Cited by 116Sleep and related disordersSleep and Wakefulness ResearchChild and Adolescent Psychosocial and Emotional Development

Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory

Thomas, April Gile, Monahan, Kathryn C., Lukowski, Angela F., Cauffman, Elizabeth·2015·Journal of Youth and Adolescence

Abstract

Problematic sleep can be detrimental to the development of important cognitive functions, such as working memory, and may have the potential for negative behavioral consequences, such as risk-taking. In this way, sleep problems may be particularly harmful for youth-whose cognitive abilities are still developing and who are more susceptible to risky behavior. Using data from a large, national, longitudinal study, continuity and change in sleep problems were examined from 2 to 15 years of age and associated with deficits in working memory at age 15 and risk taking behaviors at age 18. Participants (N = 1,364 children; 48.3% female) were assessed for sleep problems (parent-report), working memory (behavioral task), and risk taking behavior (youth self-report). The sample was predominantly White (80.4%); additional races represented in the sample included Black/African American (12.9%), Asian/Pacific Islander (1.6%), American Indian/Eskimo/Aleut (.4%), and Other (4.7%). The findings suggest that sleep problems are likely to cascade across development, with sleep problems demonstrating continuity from infancy to early childhood, early childhood to middle childhood, and middle childhood to adolescence. Although sleep problems in infancy, early childhood, and middle childhood were not directly related to adolescent working memory, sleep problems during adolescence were associated with poorer adolescent working memory. In turn, these deficits in working memory were related to greater risk taking in late adolescence. In summary, the present results suggest that sleep problems in earlier periods are indicative of risk for sleep problems later in development, but that sleep problems in adolescence contribute uniquely to deficits in working memory that, in turn, lead to risky behavior during late adolescence.

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Written from the paper’s full text.

TL;DR

Using longitudinal data from 1,364 children, this study finds that sleep problems show continuity across development but that adolescent sleep problems are uniquely associated with poorer working memory at age 15, which in turn predicts greater risk taking at age 18. Earlier sleep problems were not directly related to adolescent working memory or late-adolescent risk taking.

Key findings

  • Sleep problems showed developmental continuity: 74% of good sleepers in infancy remained good sleepers in early childhood, and 69% of poor sleepers in infancy remained poor sleepers in early childhood; 91% of early-childhood good sleepers remained good in middle childhood, while 74% of early-childhood poor sleepers transitioned to good sleeping in middle childhood.
  • Sleep problems in infancy, early childhood, and middle childhood were not directly related to adolescent working memory, but sleep problems during adolescence were significantly and negatively related to working memory at age 15; sleep problems explained 3% of the variance in working memory.
  • No direct paths from sleep problems at any developmental period to risk taking at age 18 improved model fit (infancy p = .87; early childhood p = .31; middle childhood p = .31; adolescence p = .19).
  • In the final cascade model, adolescent sleep problems predicted poorer working memory at age 15, and poorer working memory predicted greater risk taking 3 years later at age 18 (Wald = 3.604, p = .05); approximately 8% of the variance in late-adolescent risk taking was explained.

Methods

  • Data came from the NICHD Study of Early Child Care and Youth Development: 1,364 children at Phase I, recruited from 10 U.S. sites beginning in 1991; 782 participated at the final Phase V wave (57.3% retention). The sample was 48.3% female and predominantly White (80.4%).
  • Sleep problems were measured with maternal-report CBCL items at 24, 36, 54 months, kindergarten, 1st, 3rd, 4th, 5th, and 6th grades, and youth-report YSR at age 15. Working memory was assessed at age 15 with the Operation Span (OSPAN) task. Risk taking was self-reported at age 18 using the Risky Behavior Protocol (53 behaviors; α = .88).
  • Analyses used exploratory factor analysis to derive sleep disturbance and sleep difficulty scales, latent profile analysis and latent transition analysis to identify sleep classes across four developmental periods, and structural equation models with nested model comparisons to test direct and cascading paths. Covariates were sex, race (White/not White), and socioeconomic status.

Limitations

  • The paper states that the greatest limitation is the sleep measure: sleep problems were assessed using CBCL items rather than a standardized sleep scale, and the study relied on maternal- and self-report rather than physiological monitoring of sleep quality.
  • The paper states that reporter consistency was lacking: maternal report was used from 24 months through 6th grade, while youth self-report was used at age 15, so transitions into or out of poor sleeper status at adolescence may reflect actual changes, reporter changes, or both.
  • The paper states that the study was correlational and not experimental, with no sleep manipulation. The text also makes evident that the normative, non-clinical sample had fairly low incidence of sleep problems and risky behavior, which may have contributed to non-significant direct sleep–risk paths; the sample was also predominantly White (80.4%), though the authors do not frame this as a limitation.

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Integrity signals

Registry

Crossref · 10.1007/s10964-014-0179-7

Cites

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Statistics

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Claims the paper makes

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  • Findingown data
    § Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory · p. 2

    Deficits in working memory were related to greater risk taking in late adolescence.

    “In turn, these deficits in working memory were related to greater risk taking in late adolescence.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory · p. 2

    Sleep problems in infancy, early childhood, and middle childhood were not directly related to adolescent working memory.

    “Although sleep problems in infancy, early childhood, and middle childhood were not directly related to adolescent working memory, sleep problems during adolescence were associated with poorer adolescent working memory.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory · p. 2

    Sleep problems during adolescence were associated with poorer adolescent working memory.

    “Although sleep problems in infancy, early childhood, and middle childhood were not directly related to adolescent working memory, sleep problems during adolescence were associated with poorer adolescent working memory.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Sleep Problems · p. 6

    Across all time points, a two-factor model provided better fit to the sleep items from the CBCL than a one-factor model.

    “Across all time points, results indicated that a two-factor model provided better fit to the data than a one-factor model.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Sleep Problems · p. 6

    This pattern emerged at six of the ten time points (24, 36 months, kindergarten, 3rd grade, 4th grade, and 6th grade).

    “This pattern emerged at six of the ten time points (24, 36 months, kindergarten, 3rd grade, 4th grade, and 6th grade).”
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    Findingown data
    § Sleep Problems · p. 6

    The sleep disturbances factor included items pertaining to having nightmares and talking/crying or talking/walking in sleep, whereas the sleep difficulties factor included items regarding trouble sleeping, being overtired, and sleeping less than others.

    “The factor pertaining to sleep disturbances included items pertaining to having nightmares and talking/crying or talking/walking in sleep, whereas the factor associated with sleep difficulties included items regarding trouble sleeping, being overtired, and sleeping less than others.”
    Quote in the paperNot a substantial claim
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    § Sleep Problems · p. 6

    Mother report at age 15 on sleep problems was highly correlated with youth report (sleep difficulties r = .54; sleep disturbances item r = .20).

    “Mother report at age 15 on sleep problems was highly correlated with youth report (sleep difficulties r = .54 between youth and mother report; sleep disturbances item r = .20 between youth and mother report).”
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    § Sleep Problems · p. 6

    The two-factor model had excellent fit, as indicated by CFI values greater than 0.95, RMSEA values less than 0.05, and non-significant Chi square values.

    “The two-factor model had excellent fit, as indicated by CFI values greater than 0.95, RMSEA values less than 0.05, and non-significant Chi square values.”
    Quote in the paperSubstantial claim
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    § Sleep Problems · p. 6

    At time points where the solution was more ambiguous, constraining parameters to match the solution derived at other time points did not significantly reduce model fit, suggesting that the same two subscale solution of sleep disturbances and sleep difficulties could reliably be used at each time point.

    “Moreover, at the time points where the solution was more ambiguous, constraining parameters to match the solution derived at other time points did not significantly reduce model fit, suggesting that the same two subscale solution of sleep disturbances and sleep difficulties could reliably be used at each time point.”
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    § Sleep Problems · p. 6

    At each time point, factor analysis indicated that the loadings could be constrained to be equal with adequate model fit, suggesting that taking the average of items was appropriate instead of using factor loadings.

    “At each time point, factor analysis indicated that the loadings could be constrained to be equal with adequate model fit, suggesting that taking the average of items was appropriate instead of using factor loadings.”
    Quote in the paperSubstantial claim
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    Findingown data
    § Results · p. 10

    From middle childhood to adolescence, 69% of good sleepers remained good, 31% of good sleepers moved to poor, 71% of poor sleepers transitioned to good, and 29% of poor sleepers remained poor.

    “Finally, most individuals who were good sleepers in middle childhood remained so in adolescence (69 %), however, there was a 31 % chance that individuals who were good sleepers in middle childhood would move into the poor sleeper class in adolescence. Of those who were poor sleepers in middle childhood, they were most likely to transition to the good sleeper class during adolescence (71 %),”
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    § Covariates · p. 8

    The assessment of income to needs at 24 months was highly correlated with the assessment at 1 month (r = .50) and at age 15 (r = .49).

    “The assessment of income to needs at 24 months was highly correlated with the assessment of income to needs at 1 month ( r = .50) and at age 15 ( r = .49).”
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    § Results · p. 10

    From infancy to early childhood, 74% of good sleepers remained good, and 69% of poor sleepers remained poor.

    “Seventy-four percent of individuals who were classified as good sleepers in infancy remained so in early childhood, whereas 69 % of those who were classified as poor sleepers in infancy remained so during early childhood”
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    § Are Sleep Problems Across Development Related to Working Memory? · p. 12

    Sleep problems in infancy and early childhood did not improve model fit for adolescent working memory and were excluded from the final model.

    “The results indicated that the association between sleep problems in infancy [ v 2 (1) = .85, p = .36] and early childhood [ v 2 (1) = 1.20, p = .27] on adolescent working memory did not improve model fit and consequently, these pathways were excluded from the final model.”
    Quote in the paperSubstantial claim
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    § Results · p. 10

    From early childhood to middle childhood, 91% of good sleepers remained good, 26% of poor sleepers remained poor, and 74% of poor sleepers transitioned to good.

    “From early childhood to middle childhood, individuals who were classified as good sleepers in early childhood were likely to remain so in middle childhood (91 %), but only 26 % of individuals who were poor sleepers in early childhood remained so in middle childhood. Instead, individuals who were classified as poor sleepers in early childhood were most likely to transition to being good sleepers in”
    Quote in the paperNot a substantial claim
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    Findingown data
    § Are Sleep Problems Across Development Related to Working Memory? · p. 12

    The path from middle childhood sleep problems to working memory at age 15 was not significant but improved overall model fit.

    “While the path from middle childhood to working memory at age 15 was not significant, it did improve the overall model fit.”
    Quote in the paperNot a substantial claim
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    Findingown data
    § Are Sleep Problems Across Development Related to Working Memory? · p. 12

    Sleep problems in middle childhood and adolescence significantly improved model fit for adolescent working memory and were included in the final model.

    “In contrast, inclusions of the paths from sleep problems in middle childhood [ v 2 (1) = 3.80, p = .05] and adolescence [ v 2 (1) = .85, p = .36] to adolescent working memory did significantly improve model fit and were included in the final model.”
    Quote in the paperSubstantial claim
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    Findingown data
    § Results · p. 10

    The proportion of good sleepers was 77% in infancy, 89% in early childhood, 85% in middle childhood, and 64% in adolescence.

    “77 % of participants were classified as good sleepers in infancy; 89 % of participants were classified as good sleepers in early childhood; 85 % of participants were classified as good sleepers in middle childhood; 64 % of participants were classified as good sleepers in adolescence.”
    Quote in the paperNot a substantial claim
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    § Results · p. 10

    The 2-class solution was selected as more parsimonious and consistent with the other developmental periods.

    “As such, the 2-class solution was selected as more parsimonious and consistent with the other developmental periods.”
    Quote in the paperSubstantial claim
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    Findingown data
    § Results · p. 11

    Across any developmental period, no more than 30% of the sample exhibited continuity in poor sleeping, with most youth transitioning into better sleep patterns at the subsequent period.

    “Indeed, across any developmental period, no more than 30 % of the sample exhibited continuity in poor sleeping, with most youth transitioning into better sleep patterns at the subsequent patterns.”
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    § Results · p. 10

    In early childhood, a 3-class solution provided better fit than a 2-class solution, but one latent class consisted of less than 4% of the sample.

    “Although results suggested that a 3-class solution did provide better fit to the data in early childhood than a 2 class solution (LMRLRT = 544.613, p = 0.2), one latent class consisted of less than 4 % of the sample.”
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    § Discussion · p. 13

    The least continuity in sleep problems across time is found during adolescence, when more individuals experience sleep issues.

    “the least continuity in sleep problems across time is found during adolescence, when more individuals experience sleep issues”
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    Findingown data
    § Discussion · p. 13

    The continuity for being a poor sleeper was weaker although still present.

    “the continuity for being a poor sleeper was weaker although still present”
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    Findingown data
    § Conclusion · p. 16

    Sleep problems during infancy are not uncommon.

    “our transition analyses suggest that sleep problems during infancy are not uncommon”
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    § Are Sleep Problems Across Development Related to Risk Taking? · p. 12

    Males and youth from lower socioeconomic status were more likely to engage in risk taking.

    “Males and youth from lower socioeconomic status were more likely to engage in risk taking.”
    Quote in the paperNot a substantial claim
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    Premisecitation
    § Introduction · p. 2

    Developmental continuity in sleep problems has been documented from infancy to childhood; 41% of infants identified as having sleep problems at 8 months experienced continuing difficulties at 3 years.

    “Moreover, the occurrence of sleep problems in childhood does not appear to be transitory: developmental continuity in sleep problems has been documented from infancy to childhood, such that 41 % of infants identified as having sleep problems at 8 months experienced continuing difficulties at 3 years (Zuckerman et al. 1987).”
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    Interpretationown data
    § Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory · p. 2

    Sleep problems in adolescence contribute uniquely to deficits in working memory that, in turn, lead to risky behavior during late adolescence.

    “In summary, the present results suggest that sleep problems in earlier periods are indicative of risk for sleep problems later in development, but that sleep problems in adolescence contribute uniquely to deficits in working memory that, in turn, lead to risky behavior during late adolescence.”
    • Also stated in: § Conclusion · p. 16 · hedged
      “sleep problems in adolescence contribute uniquely to deficits in working memory that, in turn, lead to risky behavior during late adolescence”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The observed associations between sleep problems, working memory, and risk taking are not due to unmeasured confounding.
    • Rests on an assumption: The temporal ordering of the measures reflects the causal direction of effects (sleep problems affect working memory, which affects risk taking).
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Introduction · p. 2

    Continuity in sleep problems remains into adolescence for more general sleep problems, but not for more specific sleep problems such as nightmares, bedwetting, or talking/walking in sleep.

    “Some evidence suggests that this continuity also remains into adolescence for more general sleep problems, but not for more specific sleep problems, such as nightmares, bedwetting, or talking/walking in sleep (Friedman et al. 2009).”
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    § Introduction · p. 2

    25-40% of children suffer from some type of sleep problem.

    “It has been estimated that 25-40 % of children suffer from some type of sleep problem (Owens 2005).”
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    § Introduction · p. 3

    The peak in risk taking during middle to late adolescence is thought to result from an imbalance between low impulse control and high reward-seeking tendencies.

    “This peak in risk taking that occurs during middle to late adolescence is thought to be the result of an imbalance between low impulse control and high reward-seeking tendencies (Steinberg 2010).”
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    Interpretationnone given
    § Introduction · p. 3

    Adolescence appears to be a time of greater likelihood of experiencing sleep problems.

    “Thus, adolescence appears to be a time of greater likelihood of experiencing sleep problems.”
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    § Sleep and Working Memory · p. 4

    The presence of early sleep problems on its own does not predict later executive functioning; rather, the degree of change in sleep problems over time is more predictive of later executive functioning than the initial level of sleep problems measured in childhood.

    “Examination of individual differences in the trajectories of sleep problems over time suggests that the presence of early sleep problems on its own does not predict later executive functioning. Rather, the degree of change in sleep problems over time was more predictive of later executive functioning than the initial level of sleep problems measured in childhood.”
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    § Sleep and Working Memory · p. 3

    Performance on tasks of working memory improves linearly from age 4 to 15 years.

    “Performance on tasks of working memory has been found to improve linearly from age 4 to 15 years (Gathercole et al. 2004).”
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    § Sleep and Working Memory · p. 4

    Sleep deprivation resulted in longer response times on both simple and complex working memory tasks, but performance was only reduced on the simple working memory task; performance on the complex task remained intact due to greater compensation by prefrontal and thalamic brain regions.

    “One neuroimaging study revealed that, although sleep deprivation resulted in longer response times on both simple and complex tasks of working memory, performance was only reduced on the simple working memory task; performance on the complex task remained intact following sleep deprivation due to greater compensation by the prefrontal and thalamic brain regions (Chee and Choo 2004).”
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    § Introduction · p. 3

    Risky behavior tends to follow an inverted U-shaped developmental trajectory with normative increases in risk taking during adolescence followed by declines during the transition to adulthood.

    “Across development, risky behavior tends to follow an inverted U-shaped developmental trajectory that includes normative increases in risk taking during adolescence, followed by declines during the transition to adulthood (Steinberg 2008).”
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    § Sleep and Working Memory · p. 4

    Various brain regions are differentially activated following sleep deprivation depending upon the complexity of the working memory task.

    “Additional work has suggested that various brain regions are differentially activated following sleep deprivation depending upon the complexity of the working memory task (Choo et al. 2005).”
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    § Sleep and Working Memory · p. 4

    In medical residents, sleep variability and reduced sleep duration were more prevalent during on-call rotations and were significantly associated with a reduction in working memory capacity.

    “In a study of on-call and non-call rotation medical residents, sleep variability and reduced sleep duration were more prevalent during on-call rotations and were significantly associated with a reduction in working memory capacity (Gohar et al. 2009).”
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    § Introduction · p. 3

    As youth transition to adolescence, their sleep patterns undergo important changes that may exacerbate the cognitive-affective imbalance and contribute to risky behavior.

    “As youth transition to adolescence, their sleep patterns also undergo important changes that may exacerbate this cognitiveaffective imbalance and contribute to risky behavior (Telzer et al. 2013).”
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    § Sleep and Working Memory · p. 3

    Higher percentages of time spent sleeping during the night relative to the day at 18 months were associated with concurrent working memory scores at 18 months and with impulse control at 26 months.

    “higher percentages of time spent sleeping during the night relative to the day at 18 months were associated with concurrent working memory scores at 18 months as well as with impulse control at 26 months (Bernier et al. 2010).”
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    § Sleep and Working Memory · p. 3

    In high school students, sleep duration was positively associated with working memory; those who slept less than 8 h per night performed worse on two types of complex working memory tasks than those who slept between 8 and 9 h per night.

    “Likewise, in a study of 174 high school students, sleep duration was found to be positively associated with working memory. Specifically, those students who slept less than 8 h per night performed worse on two types of complex working memory tasks than those who slept between 8 and 9 h per night (Gradisar et al. 2008).”
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    § Sleep and Working Memory · p. 3

    Both variability in normative sleep patterns and the incidence of sleep problems have been associated with working memory across different periods of development from infancy to adolescence.

    “Although working memory continues to develop across childhood and into adolescence, it appears that both variability in normative sleep patterns and the incidence of sleep problems has been associated with working memory across different periods of development from infancy to adolescence.”
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    Interpretationreasoning
    § Sleep and Working Memory · p. 4

    Associations between sleep and working memory vary with the age of the participants and the measures used to assess sleep and working memory ability.

    “Taken together, these findings reveal complex associations between sleep and working memory that vary with the age of the participants and the measures used to assess sleep and working memory ability.”
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    § Sleep and Working Memory · p. 3

    Working memory skills continue to become refined throughout adolescence, as demonstrated by changes in brain activity associated with working memory from childhood through adolescence.

    “Working memory skills continue to become refined throughout adolescence, as demonstrated by changes in brain activity associated with working memory from childhood through adolescence (see review by Best et al. 2009).”
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    § Study Aims and Research Questions · p. 5

    Existing research suggests the prevalence of sleep problems may differ between racial groups, as well as by gender and socioeconomic status.

    “Existing research suggests the prevalence of sleep problems may differ between racial groups (Durrence and Lichstein 2006), as well as by gender and socioeconomic status (Arber et al. 2009).”
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    § Working Memory and Risk Taking · p. 4

    Working memory may be enmeshed with other executive functioning skills, such that engagement of working memory abilities may necessarily involve recruitment of other executive skills, such as inhibition.

    “Some researchers have postulated that working memory may be enmeshed with other executive functioning skills, such that engagement of working memory abilities may necessarily involve recruitment of other executive skills, such as inhibition (Bell et al. 2007).”
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    § Working Memory and Risk Taking · p. 4

    Working memory may be necessary for impulse control and therefore, weak working memory may place adolescents at risk for engagement in a variety of risky behaviors.

    “Together, these findings suggest that working memory may be necessary for impulse control and therefore, weak working memory may place adolescents at risk for engagement in a variety of risky behaviors.”
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    § Working Memory and Risk Taking · p. 4

    Both forms of impulsivity were correlated with subsequent risk taking, but the relationship was stronger for acting without thinking.

    “Although both forms of impulsivity were correlated with subsequent risk taking, the relationship was stronger for acting without thinking (Romer et al. 2011).”
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    § Working Memory and Risk Taking · p. 4

    Impulse control develops linearly across development and is not complete in adolescence.

    “Neurobiological models indicate that impulse control develops linearly across development and is not complete in adolescence (Casey et al. 2011).”
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    § Working Memory and Risk Taking · p. 4

    Dopaminergic activity increases prior to complete development of cognitive control systems in the prefrontal cortex, leading to a period of high impulsivity and reward-seeking behavior during mid-adolescence, making this a vulnerable time for risk-taking.

    “Thus, dopaminergic activity increases prior to complete development of cognitive control systems in the prefrontal cortex, leading to a period of high impulsivity and reward-seeking behavior during mid-adolescence, making this a vulnerable time for risk-taking (Steinberg 2008).”
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    § Study Aims and Research Questions · p. 5

    There may be racial and socioeconomic differences in the relation between sleep and cognitive functioning.

    “Further, there may be racial and socioeconomic differences in the relation between sleep and cognitive functioning (Buckholt et al. 2007).”
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    § Working Memory and Risk Taking · p. 4

    In a 3-year longitudinal study of youth, working memory was associated with two types of impulsivity: sensation seeking tendencies (associated with better working memory) and acting without thinking (associated with poorer working memory).

    “In a 3-year longitudinal study of youth, Romer et al. (2011) found that working memory was associated with two types of impulsivity: sensation seeking tendencies (which was associated with better working memory) and acting without thinking (which was associated with poorer working memory).”
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    Interpretationreasoning
    § Sleep Problems · p. 6

    The correlation is more modest on the nightmare item because youth would be better reporters of this internal conscious state than parents and parents would only know a nightmare occurred if a youth disclosed this information.

    “It is not surprising that the correlation is more modest on the nightmare item as youth would be better reporters of this internal conscious state than parents and parents would only know a nightmare occurred if a youth disclosed this information.”
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    § Plan of Analysis · p. 9

    When entropy is high (greater than .80), classifying individuals into latent classes is appropriate.

    “Simulation studies indicate that when entropy is high (greater than .80), classifying individuals into latent classes is appropriate (i.e., assigning individuals to membership in their most likely latent class and utilizing that variable as an independent or dependent variable).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Clark and Muthe ´n 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Participants · p. 5

    Families were recruited using conditional random sampling to ensure an appropriate distribution of families from various backgrounds and childcare experiences.

    “Families were recruited using conditional random sampling to ensure an appropriate distribution of families from various backgrounds and childcare experiences.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Working Memory · p. 8

    The OSPAN task has demonstrated convergent validity with other measures of working memory capacity.

    “The OSPAN task has demonstrated convergent validity by showing consistency with other measures of working memory capacity (Engle et al. 1999).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Engle et al. 1999 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data
    § Risky Behavior · p. 8

    The Risky Behavior Protocol scale had good reliability (α = .88).

    “This scale had good reliability ( a = .88).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation
    § Sleep Problems · p. 6

    Reliability estimates are biased towards number of items, and on scales with small numbers of items the alpha is a poor indicator of measure fit.

    “Reliability estimates are biased towards number of items, and on scales with small numbers of items the alpha is a poor indicator of measure fit (Cortina 1993).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cortina 1993 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data
    § Results · p. 11

    There is generally strong stability in remaining a relatively good sleeper between developmental periods, but continuity for being a poor sleeper across developmental periods is weaker.

    “Second, there is generally strong stability in remaining a relatively good sleeper between developmental periods, but the continuity for being a poor sleeper across developmental periods was weaker.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning
    § Sleep Problems · p. 6

    We rely on the factor analysis solution for support for our solution.

    “As such, we rely on the factor analysis solution for support for our solution.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning
    § Sleep Problems · p. 6

    The maternal-reported CBCL and youth-reported YSR were selected as the measure of sleep because they offered a consistent measure of sleep across all time points.

    “The maternal-reported Child Behavior Checklist (CBCL; Achenbach 1991, 1992) and youth-reported Youth SelfReport (YSR; Achenbach 1991) were selected for use as the measure of sleep for this study, as these offered a consistent measure of sleep across all time points.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Achenbach 1991, 1992

      Not checked in the free run.

    • cites Achenbach 1991

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning
    § Sleep Problems · p. 6

    Including all five items despite slight variation in wording on the fifth item helped promote variability in a measure of sleep problems.

    “For these analyses, we opted to include all five items regardless of the slight variation in wording on the fifth item to help promote variability in a measure of sleep problems.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data
    § Results · p. 10

    The overall pattern suggests relative stability of good sleepers over time, but also that patterns of sleeping change dramatically across development, with many youth moving in and out of good sleep habits.

    “Taken as a whole, the pattern suggests relative stability of good sleepers over time, but also that patterns of sleeping change dramatically across development, with many youth moving in and out of good sleep habits.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data
    § Results · p. 11

    For most children, periods of being a poor sleeper are short-lived and tied to a single developmental period.

    “This suggests that for most children, periods of being a poor sleeper are short-lived and tied to a single developmental period.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data
    § Sleep Problems · p. 6

    If model fit is not diminished by constraining parameters to be equal, taking the mean of items in each scale is appropriate rather than using factor loadings.

    “If model fit is not diminished by constraining the parameters to be equal, taking the mean of the items in each scale is appropriate, rather than using factor loadings.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data
    § Participants · p. 5

    The overall retention rate was 57.3%, with 782 of the original 1,364 children participating in the final wave (Phase V) of data collection.

    “The overall retention rate was 57.3 %, with 782 of the original 1,364 children participating in the final wave (Phase V) of data collection.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Plan of Analysis · p. 9

    The 110 cases excluded from latent class analysis did not differ on any key demographics from the analytic sample.

    “These 110 cases did not differ on any key demographics from the analytic sample.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data
    § Discussion · p. 13

    If one is considered a good sleeper during infancy, it is likely that one will remain a good sleeper in middle childhood, and vice versa.

    “if one is considered a good sleeper during infancy, it is likely that one will remain a good sleeper in middle childhood, and vice versa”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data
    § Discussion · p. 13

    Good sleep during adolescence may be especially crucial, as this was the only developmental stage where sleep was associated with poor working memory.

    “good sleep during adolescence may be especially crucial, as this was the only developmental stage where sleep was associated with poor working memory”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data
    § Discussion · p. 13

    The sleep-risk association is explained through a cascade model in which poor sleep during adolescence predicts working memory deficits, which in turn predict risk taking behavior 3 years later.

    “the sleep-risk association is explained through a cascade model in which poor sleep during adolescence predicts working memory deficits, which in turn predict risk taking behavior 3 years later”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The observed associations between sleep problems, working memory, and risk taking are not due to unmeasured confounding.
    • Rests on an assumption: The temporal ordering of the measures reflects the causal direction of effects (sleep problems affect working memory, which affects risk taking).
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning
    § Conclusion · p. 16

    Adolescence may be a prime time in which interventions are likely to be most effective.

    “adolescence may be a prime time in which interventions are likely to be most effective”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationown data
    § Are Sleep Problems Across Development Related to Risk Taking? · p. 12

    The cascading effects finding is consistent with the previous model on working memory.

    “This finding is consistent with the previous model on working memory.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductreasoning
    § Discussion · p. 15

    We cannot say with certainty that the transition from 'good sleeper' to 'bad sleeper' status (and vice versa) that occurred at the age 15 assessment are due to actual changes in sleep problems or due to the change in reporter.

    “we cannot say with certainty that the transition from ' 'good sleeper'' to ' 'bad sleeper'' status (and vice versa) that occurred at the age 15 assessment are due to actual changes in sleep problems or due to the change in reporter”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given
    § Discussion · p. 14

    The large and geographically diverse sample used in this study enhances the generalizability of the study.

    “the large and geographically diverse sample used in this study enhances the generalizability of the study”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation
    § Discussion · p. 15

    Definitions of sleep problems based on parental reports and sleep quality, measured objectively, target different constructs and should not be considered as merely different operational definitions.

    “definitions of sleep problems based on parental reports and sleep quality , measured objectively, target different constructs and should not be considered as merely different operational definitions”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Scher and Asher 2004

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Conclusion · p. 16

    The prime time for engagement in delinquent and risky behavior is in the hours immediately following school (between 3 and 6 p.m. on school days), as this time is commonly spent unsupervised.

    “the prime time for engagement in delinquent and risky behavior is in the hours immediately following school (between 3 and 6 p.m. on school days), as this time is commonly spent unsupervised”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Fight Crime: Invest in Kids 2000

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion · p. 15

    Several studies have assessed sleep in a similar manner.

    “several studies have assessed sleep in a similar manner”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Coulombe et al. 2010

      Not checked in the free run.

    • cites Gregory and O'Connor 2002

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion · p. 13

    Insufficient sleep is associated with greater incidence of a variety of health risk behaviors.

    “insufficient sleep and greater incidence of a variety of health risk behaviors”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites McKnight-Eily et al. 2011 source

      Not checked in the free run.

  • May combine two claims.

    Study design and conductreasoning
    § Discussion · p. 14

    The greatest limitation in the present study is the measure of sleep problems; sleep problems were assessed using items from the Child Behavior Checklist (CBCL), an assessment that does not have a standardized sleep scale.

    “the greatest limitation in the present study is the measure of sleep problems. Sleep problems were assessed using items from the Child Behavior Checklist (CBCL), an assessment that does not have a standardized sleep scale”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given
    § Discussion · p. 16

    The present study was correlational rather than experimental and did not perform any manipulations on sleep.

    “the present study was correlational rather than experimental and did not perform any manipulations on sleep”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Discussion · p. 13

    Prior research has demonstrated associations between sleep duration and delinquency.

    “Prior research has demonstrated associations between sleep duration and delinquency”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Clinkinbeard et al. 2011 source

      Not checked in the free run.

  • May combine two claims.

    Study design and conductcitation
    § Discussion · p. 15

    The sleep problems reported by the youths at age 15 are reflective of true sleep problems and are not artifacts of the change in reporter.

    “we feel confident that the sleep problems reported by the youths at age 15 are reflective of true sleep problems and are not artifacts of the change in reporter”
    Quote in the paperSubstantial claim
76 of 76
  • The paper relies on this without support.

    Few studies have examined sleep longitudinally across development.

    “However, relatively few studies have examined sleep longitudinally across development.”
  • The paper relies on this without support.

    Considerable research has examined how poor sleep at a given time is associated with concurrent or subsequent outcomes, but rarely do these studies take into account the pattern of sleep problems across time and how sleep problems at various stages of development may impact functional outcomes.

    “Surprisingly, although considerable research has examined how poor sleep at a given time is associated with concurrent or subsequent outcomes, rarely do these studies take into account the pattern of sleep problems across time and how sleep problems at various stages of development may impact functional outcomes, such as working memory and risk taking behavior.”
  • The paper relies on this without support.

    The CBCL does not have an established subscale for measuring sleep problems.

    “As the CBCL does not have an established subscale for measuring sleep problems, we conducted analyses to test if the five items could be condensed into a single scale.”
  • The paper relies on this without support.

    The observed associations between sleep problems, working memory, and risk taking are not due to unmeasured confounding.

    “Our results suggest that sleep may indirectly influence risk through its effects on working memory.”
  • The paper relies on this without support.

    The temporal ordering of the measures reflects the causal direction of effects (sleep problems affect working memory, which affects risk taking).

    “the sleep-risk association is explained through a cascade model in which poor sleep during adolescence predicts working memory deficits, which in turn predict risk taking behavior 3 years later”
5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Adolescents with shorter sleep duration are more likely to use substances, including caffeine, nicotine, alcohol and marijuana, and to engage in other risky behaviours.

    “Moreover, adolescents with shorter sleep duration are more likely to use substances, including caffeine, nicotine, alcohol and marijuana157–159, and to engage in other risky behaviours157,160,161.”
  • Adolescents with short sleep duration are more likely to use substances including caffeine, nicotine, alcohol, and illicit drugs, and to engage in other risky behaviors.

    “Adolescents with short sleep duration are more likely to use substances—including caffeine, nicotine, alcohol, and illicit drugs (54–56)—and to engage in other risky behaviors (54,57,58).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Early-childhood class comparison is described as significant at p = 0.2

    Minor

    The paper says a three-class solution fit better at p = 0.2, but its stated selection rule treats a nonsignificant LMR-LRT as grounds for choosing fewer classes.

  • Middle-childhood-to-risk-taking path both improves and does not improve fit

    Minor

    One section says including this path improved model fit and it was retained. The subsequent risk-taking analysis says no sleep-to-risk-taking path improved fit, including the middle-childhood path.

  • The age-15 single-item sleep scale is assigned to the wrong factor

    Minor

    The paper defines sleep difficulties using three items and sleep disturbances using nightmares plus talking or walking in sleep. Since it says the YSR omits talking or walking in sleep, that omission leaves the disturbance scale-not the difficulty scale-with one item.

3 of 3

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. Achenbach, T. M. (1992). Manual for the child behavior checklist/2–3 and 1992 profile. Burlington, VT: University of Vermont Department of Psychiatry.

Cited by

Sorted by citations

Authors
Thomas, A. G., Monahan, K. C., Lukowski, A. F., & Cauffman, E.
Affiliations
  • University of California, Irvine (US)
  • University of Pittsburgh (US)
Corresponding author
Thomas, April Gile
Venue
Journal of Youth and Adolescence
Published
2014-09-12
Volume
44
Issue
2
Pages
447-464
ISSN
  • 0047-2891 (ISSN-L)
  • 1573-6601
OpenAlex
W2035162406
Cited by
116
References
64
Citations by year
2026: 2 · 2025: 6 · 2024: 1 · 2023: 3 · 2022: 9 · 2021: 5 · 2020: 62 · 2019: 3 · 2018: 6 · 2017: 8 · 2016: 9 · 2015: 1 · 2014: 1
FWCI
8.81
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Youth and Adolescence (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (U10-HD25420, U10HD025420)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
sleep disorders, working memory, risk-taking, adolescent risk behavior, developmental continuity, childhood sleep problems, adolescence, cognitive development
MeSH terms
Adolescent, Child, Child Development, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Longitudinal Studies, Male, Memory, Short-Term, Models, Psychological, Risk-Taking, Sleep Wake Disorders, Models, Statistical, Adolescent Development

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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