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Sleep patterns among preschool offspring of parents with and without psychopathology: Association with the development of psychopathology in childhood.
Levenson, Jessica C; Joseph, Heather M; Merranko, John; Hafeman, Danella M; Monk, Kelly; Goldstein, Benjamin I; Axelson, David; Sakolsky, Dara; Diler, Rasim S; Goldstein, Tina; Birmaher, Boris.
Affiliation
  • Levenson JC; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Joseph HM; Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Merranko J; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Hafeman DM; Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Monk K; Western Psychiatric Hospital, UPMC, Pittsburgh, Pennsylvania, USA.
  • Goldstein BI; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Axelson D; Western Psychiatric Hospital, UPMC, Pittsburgh, Pennsylvania, USA.
  • Sakolsky D; Center for Addiction and Mental Health, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
  • Diler RS; Department of Psychiatry and Behavioral Health, Nationwide Children's Hospital and The Ohio State College of Medicine, Columbus, Ohio, USA.
  • Goldstein T; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Birmaher B; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Bipolar Disord ; 26(2): 176-185, 2024 Mar.
Article in En | MEDLINE | ID: mdl-37558614
BACKGROUND: Disturbed sleep during early childhood predicts social-emotional problems. However, it is not known how various early childhood sleep phenotypes are associated with the development of childhood psychopathology, nor whether these relationships vary as a function of parental psychopathology. We identified sleep phenotypes among preschool youth; examined whether these phenotypes were associated with child and parent factors; and determined if early sleep phenotypes predicted later childhood psychopathology. METHODS: Using data from the Pittsburgh Bipolar Offspring study, parents with bipolar disorder (BD), non-BD psychopathology, and healthy controls reported about themselves and their offspring (n = 218) when their children were ages 2-5. Offspring and parents were interviewed directly approximately every 2 years from ages 6-18. Latent class analysis (LCA) identified latent sleep classes; we compared these classes on offspring demographics, parental sleep variables, and parental diagnoses. Kaplan-Meier survival models estimated hazard of developing any new-onset Axis-I disorders, as well as BD specifically, for each class. RESULTS: The optimal LCA solution featured four sleep classes, which we characterized as (1) good sleep, (2) wake after sleep onset problems, (3) bedtime problems (e.g., trouble falling asleep, resists going to bed), and (4) poor sleep generally. Good sleepers tended to have significantly less parental psychopathology than the other three classes. Risk of developing new-onset Axis-I disorders was highest among the poor sleep class and lowest among the good sleep class. CONCLUSIONS: Preschool sleep phenotypes are an important predictor of the development of psychopathology. Future work is needed to understand the biopsychosocial processes underlying these trajectories.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Bipolar Disorder / Child of Impaired Parents Type of study: Prognostic_studies / Risk_factors_studies Limits: Adolescent / Child / Child, preschool / Humans Language: En Journal: Bipolar Disord Journal subject: PSIQUIATRIA Year: 2024 Document type: Article Affiliation country: Estados Unidos Country of publication: Dinamarca

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Bipolar Disorder / Child of Impaired Parents Type of study: Prognostic_studies / Risk_factors_studies Limits: Adolescent / Child / Child, preschool / Humans Language: En Journal: Bipolar Disord Journal subject: PSIQUIATRIA Year: 2024 Document type: Article Affiliation country: Estados Unidos Country of publication: Dinamarca