{
  "abstract": "Background: To analyze the short-term longitudinal associations between sleep-related problems and anxiety, depression and the coexistence of anxiety and depression in school-aged children, and to provide the epidemiological evidence for mental health surveillance and risk assessment.\n\nMethods: This study was part of a child and adolescent growth and development cohort in an urban district of Chongqing. Participants were recruited from grade 1–3 at three local primary schools. A total of 1,529 children (782 boys and 747 girls; average age = 8.00 ± 1.0 years) were included who completed two surveys. Sleep, anxiety, and depressive symptoms were assessed using the PSQI-5, GAD-7, and CDI-S, respectively. Binary logistic regression and multiple linear regression were used to examine the associations between baseline sleep levels, sleep change values (ΔPSQI), and follow-up emotional outcomes. Missing covariates were handled via multiple imputation.\n\nResults: The total scores of PSQI-5, GAD-7, and CDI-S at the follow-up were all lower than those at the baseline ( p < 0.001). After adjusting for confounding factors and baseline emotional levels, a higher baseline PSQI independently predicted subsequent anxiety (OR = 1.144, p < 0.001), depression (OR = 1.097, p = 0.013), and coexisting symptoms (OR = 1.146, p = 0.003). The increases in ΔPSQI was positively associated with the aggravation of emotional symptoms (all p < 0.001).\n\nConclusion: Long-term poor sleep and decreased sleep quality may increase the risk of internalizing problems in school-aged children.",
  "abstract_shown": true,
  "affiliations": [
    "Research Center for Medicine and Social Development, College of Public Health, Chongqing Medical University"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Jiao Chen"
    },
    {
      "affs": [
        0
      ],
      "name": "Yiling Liu"
    },
    {
      "affs": [
        0
      ],
      "name": "Qin Liu"
    },
    {
      "affs": [
        0
      ],
      "name": "Fan Zhang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b68gm8ztv4j6e.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1927475",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727519/?tool=EBI",
  "id": "b68gm8ztv4j6e",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1927475/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "3205|Sleep and related disorders"
    ]
  ],
  "openalex": "W7222995377",
  "pdf_url": "https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1927475/pdf",
  "pmcid": "PMC13727519",
  "pmid": "42978638",
  "published": "2026-10-20",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/b68gm8ztv4j6e.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1927475",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1927475/full"
    },
    {
      "first_seen": "2026-11-04T15:20:46Z",
      "native_id": "PMC:PMC13727519",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13727519"
    },
    {
      "first_seen": "2026-11-06T12:23:23Z",
      "native_id": "PMC13727519",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpubh.2026.1927475"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Study on the association between sleep quality and anxiety–depression symptoms in school-aged children",
  "title_text": "Study on the association between sleep quality and anxiety–depression symptoms in school-aged children",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:20:42Z",
  "url": "https://research.draconitic.com/paper/b68gm8ztv4j6e",
  "venue": "Frontiers in Public Health",
  "versions": []
}