Examining the Influence of Parenting Practices on Youths Sleep Health During a Sensitive Developmental Period

项目摘要/摘要 睡眠问题在年轻人中非常普遍，并与广泛的情绪，行为， 认知和身体问题。事实上，睡眠问题是精神健康障碍的普遍现象，也有证据表明 支持将睡眠问题作为青年内化病理的前兆。青春期早期 发育期(即青春期前后)尤其容易受到 睡眠不足和/或睡眠质量差。在考虑对青少年睡眠的影响时，父母的行为和 亲子关系被证明可以预测贫困儿童的发展和维持 睡在年轻的时候。然而，缺乏关于父母养育行为的哪些维度(例如， 夜间育儿、一般育儿做法)与青少年睡眠问题关系最为密切。 此外，在针对青少年的睡眠干预中，育儿实践几乎没有得到解决，尤其是在 预防通常伴随睡眠的心理健康困难(如焦虑、抑郁)的背景 这些问题在青少年中的发生率正在不断上升。考虑到负面的后遗症 与在青春期早期经历睡眠问题有关，目前的提案旨在促进 了解特定的父母养育方式对青少年睡眠障碍的影响 赞助商的临床试验，以检查以家庭为重点的睡眠小组对围产期糖尿病的干预结果。 与正常治疗的青春期青年相比，青春期青年睡眠和内化问题并存。 重点睡眠干预。建议的研究将采用全面、客观、多方法和多层次的方法。 白天和夜间育儿实践中的轨迹和青少年睡眠健康的线人检查 使用生态瞬时评估和行动图等方法(研究目标1)。更进一步，组 父母养育实践和青少年睡眠变化轨迹的差异(研究目标2)也将是 检查过了。最后，这项拟议的研究旨在研究青少年睡眠改善的潜在机制 和心理社会健康(研究目标3)。McMakin博士将提供评估和指导 治疗青春期青少年的睡眠问题和心理社会健康(培训目标1)。家长博士 正手博士将就育儿实践对青少年睡眠健康和心理社会的影响进行咨询。 发展(培训目标2)。蒂蒙斯博士和海耶斯博士将就开发先进的定量 检查有关育儿实践和青少年睡眠的大量密集数据流的技能(培训目标 #3)。McMakin博士和家长将监督和咨询整个拟议的研究和道德规范。调查结果将 促进对青少年睡眠问题和父母养育之间的互动模式的理解，并提供信息 为睡眠与行为和情绪障碍并存的青少年提供预防和干预服务。 拟议的研究目标和培训目标已被刻意描绘出来，为申请者准备 作为一名独立调查员，她的职业生涯侧重于在家庭背景下研究青少年睡眠健康。

Project Summary/Abstract Sleep problems among youth are highly prevalent and associated with a broad range of emotional, behavioral, cognitive, and physical issues. Indeed, sleep problems are ubiquitous to mental health disorders and evidence supports sleep problems as a precursor to internalizing pathology in youth. The early adolescence developmental period (i.e., peri-puberty) presents as a particularly vulnerable stage for the negative effects of insufficient and/or poor-quality sleep. When considering influences on youth’s sleep, parenting behaviors and the parent-youth relationship have been demonstrated to predict the development and maintenance of poor sleep in youth. However, research is lacking on the specificity of which dimensions of parenting behaviors (e.g., nighttime parenting, general parenting practices) are most strongly associated with youth sleep problems. Further, parenting practices have scarcely been addressed in sleep interventions for adolescents, especially in the context of preventing mental health difficulties (e.g., anxiety, depression) that typically accompany sleep problems and that are occurring at escalating rates in adolescents. Considering the negative sequelae associated with experiencing sleep problems in early adolescence, the current proposal aims to advance the understanding of the influence of specific parenting practices on disrupted sleep in youth by leveraging the sponsors’ clinical trial to examine intervention outcomes of a family-focused sleep group intervention for peri- pubertal youth with co-occurring sleep and internalizing problems when compared to a treatment-as-usual youth- focused sleep intervention. The proposed study will employ a comprehensive, objective, multi-method, and multi- informant examination of trajectories in daytime and nighttime parenting practices and of youth sleep health using methodology such as ecological momentary assessment and actigraphy (Research Aim 1). Further, group differences in the trajectory of change in parenting practices and youth sleep (Research Aim 2) will also be examined. Lastly, the proposed study aims to examine the mechanisms underlying improvements in youth sleep and psychosocial health (Research Aim 3). Dr. McMakin will provide mentorship on the assessment and treatment of sleep problems and psychosocial well-being in peri-pubertal youth (Training Goal #1). Dr. Parent and Dr. Forehand will consult on the impact of parenting practices on youth sleep health and psychosocial development (Training Goal #2). Dr. Timmons and Dr. Hayes will consult on developing advanced quantitative skills to examine intensive, high volume streams of data on parenting practices and youth sleep (Training Goal #3). Drs. McMakin and Parent will supervise and consult on the overall proposed study and ethics. Findings will advance the understanding of transactional models between youth sleep problems and parenting and inform prevention and intervention services for youth with co-occurring sleep and behavioral and emotional difficulties. The proposed research aims and training goals have been intentionally delineated to prepare the applicant for a career as an independent investigator focused on studying youth sleep health within the family context.