PIPages
Labs

Caroline Hoyniak

Washington University in St Louis, MO·Psychology·Early-career

Depression can begin far earlier than most people assume — symptoms are recognizable in preschoolers, where they predict trouble functioning and raise the risk of depression for the rest of life. The problem is detection: in very young children these symptoms often go unnoticed and undiagnosed because caregivers and clinicians find them hard to recognize.

Fields

Psychology

Neuroscience

Public Health & Epidemiology

Topics

early childhood depression

sleep disturbances

circadian rhythms

Grants
1 known grant, through Dec 2026

What they work on

  1. Identify which features of objectively measured sleep at age 3, captured by actigraphy and overnight polysomnography across both daytime naps and nighttime, correlate most strongly with early childhood depressive symptoms.
  2. Test whether chronodisruption — misalignment between a child's internal daily clock and actual sleep timing — is associated with depressive symptoms in 3-year-olds oversampled for familial risk for depression.
  3. Determine whether sleep disturbances measured during infancy and toddlerhood precede the onset of depression symptoms at age 3, using the prospectively followed mother-infant cohort tracked annually from birth.
  4. Combine caregiver sleep diaries with actigraphy and polysomnography to establish feasible methods for characterizing sleep continuity and sleep architecture in preschool-age children.

More about the research

One possible early signal is sleep. In adults and adolescents, sleep problems both precede and predict depression, and particular features — fragmented sleep and abnormal sleep architecture, meaning the structure and sequence of sleep stages across the night — serve as markers of the disorder. Almost nothing is known about whether the same holds in early childhood.

Why it matters

Depressive symptoms in preschool-age children impair functioning and forecast depression across the lifespan, yet they are routinely missed. If specific, objectively measured sleep or circadian features track early childhood depression — or appear before it does — they could offer clinicians an observable way to identify and monitor young children who are struggling or at risk, at an age when symptoms are otherwise hard to spot.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Sleep Disturbances and Circadian Misalignment as Potential Markers of Early Childhood Depression

NIH · Aug 2021 – Dec 2026

Closest labs

Lauren Hartstein

University of Arizona, AZ·Psychology·Early-career

Assess whether families of 5- to 6-year-olds with difficulty falling asleep can implement and accept two evening light-reduction strategies, using adherence measures and qualitative parent interviews after a two-week trial.

Beth Snitz

University of Pittsburgh, PA·Medicine & Clinical Research

Recruit 300 older adults and conduct yearly neuropsychological testing, neurological exams, and assessments of function, behavior and mood, to support studies of cognitive aging.

Judith Morgan

University of Pittsburgh, PA·Psychology

Test whether coaching depressed mothers to encourage their child's positive emotions, using PCIT-ED modules, increases 4- to 6-year-olds' neural reward response, measured with the RewP and LPP event-related potentials, in a 180-family randomized trial.

The school

Washington University in St Louis: 97 labs on PI Pages, $1.2B a year on research, 365 research doctorates a year.

More about Washington University in St Louis

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