified by the CBCL (parent-report). Results of a stepwise regression including the YSR (child-report) syndrome scales as predictors showed that the scale withdrawn/depressed was significantly correlated with PSQI scores ⁠(β⁠ = .43, p = .014).


The finding that the CBCL internalizing dimension is associated with diminished sleep quality is in line with existing evidence on the high correlation between sleep disturbance and internalizing problems. Furthermore, the association between the YSR withdrawn/depressed symptoms (also belonging to the internalizing dimension), and sleep quality is convincing: Sleep problems are reported by the majority of depressed adolescents. Usually, cross-informant agreement in mental health is modest. However, the relationship between internalizing problems and sleep disturbances is found independently of the informant, showing the salience of this relationship from a categorial and dimensional view.