{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:23:21Z","timestamp":1791883401678,"version":"4.3.4"},"reference-count":80,"publisher":"American Medical Association (AMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Pediatr"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec id=\"ab-poi260007-4\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Sleep behavior markedly shifts in adolescence, increasing vulnerability to mental health disorders. Although sleep health is understood to be multidimensional, adolescent-specific sleep health dimensions have not been empirically validated and their relevance to transdiagnostic mental health outcomes is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-poi260007-5\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify sleep health dimensions using Fitbit devices in a large sample of young adolescents and assess concurrent and prospective associations between sleep health dimensions and transdiagnostic mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-poi260007-6\">\n                    <jats:title>Design, Setting, and Participants<\/jats:title>\n                    <jats:p>Multicenter longitudinal cohort study using data from 3393 participants in the Adolescent Brain Cognitive Development (ABCD) Study (Data Release 5.1, collected 2018-2020), including early adolescents (ages 11-13 years) within the US. Exploratory factor analysis (EFA) was used to identify sleep health dimensions and confirmatory factor analysis (CFA) to confirm the factor structure in an independent subsample. Linear mixed-effects models were used to test concurrent and prospective associations between sleep dimensions and mental health outcomes at 1-year follow-up. Statistical analysis was conducted from January to November 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-poi260007-7\">\n                    <jats:title>Exposures<\/jats:title>\n                    <jats:p>Objective sleep data collected for up to 21 (range, 7-21) days, using wearable Fitbit devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-poi260007-8\">\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Transdiagnostic mental health outcomes assessed via the Child Behavior Checklist and Brief Problem Monitor (internalizing and externalizing symptoms), Prodromal Questionnaire-Brief Child Version (psychoticlike symptoms), and 10-item Mania Scale (mania symptoms).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-poi260007-9\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 3393 participants (49% female; median age, 12 years) were split into EFA and CFA subsamples. Six sleep factors were identified using EFA: irregularity, timing, social jetlag, duration, weekend oversleep, and continuity. CFA confirmed this factor structure. All variables loaded strongly (\u22650.64) onto at least 1 factor (factor 1 loadings, 0.64-0.98; factor 2, 0.96-0.98; factor 3, 0.95-0.97; factor 4, \u22120.86 to 1.01; factor 5, 0.68-0.93; factor 6, 0.82-0.94). Greater sleep irregularity was associated with transdiagnostic mental health symptoms cross-sectionally, but not prospectively (\u03b2, 0.06 [95% CI, 0.02-0.10] to 0.12 [95% CI, 0.08-0.16]). Shorter duration was associated with total, internalizing, externalizing, and attention symptoms cross-sectionally (\u03b2, \u22120.06 [95% CI, \u22120.10 to \u22120.01] to \u22120.11 [95% CI, \u22120.15 to \u22120.06]) and total, attention, and psychotic symptoms 1 year later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-poi260007-10\">\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>In this study, wearable Fitbit data provide empirical support for multidimensional frameworks of sleep health in adolescence. Although effect sizes were small, sleep irregularity and duration emerged as key dimensions with relevance to mental health. These findings establish a foundation for future investigations, including examining within-person patterns of the 6 dimensions, extending to older adolescence, investigating associations with other health outcomes, replicating with research-grade actigraphy devices, and suggesting potential targets for pediatric sleep interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamapediatrics.2026.0335","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T15:30:35Z","timestamp":1774279835000},"page":"535","source":"Crossref","is-referenced-by-count":3,"title":["Sleep Health Dimensions From Wearables and Transdiagnostic Mental Health in Young Adolescents"],"prefix":"10.1001","volume":"180","author":[{"given":"Rebecca E.","family":"Cooper","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Boston Children\u2019s Hospital, Boston, Massachusetts"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda E.","family":"Baker","sequence":"additional","affiliation":[{"name":"Center for Children and Families, Florida International University, Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allysa D.","family":"Quick","sequence":"additional","affiliation":[{"name":"UPMC Western Psychiatric Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Center for Children and Families, Florida International University, Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duncan B.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana L.","family":"McMakin","sequence":"additional","affiliation":[{"name":"Center for Children and Families, Florida International University, Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriane M.","family":"Soehner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Jalbrzikowski","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Boston Children\u2019s Hospital, Boston, Massachusetts"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith L.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania"},{"name":"Department of Statistics, University of Pittsburgh, Pittsburgh, Pennsylvania"},{"name":"Department of Biostatistics, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"9801","key":"poi260007r1","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1016\/S0140-6736(11)60827-1","article-title":"Child and adolescent mental health worldwide: evidence for action.","volume":"378","author":"Kieling","year":"2011","journal-title":"Lancet"},{"issue":"1","key":"poi260007r2","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1038\/s41380-021-01161-7","article-title":"Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies.","volume":"27","author":"Solmi","year":"2022","journal-title":"Mol Psychiatry"},{"issue":"6209","key":"poi260007r3","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1126\/science.1260497","article-title":"Adolescent mental health\u2014opportunity and obligation.","volume":"346","author":"Lee","year":"2014","journal-title":"Science"},{"issue":"1-2","key":"poi260007r5","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1080\/07420520500545979","article-title":"Social jetlag: misalignment of biological and social time.","volume":"23","author":"Wittmann","year":"2006","journal-title":"Chronobiol Int"},{"issue":"4","key":"poi260007r6","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1097\/PSY.0000000000001060","article-title":"Age trends in actigraphy and self-report sleep across the life span: findings from the Pittsburgh Lifespan Sleep Databank.","volume":"84","author":"Wallace","year":"2022","journal-title":"Psychosom Med"},{"issue":"7","key":"poi260007r7","doi-asserted-by":"publisher","first-page":"1255","DOI":"10.1093\/sleep\/27.7.1255","article-title":"Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan.","volume":"27","author":"Ohayon","year":"2004","journal-title":"Sleep"},{"issue":"9","key":"poi260007r8","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsab088","article-title":"Meta-analysis of age and actigraphy-assessed sleep characteristics across the lifespan.","volume":"44","author":"Evans","year":"2021","journal-title":"Sleep"},{"issue":"4","key":"poi260007r9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/sleep\/zsy017","article-title":"Establishing normal values for pediatric nighttime sleep measured by actigraphy: a systematic review and meta-analysis.","volume":"41","author":"Galland","year":"2018","journal-title":"Sleep"},{"key":"poi260007r10","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.sleep.2019.01.023","article-title":"Breakpoints of time in bed, midpoint of sleep, and social jetlag from infancy to early adulthood.","volume":"57","author":"Randler","year":"2019","journal-title":"Sleep Med"},{"issue":"4","key":"poi260007r11","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.sleh.2018.05.004","article-title":"Rethinking the sleep-health link.","volume":"4","author":"Matricciani","year":"2018","journal-title":"Sleep Health"},{"key":"poi260007r12","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1016\/j.smrv.2019.04.011","article-title":"Children\u2019s sleep and health: a meta-review.","volume":"46","author":"Matricciani","year":"2019","journal-title":"Sleep Med Rev"},{"issue":"5","key":"poi260007r13","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/j.smrv.2011.10.002","article-title":"Use of actigraphy for assessment in pediatric sleep research.","volume":"16","author":"Meltzer","year":"2012","journal-title":"Sleep Med Rev"},{"issue":"1","key":"poi260007r14","doi-asserted-by":"publisher","first-page":"9","DOI":"10.5665\/sleep.3298","article-title":"Sleep health: can we define it? does it matter?","volume":"37","author":"Buysse","year":"2014","journal-title":"Sleep"},{"key":"poi260007r15","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/j.jpsychires.2021.09.008","article-title":"Toward a multi-lingual diagnostic tool for the worldwide problem of sleep health: the French RU-SATED validation.","volume":"143","author":"Coelho","year":"2021","journal-title":"J Psychiatr Res"},{"issue":"3","key":"poi260007r16","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1513\/AnnalsATS.201908-628OC","article-title":"Validation of the Satisfaction, Alertness, Timing, Efficiency and Duration (SATED) questionnaire for sleep health measurement.","volume":"17","author":"Ben\u00edtez","year":"2020","journal-title":"Ann Am Thorac Soc"},{"key":"poi260007r17","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.psychres.2017.10.014","article-title":"Sleep health assessment: a scale validation.","volume":"259","author":"Brandolim Becker","year":"2018","journal-title":"Psychiatry Res"},{"issue":"5","key":"poi260007r18","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1016\/j.sleh.2023.03.002","article-title":"Six multidimensional sleep health facets in older adults identified with factor analysis of actigraphy: results from the Einstein Aging Study.","volume":"9","author":"Ji","year":"2023","journal-title":"Sleep Health"},{"issue":"2","key":"poi260007r19","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaa181","article-title":"Multidimensional sleep health domains in older men and women: an actigraphy factor analysis.","volume":"44","author":"Wallace","year":"2021","journal-title":"Sleep"},{"issue":"1","key":"poi260007r20","doi-asserted-by":"publisher","first-page":"7026","DOI":"10.1038\/s41467-025-62338-0","article-title":"Health risks and genetic architecture of objectively measured multidimensional sleep health.","volume":"16","author":"Zhang","year":"2025","journal-title":"Nat Commun"},{"key":"poi260007r21","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101425","article-title":"Pediatric sleep health: it matters, and so does how we define it.","volume":"57","author":"Meltzer","year":"2021","journal-title":"Sleep Med Rev"},{"key":"poi260007r22","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.dcn.2018.03.008","article-title":"Current, future and potential use of mobile and wearable technologies and social media data in the ABCD study to increase understanding of contributors to child health.","volume":"32","author":"Bagot","year":"2018","journal-title":"Dev Cogn Neurosci"},{"key":"poi260007r23","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.jpeds.2016.11.007","article-title":"Sleep patterns and mental health correlates in US adolescents.","volume":"182","author":"Zhang","year":"2017","journal-title":"J Pediatr"},{"issue":"5","key":"poi260007r24","doi-asserted-by":"publisher","first-page":"2926","DOI":"10.1007\/s11469-023-01027-9","article-title":"If you (don\u2019t) snooze, do you use? prospective links between adolescent sleep patterns and substance use and depression.","volume":"22","author":"Sasser","year":"2024","journal-title":"Int J Ment Health Addict"},{"issue":"4","key":"poi260007r25","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1097\/DBP.0000000000001013","article-title":"Regularity and timing of sleep patterns and behavioral health among adolescents.","volume":"43","author":"Lunsford-Avery","year":"2022","journal-title":"J Dev Behav Pediatr"},{"issue":"6","key":"poi260007r26","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1097\/EDE.0b013e3181577654","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.","volume":"18","author":"von Elm","year":"2007","journal-title":"Epidemiology"},{"issue":"4","key":"poi260007r27","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13865","article-title":"Sleep regularity in healthy adolescents: associations with sleep duration, sleep quality, and mental health.","volume":"32","author":"Castiglione-Fontanellaz","year":"2023","journal-title":"J Sleep Res"},{"issue":"8","key":"poi260007r28","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsae112","article-title":"Trajectories of actigraphy-derived sleep duration, quality, and variability from childhood to adolescence: downstream effects on mental health.","volume":"47","author":"Thompson","year":"2024","journal-title":"Sleep"},{"issue":"6","key":"poi260007r29","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1016\/j.jaac.2018.09.448","article-title":"Longitudinal associations between sleep patterns and psychiatric symptom severity in high-risk and community comparison youth.","volume":"58","author":"Soehner","year":"2019","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"1","key":"poi260007r30","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/s13034-022-00447-0","article-title":"Sleep and mental health in childhood: a multi-method study in the general pediatric population.","volume":"16","author":"Blok","year":"2022","journal-title":"Child Adolesc Psychiatry Ment Health"},{"issue":"3","key":"poi260007r31","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1177\/1078390317715315","article-title":"Sleep habits, sleep problems, sleep hygiene, and their associations with mental health problems among adolescents.","volume":"24","author":"Zhang","year":"2018","journal-title":"J Am Psychiatr Nurses Assoc"},{"issue":"7","key":"poi260007r33","doi-asserted-by":"publisher","first-page":"1010","DOI":"10.1080\/07420528.2021.1903481","article-title":"Performance of Fitbit Charge 3 against polysomnography in measuring sleep in adolescent boys and girls.","volume":"38","author":"Menghini","year":"2021","journal-title":"Chronobiol Int"},{"issue":"5","key":"poi260007r36","doi-asserted-by":"publisher","first-page":"831","DOI":"10.4088\/JCP.v69n0517","article-title":"Developing a 10-item Mania Scale from the Parent General Behavior Inventory for children and adolescents.","volume":"69","author":"Youngstrom","year":"2008","journal-title":"J Clin Psychiatry"},{"issue":"2","key":"poi260007r37","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1037\/1040-3590.13.2.267","article-title":"Discriminative validity of parent report of hypomanic and depressive symptoms on the General Behavior Inventory.","volume":"13","author":"Youngstrom","year":"2001","journal-title":"Psychol Assess"},{"issue":"8","key":"poi260007r38","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1001\/jamapsychiatry.2018.1334","article-title":"Assessment of the Prodromal Questionnaire-Brief Child Version for measurement of self-reported psychoticlike experiences in childhood.","volume":"75","author":"Karcher","year":"2018","journal-title":"JAMA Psychiatry"},{"issue":"2","key":"poi260007r39","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/BF01537962","article-title":"A self-report measure of pubertal status: reliability, validity, and initial norms.","volume":"17","author":"Petersen","year":"1988","journal-title":"J Youth Adolesc"},{"issue":"4","key":"poi260007r42","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1037\/met0000200","article-title":"How to determine the number of factors to retain in exploratory factor analysis: a comparison of extraction methods under realistic conditions.","volume":"24","author":"Auerswald","year":"2019","journal-title":"Psychol Methods"},{"issue":"3","key":"poi260007r45","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v045.i03","article-title":"mice: multivariate imputation by chained equations in R.","volume":"45","author":"Buuren","year":"2011","journal-title":"J Stat Softw"},{"issue":"1","key":"poi260007r46","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1111\/j.1467-9531.2007.00180.x","article-title":"Regression with missing Ys: an improved strategy for analyzing multiply imputed data.","volume":"37","author":"Von Hippel","year":"2007","journal-title":"Sociol Methodol"},{"issue":"1","key":"poi260007r48","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: a practical and powerful approach to multiple testing.","volume":"57","author":"Benjamini","year":"1995","journal-title":"J R Stat Soc B"},{"issue":"1","key":"poi260007r49","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1186\/s12888-023-05130-y","article-title":"Nonlinear relationship between sleep midpoint and depression symptoms: a cross-sectional study of US adults.","volume":"23","author":"Yin","year":"2023","journal-title":"BMC Psychiatry"},{"issue":"2","key":"poi260007r50","doi-asserted-by":"publisher","first-page":"e18","DOI":"10.1111\/cdev.12729","article-title":"Adolescent sleep duration, variability, and peak levels of achievement and mental health.","volume":"89","author":"Fuligni","year":"2018","journal-title":"Child Dev"},{"issue":"5","key":"poi260007r51","doi-asserted-by":"publisher","first-page":"638","DOI":"10.1016\/j.sleh.2023.06.005","article-title":"Social jetlag as a predictor of depressive symptoms among Japanese adolescents: evidence from the Adolescent Sleep Health Epidemiological Cohort.","volume":"9","author":"Tamura","year":"2023","journal-title":"Sleep Health"},{"issue":"3","key":"poi260007r52","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/biology8030054","article-title":"Chronotype and social jetlag: a (self-) critical review.","volume":"8","author":"Roenneberg","year":"2019","journal-title":"Biology (Basel)"},{"issue":"10","key":"poi260007r53","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsab103","article-title":"Measuring sleep regularity: theoretical properties and practical usage of existing metrics.","volume":"44","author":"Fischer","year":"2021","journal-title":"Sleep"},{"issue":"2","key":"poi260007r54","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsw067","article-title":"Too long, too short, or too variable? sleep intraindividual variability and its associations with perceived sleep quality and mood in adolescents during naturalistically unconstrained sleep.","volume":"40","author":"Bei","year":"2017","journal-title":"Sleep"},{"issue":"6","key":"poi260007r55","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1080\/15622975.2024.2359975","article-title":"Why circadian rhythmicity matters: associations between sleep irregularity and mental health conditions during the Covid-19 health crisis.","volume":"25","author":"Coelho","year":"2024","journal-title":"World J Biol Psychiatry"},{"key":"poi260007r56","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1038\/s44277-024-00015-8","article-title":"A translationally informed approach to vital signs for psychiatry: a preliminary proof of concept.","volume":"2","author":"Wallace","year":"2024","journal-title":"NPP Digit Psychiatry Neurosci"},{"issue":"2","key":"poi260007r57","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsac248","article-title":"Sleep variability over a 2-week period is associated with restfulness and intrinsic limbic network connectivity in adolescents.","volume":"46","author":"Baker","year":"2023","journal-title":"Sleep"},{"key":"poi260007r58","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.smrv.2015.06.003","article-title":"Beyond the mean: a systematic review on the correlates of daily intraindividual variability of sleep\/wake patterns.","volume":"28","author":"Bei","year":"2016","journal-title":"Sleep Med Rev"},{"key":"poi260007r59","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.smrv.2016.07.004","article-title":"Intraindividual variability of sleep\/wake patterns in relation to child and adolescent functioning: a systematic review.","volume":"34","author":"Becker","year":"2017","journal-title":"Sleep Med Rev"},{"issue":"3","key":"poi260007r60","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1111\/j.1532-7795.2006.00498.x","article-title":"Daily variation in adolescents\u2019 sleep, activities, and psychological well-being.","volume":"16","author":"Fuligni","year":"2006","journal-title":"J Res Adolesc"},{"issue":"1","key":"poi260007r61","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1080\/15402002.2024.2425961","article-title":"The relationship between intraindividual sleep-wake variability and mental health in adolescents.","volume":"23","author":"Kwon","year":"2025","journal-title":"Behav Sleep Med"},{"issue":"3","key":"poi260007r62","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1111\/sbr.12016","article-title":"Changes in sleep habits and knowledge after an educational sleep program in 12th grade students: sleep education program for adolescents.","volume":"11","author":"Sousa","year":"2013","journal-title":"Sleep Biol Rhythms"},{"issue":"4","key":"poi260007r63","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1111\/j.1479-8425.2007.00318.x","article-title":"The effect of a sleep hygiene education program on the sleep-wake cycle of Brazilian adolescent students.","volume":"5","author":"De Sousa","year":"2007","journal-title":"Sleep Biol Rhythms"},{"issue":"1","key":"poi260007r64","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1080\/15402002.2024.2401471","article-title":"The impact of sleep problems during late childhood on internalizing problems in early-mid adolescence.","volume":"23","author":"Santos","year":"2025","journal-title":"Behav Sleep Med"},{"issue":"5","key":"poi260007r65","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1016\/j.jadohealth.2019.12.005","article-title":"Sleep disturbance predicts depression symptoms in early adolescence: initial findings from the adolescent brain cognitive development study.","volume":"66","author":"Goldstone","year":"2020","journal-title":"J Adolesc Health"},{"issue":"10","key":"poi260007r66","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1016\/S2352-4642(22)00188-2","article-title":"Effects of sleep duration on neurocognitive development in early adolescents in the USA: a propensity score matched, longitudinal, observational study.","volume":"6","author":"Yang","year":"2022","journal-title":"Lancet Child Adolesc Health"},{"issue":"7","key":"poi260007r67","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaf065","article-title":"Assessment of sleep measures and their agreement: youth-reported, caregiver-reported, and Fitbit-derived data in a large early adolescent cohort.","volume":"48","author":"Kiss","year":"2025","journal-title":"Sleep"},{"issue":"3","key":"poi260007r68","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1111\/j.1467-8624.2010.01439.x","article-title":"Children\u2019s sleep and adjustment over time: the role of socioeconomic context.","volume":"81","author":"El-Sheikh","year":"2010","journal-title":"Child Dev"},{"issue":"7","key":"poi260007r69","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1007\/s10802-015-0018-7","article-title":"Subjective \u2013 objective sleep comparisons and discrepancies among clinically-anxious and healthy children.","volume":"43","author":"Alfano","year":"2015","journal-title":"J Abnorm Child Psychol"},{"issue":"2","key":"poi260007r70","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.sleh.2018.11.004","article-title":"Interactions between sleep duration and quality as predictors of adolescents\u2019 adjustment.","volume":"5","author":"El-Sheikh","year":"2019","journal-title":"Sleep Health"},{"issue":"5","key":"poi260007r71","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.14481","article-title":"Sleep difficulties and adolescent internalising symptoms: the moderating role of sleep regularity.","volume":"34","author":"Yan","year":"2025","journal-title":"J Sleep Res"},{"issue":"1","key":"poi260007r72","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.jadohealth.2023.08.021","article-title":"Latent profiles of sleep patterns in early adolescence: associations with behavioral health risk.","volume":"74","author":"Zhang","year":"2024","journal-title":"J Adolesc Health"},{"issue":"1","key":"poi260007r73","doi-asserted-by":"publisher","first-page":"23918","DOI":"10.1038\/s41598-025-07864-z","article-title":"An international multi-cohort investigation of self-reported sleep and future depressive symptoms in older adults.","volume":"15","author":"Wallace","year":"2025","journal-title":"Sci Rep"},{"issue":"9","key":"poi260007r74","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.1016\/j.jaac.2024.11.005","article-title":"Changes in rest-activity rhythms in adolescents as they age: associations with brain and behavioral changes in the ABCD Study.","volume":"64","author":"Zhang","year":"2025","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"1","key":"poi260007r75","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsx189","article-title":"Which sleep health characteristics predict all-cause mortality in older men? an application of flexible multivariable approaches.","volume":"41","author":"Wallace","year":"2018","journal-title":"Sleep"},{"issue":"2","key":"poi260007r76","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.sleh.2018.11.009","article-title":"A composite measure of sleep health predicts concurrent mental and physical health outcomes in adolescents prone to eveningness.","volume":"5","author":"Dong","year":"2019","journal-title":"Sleep Health"},{"issue":"6","key":"poi260007r77","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1001\/jamapsychiatry.2023.0379","article-title":"Associations of changes in sleep and emotional and behavioral problems from late childhood to early adolescence.","volume":"80","author":"Cooper","year":"2023","journal-title":"JAMA Psychiatry"},{"issue":"6","key":"poi260007r78","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.sleh.2019.08.001","article-title":"Heightened sleep propensity: a novel and high-risk sleep health phenotype in older adults.","volume":"5","author":"Wallace","year":"2019","journal-title":"Sleep Health"},{"key":"poi260007r79","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.physbeh.2016.03.006","article-title":"Measures of sleep and cardiac functioning during sleep using a multi-sensory commercially-available wristband in adolescents.","volume":"158","author":"de Zambotti","year":"2016","journal-title":"Physiol Behav"},{"issue":"9","key":"poi260007r80","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0257535","article-title":"Recalibrating expectations about effect size: a multi-method survey of effect sizes in the ABCD Study.","volume":"16","author":"Owens","year":"2021","journal-title":"PLoS One"},{"key":"poi260007r32","volume-title":"Treating Sleep Problems: A Transdiagnostic Approach","author":"Harvey","year":"2018"},{"key":"poi260007r34","volume-title":"Manual for the Child Behavior Checklist\/6-18","author":"Achenbach","year":"2001"},{"key":"poi260007r40","volume-title":"Exploratory Factor Analysis With SAS","author":"Osborne","year":"2019"},{"key":"poi260007r41","doi-asserted-by":"crossref","DOI":"10.4135\/9789353282493","volume-title":"Statistics for Psychology Using R","author":"Belhekar","year":"2016"},{"key":"poi260007r43","doi-asserted-by":"crossref","DOI":"10.4324\/9781315814919","volume-title":"Applied Multivariate Statistics for the Social Sciences: Analyses With SAS and IBM\u2019s SPSS, Sixth Edition","author":"Pituch","year":"2015"},{"key":"poi260007r44","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:osobl\/9780199734177.001.0001","volume-title":"Exploratory Factor Analysis","author":"Fabrigar","year":"2011"},{"key":"poi260007r47","doi-asserted-by":"crossref","DOI":"10.1002\/9780470316696","volume-title":"Multiple Imputation for Nonresponse in Surveys","author":"Rubin","year":"1987"},{"key":"poi260007r4","unstructured":"World Health Organization. World Health Report: 2002\u2014reducing risks, promoting healthy life. September 11, 2002. Accessed February 10, 2026. https:\/\/www.who.int\/publications\/i\/item\/9241562072"},{"key":"poi260007r35","unstructured":"Achenbach? TM, McConaughy? SH, Ivanova? MY, Rescorla? LA. Manual for the ASEBA Brief Problem Monitor for ages 6-18 (BPM\/6-18). University of Vermont Research Center for Children, Youth, and Families. 2017. Accessed February 10, 2026. https:\/\/aseba.org\/wp-content\/uploads\/School-age-bpm-manual.pdf.pdf"}],"container-title":["JAMA Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamapediatrics\/articlepdf\/2846180\/jamapediatrics_cooper_2026_oi_260007_1777584347.8742.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:01:19Z","timestamp":1777906879000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamapediatrics\/fullarticle\/2846180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,1]]},"references-count":80,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamapediatrics.2026.0335","relation":{},"ISSN":["2168-6203"],"issn-type":[{"value":"2168-6203","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,1]]}}}