Night Awakening and Its Association With Executive Functioning Across the First Two Years of Life

Longitudinal associations between signaled night awakening and executive functioning (EF) at 8 and 24 months in children with (>= 3 awakenings, n = 77) and without parent-rated fragmented sleep (<= 1 awakening, n = 69) were studied. EF was assessed with the Switch task at 8 and 24 months. At 24 months, behavioral tasks and parental ratings of EF (Behavior Rating Inventory of Executive Function-Preschool version) were also used. In the Switch task, children with fragmented sleep were less able to learn stimulus sequences and inhibit previously learned responses than children without fragmented sleep. The groups differed only marginally in parental ratings of EF, and no differences were found in behavioral EF tasks. These results suggest that eye movement-based measures may reveal associations between sleep and EF already in infancy and toddlerhood.