Adolescent Emotional Well-being Research Articles

Evaluating the impact of rock climbing on mental health and emotional well-being in adolescents

BackgroundRock climbing (RC) has gained attention as a therapeutic tool in psychiatric settings that merges physical exertion with mental engagement. It has potential to enhance mental health, through improved self-efficacy and social interaction, making it a novel intervention for addressing anxiety, depression, and behavioral issues in adolescents. This study aimed to investigate the effects of RC as a physical activity on anxiety, depression, and emotional and behavioral problems in adolescents.MethodsThe current study included 57 athletes aged 14.5 ± 1.7 years and 91 adolescents aged 13.6 ± 1.2 years, matched for age and gender, who were not professionally involved in sport. In addition to the socio-demographic form, a detailed psychiatric assessment was carried out by the child psychiatrist; using the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version (K-SADS-PL) to detect psychiatric conditions. The Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV) and the Strengths and Difficulties Questionnaire (SDQ) were also administered to the adolescents in the study.ResultsIn the comparative analysis of the RCADS-CV outcomes between the athlete and control groups, the athletes demonstrated notably lower scores for both Separation Anxiety Disorder (SAD) and Generalized Anxiety Disorder (GAD), yielding p-values of < 0.001 and 0.031, respectively. Although the mean scores for social phobia, OCD, panic disorder, and MDD were lower in the athlete group, the differences were not statistically significant (p > 0.05). In the correlation analysis, a moderately significant correlation was found between the duration of doing sport and the scale scores for SAD (p:0.010), OCD (p:0.014), and panic disorder (p:0.016). There was no significant difference between groups in terms of SDQ scores.ConclusionThese results suggest that RC, through its unique combination of physical exertion and mental focus, may offer protective benefits against certain anxiety disorders among adolescents. Further studies should be conducted to explore the potential use of RC as a preventive program for both healthy adolescents, as well as those with psychiatric disorder.

Negative changes in emotional well-being and motivation in Russian adolescents between 1999 and 2020 / Cambios negativos en el bienestar emocional y la motivación en adolescentes rusos entre 1999 y 2020

Studies in the US, the UK, Canada and Australia show cohort increases in ill-being among adolescents in recent decades, and this is especially true for girls. The present study compared two Russian adolescent samples on both positive and negative emotions, via data collected in 1999 and in January 2020 (before the COVID-19 pandemic). The results show that joy was much lower and anger and anxiety were much higher in the 2020 cohort. Corresponding declines in autonomous motivation, perceived academic control and positive relationships partly explained the decreases in adolescent emotional well-being. Girls were most negatively impacted across the two decades. Discussion speculates on possible educational explanations for the motivational and thus emotional declines.

The Effectiveness of a MOOC as a Form of Professional Learning: An Examination of an Adolescent Learner Social and Emotional Well-Being Course

Massive Open Online Courses (MOOCs) provide borderless opportunities to engage with content and ideas, with prospective participants from around the globe being able to easily register. The course featured in this study focused on the social and emotional well-being of adolescents, selected because of a recognized need for professional learning related to this topic. It was purposely designed for delivery as a MOOC and was designed as a 6h program around four topics to be completed over two weeks in asynchronous mode. It was delivered seven times from 2019 to 2023, with 32,969 individuals enrolled across these deliveries. The effectiveness of engaging in the course for professional learning purposes is of particular interest to this study. To that end, a convergent mixed methods study was conducted. First, quantitative and qualitative survey data collected at various course stages were examined to reveal the demographic characteristics of participants and their experiences in the course using data from surveys and comments about their experiences. The findings revealed, among other factors, that 65% were female, with just under half (47%) aged 45 years or less, nearly half (44%) held a bachelor’s degree as their highest level of qualification, and 48% were employed within the teaching and education sector. The most active learners were from Europe (48%) and Asia (27%), with active learners from a total of 178 countries. The course has a high course retention index, with 51% of learners completing 51% of the course and 8383 learners completing 90% or more of the course. The qualitative findings reveal the strongly positive experiences reported by the active participants. Secondly, we examined the effectiveness of the MOOC for participants’ professional learning needs by assessing the course using a framework with ten domains related to its core design features, modified for use by the course designers as a self-reflective tool. We found that the domains that scored the lowest were collaboration, interactivity, and, to a lesser extent, pedagogy. The study’s limitations include the incomplete data provided as part of the MOOC protocols, and the use of a self-reflection tool, which may inadvertently incorporate bias. This study points to these gaps in the data, including the need to access longitudinal data that go beyond a focus on the design of courses to extend to the impact and outcomes of the experience.

A Critical Analysis of Impact of Sleep Deprivation on Emotional Regulation

Purpose: The objective of this paper is to understand the impact of Sleep deprivation on emotional well-being in adolescents. A prevalent issue in modern society, has significant implications for emotional regulation. This study examines the impact of sleep deprivation on emotional processes, highlighting the relationship between inadequate sleep and emotional instability. Methodology: Using a mixed-methods approach, Data was analyzed both quantitative from sleep assessments and emotional response tests, and qualitative data from participant interviews. The data was analyzed using the descriptive statistics. Findings: Results indicate that individuals experiencing sleep deprivation exhibit heightened emotional reactivity, diminished positive affect, and impaired emotional recognition and regulation capabilities. Furthermore, chronic sleep deprivation exacerbates stress and anxiety levels, contributing to long-term emotional dysregulation. These findings emphasized the necessity of adequate sleep for maintaining emotional health and informed interventions aimed at mitigating the adverse effects of sleep deprivation on emotional well-being. Unique Contribution to Theory, Practice and Policy: Future research should explore the minimizing of these effects and develop strategies to promote better sleep hygiene and emotional resilience.

Fostering emotional well-being in adolescents: the role of physical activity, emotional intelligence, and interpersonal forgiveness.

Adolescence is considered a stress-sensitive developmental period, and the escalating and sustained pressure during this phase poses a significant threat to the mental and physical well-being of adolescents. Therefore, enhancing positive emotions in adolescents is crucial. This study aims to investigate the impact of physical activity on the emotional intelligence, interpersonal forgiveness, and positive emotions of adolescents. Using a cluster sampling method, data were collected from 500 adolescents in four schools across the Xiangxi Tujia and Miao Autonomous Prefecture of Hunan Province, China. A total of 428 valid questionnaires were collected and analyzed. The study employed AMOS v.23 to construct a structural equation model to validate the hypotheses. The results indicate that physical activity significantly influences the emotional intelligence, interpersonal forgiveness, and positive emotions of adolescents. Furthermore, emotional intelligence and interpersonal forgiveness mediate the relationship between physical activity and positive emotions. Based on these findings, collaborative efforts from government agencies, schools, and families are essential to provide robust support for adolescents' participation in physical activity, encouraging more adolescents to actively engage in sports.

Supporting adolescent well-being at school: Integrating transformative social and emotional learning and trauma-informed education

There is an urgent need to support the social and emotional well-being of adolescents with experiences of adversity and trauma. Adolescence is a critical period of development for promoting social and emotional competencies, which can prevent poor mental health and problematic substance use and promote thriving during challenging teenage years and beyond. Both transformative social and emotional learning (TSEL) and trauma-informed programs for schools (TIPS) have been identified as promising practices for supporting social and emotional well-being among young people with experiences of adversity. We propose a pragmatic theory of action for schools for implementing and evaluating initiatives that integrate TSEL and TIPS made up of three iterative components: awareness, assessment, and action. The TSEL + TIPS Theory of Action is illustrated by a case study of a cross-sectoral collaboration of government, schools, researchers, healthcare, and adolescents to implement TSEL and TIPS initiatives in British Columbia, Canada. The case study provides evidence for the feasibility of TSEL + TIPS Theory of Action and may serve as an example for other regions as experiences of adversity and poor mental health continue to rise among adolescents globally.

Is bronchial asthma a risk factor for emotional well-being in adolescence? A comparative study

Objective This study aimed to investigate whether bronchial asthma could be a risk factor for emotional well-being during adolescence. Methods and measures This is a comparative cross-sectional design. A total of 450 participants aged 12 to 16 years (M = 13.61 and SD = 1.84) were included (150 with bronchial asthma and 300 healthy). For both groups, self-esteem, emotional distress, problems with peers, family styles and psychosocial bonds were assessed. T-tests and multi-group structural equation modelling were used for comparative analyses, and the moderating role was analysed through PROCESS. Results The t-tests showed a difference in means between the groups, finding lower self-esteem scores in adolescents with asthma, but better emotional well-being, a greater number of bonds and healthier family styles than those of their healthy peers. In the multi-group, the moderating role of bronchial asthma on emotional well-being in adolescence could not be assessed. Moderation analyses indicated that asthma was a moderating variable for the relationship between self-esteem and emotional well-being in adolescence. Conclusions Asthma can be a stressful event that makes emotional well-being difficult in the adolescent stage, but there seem to be other more influential factors such as perceived family style or self-esteem.

The role of maternal emotional expressivity in maternal marital satisfaction and adolescents' depressive symptoms among Chinese families: Moderated by family socioeconomic status

The present study aims to investigate the complex interplay among three family factors: maternal marital satisfaction, maternal emotional expressivity, and family socioeconomic status, and their impact on adolescent depression in Chinese families. A total of 542 Chinese adolescents and their mothers from diverse socioeconomic backgrounds completed the survey. The data revealed that higher maternal marital satisfaction correlated with more positive emotional expressivity and less negative emotional expressivity. Both types of maternal emotional expressivity were associated with depressive symptoms in adolescents. Moreover, both maternal positive and negative emotional expressivity mediated the relationship between maternal marital satisfaction and adolescents’ depressive symptoms. Notably, the mediating role of maternal negative expressivity was only evident when the family’s socioeconomic status was moderate to high. These findings underscore the important role played by maternal emotional expressivity and family socioeconomic status in the dyadic processes between the marital relationship of mothers and the emotional well-being of adolescents in Chinese families. The present study also indicates potential targets for parenting interventions aimed at promoting the mental health of adolescents.

Cyberbullying and Its Impact on Adolescent Emotional Well-Being

The proliferation of social media networks has been remarkable, offering easy access and the ability to connect with a vast network of friends, which has captivated people of all ages and social backgrounds. This enthusiasm for social media is particularly prominent among teenagers. While social networks provide a platform for emotional expression, unfortunately they are also used to vent anger and use insults and derogatory comments, a phenomenon commonly known as cyberbullying. This section aims to explore the impact of cyberbullying on adolescents within the realm of social media. A literature review method was used, taking articles and journals published between 2013 and 2023, collected from the Google Scholar electronic database. Findings from numerous studies consistently highlight that cyberbullying on social media significantly impacts adolescents, affecting them across psychological, physical, and social dimensions. Importantly, this impact goes beyond just the victim, also affecting the perpetrator and even bystanders.

Evaluating the effect of action-like video game play and of casual video game play on anxiety in adolescents with elevated anxiety: protocol for a multi-center, parallel group, assessor-blind, randomized controlled trial

BackgroundAdolescence is a critical period for the onset and maintenance of anxiety disorders, which raises the importance of intervening early; one possibility of doing so is via digital interventions. Within that research field, at least two important research paths have been explored in the past years. On the one hand, the anxiolytic effect of casual video games has been tested as such gaming activity may distract away from anxious thoughts through the induction of flow and redirection of attention toward the game and thus away of anxious thoughts. On the other hand, the bidirectional link between weak attentional control and higher anxiety has led to the design of interventions aiming at improving attentional control such as working memory training studies. Taking stock that another genre of gaming, action video games, improves attentional control, game-based interventions that combines cognitive training and action-like game features would seem relevant. This three-arm randomized controlled trial aims to evaluate the feasibility and the efficacy of two video game interventions to document how each may potentially alleviate adolescent anxiety-related symptoms when deployed fully on-line.MethodsThe study aims to recruit 150 individuals, 12 to 14 years of age, with high levels of anxiety as reported by the parents’ online form of the Screen for Child Anxiety Related Disorders questionnaire. This trial contrasts a child-friendly, “action-like” video game designed to improve attentional control abilities in a progressive and stepwise manner (Eco-Rescue), a casual puzzle video game selected to act as a positive distraction tool (Bejeweled) and finally a control group with no assigned training intervention to control for possible test-retest effects (No-training). Participants will be assigned randomly to one of the three study arms. They will be assessed for main (anxiety) and secondary outcomes (attentional control, affective working memory) at three time points, before training (T1), one week after the 6-week training (T2) and four months after completing the training (T3).DiscussionThe results will provide evidence for the feasibility and the efficacy of two online video game interventions at improving mental health and emotional well-being in adolescents with high levels of anxiety. This project will contribute unique knowledge to the field, as few studies have examined the effects of video game play in the context of digital mental health interventions for adolescents.Trial registrationThe trial is registered on ClinicalTrials.gov (NCT05923944, June 20, 2023).

Adolescent Emotional Well-Being and Social Media Addiction: The COVID-19 Pandemic's Influence on Mental Health

Currently, many adolescents allocate over three hours daily to their engagement with social media platforms. It is a prevalent practice among adolescents to invest significant time online without complete awareness of the adverse impact it may have on their emotional and social well-being. Considering this, a cross-sectional study was undertaken to assess the evolution of social media addiction in the post-COVID19 era, its repercussions on the emotional well-being of adolescents, and to identify predictive factors for the onset of emotional distress. The study encompassed 848 adolescents, aged 10 to 22, primarily from the United States. Data was collected using various questionnaires including the Bergen Social Media Addiction Scale (BSMAS), Patient-Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), Depression, Anxiety, and Stress Scale (DASS-21), as well as the Pediatric Quality of Life scale (PedsQL). The findings revealed a significant increase in social media addiction scores (p<0.0001) between before and during the pandemic. A slight and statistically insignificant decrease (p=0.5481) was observed during the time of the pandemic to after. Comparing the results during the pandemic with those after, it was evident that adolescents reported lower scores on the PHQ-9, GAD-7, and DASS-21, signifying an enhancement in mental health. The study also identified the use of social media and past experiences of cyberbullying as predictive factors for elevated scores on the PHQ-9, GAD-7, DASS-21, and BSMAS. These findings indicate the utility of these factors in forecasting both social media addiction and declines in mental well-being.

Adolescent Emotional Well-Being and Social Media Addiction: The COVID-19 Pandemic's Influence on Mental Health

Adolescent Emotional Well-Being and Social Media Addiction: The COVID-19 Pandemic's Influence on Mental Health

Intervensi Cognitive Behaviour Therapy dalam Mengatasi Perilaku Maladaptif: Program PKBI di PSBR Taruna Jaya 1

Maladaptive behavior has implications for the mental and emotional well-being of adolescents. This behavior risks hindering the formation of healthy social relationships, and interferes with their academic and social development. Cognitive Behaviour Therapy (CBT) is a therapeutic approach that focuses on the relationship between one's thoughts, feelings, and behavior. In this study, researchers used a learning approach through learning theory in implementing CBT to overcome maladaptive behavior at the Taruna Jaya 1 Youth Development Institution. This study used a descriptive research method. This study explains the maladaptive behavior of 1 child at the Bina Adolescent Social Institution Taruna Jaya 1 by conducting an intervention in the form of a reflection of the cognitive behavioral therapy method. The results of this study show that the integration of learning approaches and psychosocial therapy in CBT can be effective in overcoming maladaptive behavior in adolescents in social institutions through BENI's English Character Learning program.
 

The role of the multiple Index of deprivation in predicting mental health outcomes after the COVID-19 pandemic in adolescents: a cross-sectional study

BackgroundThe number of children and young people (CYP) diagnosed with mental health problems has increased over the past decade. The COVID-19 pandemic also has accelerated this increase, raising significant concerns about adolescent emotional wellbeing. Research suggests that adolescents who live in more deprived areas are more likely to experience poor emotional wellbeing. Children in the northwest of England are among those with the poorest outcomes in the UK. We aimed to investigate the association between deprivation and mental health outcomes from 2019 to 2022. The aim was to support local authorities with targeted provision of public health services as well as predicting service need for 2022 onwards. MethodsIn this cross-sectional study, we analysed routinely collected Schools Health Needs Assessment (SHNA) data. The School Health Needs Assessment dataset contained 32 676 responses from Year 6 (ages 10–11 years) and Year 9 (ages 13–14 years) who completed the annual survey in 2019–22. The questionnaire was offered to all mainstream schools, delivered by the public health school nursing service. Index of multiple deprivation (IMD) data were provided for household postcodes. Data were analysed using IBM SPSS. Factor analysis created a composite emotional wellbeing scale (EWS) and estimates generated by school year (Years 6 and 9) and three academic years (2019–22). We calculated correlations between IMD and EWS overall and within school and academic year samples. FindingsThe final total sample across the three consecutive survey years and the two school years was 32 659. The sample consisted of 15 932 (49%) female students and 5066 (16%) students who registered at school as from an ethnic minority. Of the total sample, 9209 (28%) lived in a postcode in the most deprived IMD quintile in England. There was an overall decrease in EWS from Year 6 to Year 9 and from 2019 to 2022. The Year 6 students in 2022 reported mean levels of EWS equivalent to Year 9 students in 2019 indicating a shift toward poorer mental health in younger children. The correlational analyses showed no significant associations between IMD and EWS scores within the school or academic year cohorts. A follow-up analysis of children in receipt or not in receipt of free school meals also showed no significant association with EWS scores. InterpretationFindings showed that the emotional wellbeing of children and young people in the northwest of England has deteriorated since 2019, with greatest changes observed in the younger cohort of children in Year 6. This was not explained by postcode-based indices of multiple deprivation. Although it is recognised that deprivation is both a cause and a result of poor mental health, policy decisions on service provision for children and young people should not be based solely on IMD or receipt of free school meals. A rapid response is required to address the decline in emotional wellbeing currently observed in younger children of the northwest of England. FundingNone.

The Influence of Parenting Patterns, Self-Perception, and Social Support on the Emotional Well-Being of Adolescents in Indonesia

This study explores the complex connections between Indonesian adolescent emotional wellbeing, social support, self-perception, and parenting style. Using a mixed-approaches strategy, 350 adolescents between the ages of 13 and 18 were randomly selected and then subjected to both quantitative surveys and qualitative interviews. The quantitative results showed a strong correlation between more emotional well-being and authoritative parenting. Higher levels of self-perception—including self-efficacy and self-esteem—were associated with better emotional results. Robust family support was found to be a significant predictor of improved emotional well-being, and supportive peers and schools were also found to be beneficial. Depth was given by qualitative insights, which disentangled the complex experiences of parenting philosophies, self-perception, and social support. The amalgamation of both quantitative and qualitative findings provides a thorough comprehension of the elements influencing the psychological welfare of teenagers in Indonesia. There is discussion of the implications for interventions and policies aimed at promoting mental health in this population.

Longitudinal relationships among sociocultural pressure for body image, self-concept clarity, and emotional well-being in adolescents.

This study examined the longitudinal relationships among sociocultural pressure for body image (SPBI), self-concept clarity (SCC), and emotional well-being (EWB) at both the between- and within-person levels. The participants were 2001 Chinese adolescents (age range 11-24, 42.9% males). Recruitment of participants occurred for 1 year across three waves (i.e., 6 months apart across three cohorts). The baseline and follow-up questionnaire surveys were utilized to assess SPBI, SCC, EWB, and background variables. Longitudinal associations between the above main variables were tested using a cross-lagged panel model (CLPM) and multilevel regression analysis. The CLPM and multilevel-model analysis showed that SCC longitudinally mediated the relationships between SPBI and EWB. Besides, gender and age were considered moderators in the associations among SPBI, SCC, and EWB. SCC could be an underlying mechanism for the longitudinal relationship between SPBI and EWB among Chinese adolescents, which provides a potential intervention target for improving adolescents' well-being from a sociocultural framework.

Pengaruh Medsos Terhadap Kesejahteraan Emosional Remaja

The influence of social media (medsos) on the emotional well-being of adolescents has become a topic of increasing importance in recent years. Social media, such as Facebook, Instagram, Twitter and Snapchat, have changed the way teenagers interact and communicate with other people. However, the impact that the use of social media has on the emotional well-being of adolescents has a complex side. One of the main influences of social media on adolescents' emotional well-being is feelings of dissatisfaction with themselves and social comparison. In a virtual world that is often filled with the best photos and seemingly perfect lives, it's easy for teenagers to get caught up in feelings of inferiority and anxiety over the judgment of others. They often compare their life to the ideal life presented on social media, and this can lead to depression, anxiety and other emotional well-being issues. In addition, excessive use of social media can also trigger feelings of alienation and loneliness in adolescents. While they can connect with many people through these platforms, these virtual interactions often don't have the same depth as in real life. Teenagers may feel less emotionally and socially connected, as they focus more on interacting through screens than on developing direct relationships with others. This can lead to feelings of loneliness and loss of social connections that are important for their emotional development. In addition, bullying and online bullying (cyberbullying) are also one of the negative impacts of using social media on the emotional well-being of adolescents. Teenagers are often the target of verbal abuse, threats or defamation through social media platforms. This can seriously impact a teenager's mental and emotional health, increasing the risk of depression, anxiety, and even suicidal ideation. However, it is also important to remember that social media can also have a positive influence on adolescents' emotional well-being. They can help teens make new social connections, express themselves, and seek support from similar online communities. Apart from that, social media can also be a valuable source of information and knowledge for teenagers, if used wisely and with discipline.

Study of the emotional adjustment of the caregiver-patient dyad to bronchial asthma in adolescence.

This study aimed to investigate the impact of bronchial asthma-related factors on the emotional well-being of adolescents with bronchial asthma and their primary caregivers. Bronchial asthma is a common chronic disease in childhood and adolescence that can have a psychological impact on both patients and their primary caregivers. The study used a cross-sectional design and included 150 patient-caregiver dyads diagnosed with bronchial asthma, aged between 12 and 16 years and collected between 2018 and 2020. It assessed the emotional adjustment of both patients and caregivers and recorded variables related to the disease. Qualitative and quantitative analyses were conducted to perform statistical analyses. Caregivers had higher anxiety and depression scores than patients. Good adherence to treatment was necessary for the emotional adjustment of the dyad. Controlled asthma, good adherence to treatment and a reduction in medical treatment were the primary predictors of emotional adjustment. The study highlights the importance of assessing anxiety and depression levels in both patients and caregivers because the presence of these symptoms can lead to the misuse of medication, inadequate inhalation techniques, the omission of medication and reduced confidence in controlling asthma symptoms.

Body perception and frequency of exposure to advertising on social networks among adolescents

The marketing actions of influencers promoting unhealthy targeted products can aggravate the problem of childhood obesity and thus generate self-esteem problems. The influence of exposure to this type of sponsored content can also have an effect on the emotional well-being of adolescents. This is the context of this study, which seeks to analyze the relationship between exposure to food or body care advertising on social networks (YouTube, Instagram, and TikTok) of adolescents and their perception of their physical appearance. Online surveys were distributed between April and June 2022 to 1,055 adolescents aged 11-17 years and residing in Spain. The main results show that 16- and 17-year-olds have a heavier figure as an ideal reference, but they are also the group that presents the thinnest evaluation of their current figure. Their level of satisfaction is the lowest compared with the rest of the age groups, and they attach greater importance to the social role of a good physical appearance. Thus, exposure to advertising by influencers on social networks is directly related to lower satisfaction with their bodies. This assessment is based not so much on individual reasons related to health or personal well-being, but rather on fundamentally social reasons, and considers that physical appearance is a determining factor for social success. Therefore, it is advisable to study in more detail the beliefs that directly affect adolescents’ self-esteem to improve their critical competence in the face of this idealized content.

0759 Multidimensional Sleep Health is Associated with Emotional Well-being in Adolescents

Abstract Introduction Multidimensional sleep health (MSH) is a population-based approach to capture the 24-hour experience of sleep by incorporating measures of nighttime sleep and daytime functioning that promote physical and mental well-being. We have updated the existing adolescent MSH model to incorporate objective and subjective sleep measures and, in the present study, examined its utility in identifying associations between MSH and behavioral and emotional well-being. Methods We studied 377 adolescents (16.4 ± 2.3 yr; 46.4% female; 21.5% racial/ethnic minority) from the Penn State Child Cohort, a randomly-selected population-based sample. Using the RU-SATED framework – regularity, satisfaction, alertness, timing, efficiency, and duration – we derived an MSH composite score based on actigraphy-measured and self-reported sleep data. We examined the associations between MSH and scores on both the adolescent version of the Child Behavior Checklist (CBCL) and on the Pediatric Behavior Scale (PBS). CBCL’s internalizing, externalizing, thought and attention problems scores were self-reported, while similar behavioral and emotional cluster scores on the PBS were parent-reported. Results Higher MSH scores were associated with lower thought (r=-0.21, p< 0.001), externalizing (r=-0.18, p< 0.001), attention (r=-0.16, p< 0.01) or internalizing (r=-0.12, p< 0.05) problems. Higher MSH scores were associated with lower scores on the rule-breaking (r=-0.27, p< 0.001) and aggressive (r=-0.21, p< 0.001) externalizing subscales. For the internalizing subscales, higher MSH scores were associated with lower anxious-depressed (r = -0.17, p< 0.01), withdrawn-depressed (r=-0.14, p< 0.01), and somatic complaints (r=-0.12, p< 0.05) scores. Analyses based on parent reports on the more fine-grained PBS cluster scores replicated CBCL’s associations; for example, higher MSH scores were associated with lower depression (r=-0.19, p< 0.01) and inattention (r=-0.12, p< 0.05) as observed by parents. Conclusion Optimal sleep health, when considered as a multidimensional construct, is associated with emotional well-being and better behavioral outcomes in adolescents. Our MSH model, derived from objective and subjective sleep metrics, is able to capture similar trends from self-report and parent-report measures of emotion and behavior. Support (if any) National Institutes of Health (R01HL136587, UL1TR000127)