Highlights

In brief

Data from the GUSTO early childhood cohort shows sleep problems at preschool age mediate the link between chronotype and socioemotional problems at primary school age, suggesting that sleep quality interventions may reduce risk of negative socioemotional development in later years.

Photo by Laura Lee Moreau | Unsplash

Bedtime battles now, big feelings later

29 Jul 2025

A long-term study reveals that sleep problems in early childhood impact emotional well-being in later childhood, especially among ‘night owl’ children.

We all need our sleep, but not all of us are morning people. Our varied preferences for sleeping and waking periods over a 24-hour cycle—what’s known as our chronotype—reflect the diversity of human biology. However, much of society tends to be structured around ‘early birds’, which means ‘night owls’ compelled to wake early for school and work might not get as many hours of restful sleep as their peers.

The effects of chronotype on sleep problems—which include fragmented sleep, poor sleep quality and daytime sleepiness—can be particularly concerning for young children, according to Derric Eng, a Senior Research Officer at the A*STAR Institute for Human Development and Potential (A*STAR IHDP).

“Evening chronotype in children isn’t only linked to increased sleep problems, but to greater socioemotional problems later in life, such as difficulties with handling feelings and getting along with others,” said Eng.

Alongside researchers from institutes in Singapore, Finland, Canada and the Netherlands, Eng and A*STAR IHDP colleagues including Principal Scientist Shirong Cai set out to investigate the long- term associations between chronotype, sleep problems and socioemotional outcomes in children from the ages of four to seven.

Previous studies have often focused on investigating the individual relationships between each factor within the same timepoint during childhood. The team drew on the ongoing Growing Up in Singapore Towards healthy Outcomes (GUSTO) study, which provided more than a decade’s worth of detailed health observations on over 1,200 pregnant Singaporean women and their children. This allowed the team to observe the pathway linking all three factors together
over time as the same children grew up.

The team found that sleep duration did not account for the association between chronotype and socioemotional problems at primary school age. Instead, quality of sleep mattered more: negative socioemotional outcomes were more strongly associated with increased sleep disturbances seen in children with greater evening preferences.

“It was fascinating to confirm our hypothesis that early sleep problems may be an important factor linking chronotype with later socioemotional problems,” said Eng.

The team’s findings aligned with previous studies which implied that socioemotional problems faced by ‘evening’ children are due less to their chronotype, but more to social jetlag: the misalignment between a person’s biological clock and social schedule.

“Our findings imply that children with evening preferences are not necessarily ‘doomed’ to develop socioemotional problems,” Cai said. “However, sleep problems may be a more appropriate target for early intervention than sleep duration.”

While the current study relied on reports by caregivers, Eng suggested that future studies could use more objective measures of sleep. The team may also extend their work to adolescence, being another important period linked to profound changes in sleep habits and socioemotional development.

The A*STAR-affiliated researchers contributing to this research are from the A*STAR Institute for Human Development and Potential (A*STAR IHDP).

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References

Eng, D.Z.H., Tham, E.K.H., Jafar, N.K., Tan, J.S.Y., Goh, D.Y.T., et al. Sleep problems in preschool mediate the association between chronotype and socioemotional problems at school-age. Sleep Medicine 124, 174-186 (2024). | article

About the Researchers

Derric Eng is a Senior Research Officer from the Translational Neuroscience programme at the A*STAR Institute for Human Development and Potential (A*STAR IHDP). His research focuses on examining the association of chronotype with sleep and downstream neurodevelopmental and cardiometabolic outcomes in children. Eng attained his Master of Science (Sleep Medicine) degree from the University of Sydney and was awarded the Vice Chancellor’s International Scholarship. He is currently pursuing his PhD degree at the NUS Yong Loo Lin School of Medicine through the A*STAR Sponsorship Award.
Shirong Cai is a Principal Scientist from the Translational Neuroscience program at the A*STAR Institute for Human Development and Potential (A*STAR IHDP). Cai is also an adjunct assistant professor at the Human Potential Translational Research Program at the NUS Yong Loo Lin School of Medicine, from which she attained her PhD degree. Cai’s primary research interest revolves around maternal and child sleep, including both risk factors and subsequent sequelae. She is involved in a number of large local cohort studies such as Growing Up in Singapore Towards healthy Outcomes (GUSTO), Singapore Preconception Study of Long-Term Maternal and Child Outcomes (S-PRESTO), Mapping Antenatal Maternal Stress (MAMS), and the Singapore Longitudinal Early Development Study (SG-LEADS). She is also a collaborator in international studies such as the Nutritional Intervention Preconception and During Pregnancy to Maintain Healthy Glucose Metabolism and Offspring Health (NiPPeR) trial.

This article was made for A*STAR Research by Wildtype Media Group