Short Sleep Duration and Behavioral Symptoms of Attention-Deficit/Hyperactivity Disorder in Healthy 7- to 8-Year-Old Children

Paavonen, E. Juulia; Räikkönen, Katri; Lahti, Jari; Komsi, Niina; Heinonen, Kati; Pesonen, Anu‐Katriina; Järvenpää, Anna‐Liisa; Strandberg, Timo; Kajantie, Eero; Porkka‐Heiskanen, Tarja

doi:10.1542/peds.2008-2164

Cited by 160 publications

(130 citation statements)

References 38 publications

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“…In line with the results of previous studies [11][12][13][14], the present study found that subjective insomnia was positively associated with depression, anxiety, perceived pain, and severe pain-related dysfunction. Insomnia may share common neurobiological mechanisms with depression, anxiety, and pain, particularly regarding serotonin [43], norepinephrine functioning [44], and circadian clock genes [45].…”

Section: Discussionsupporting

confidence: 93%

“…The roles of insomnia and sleep duration in comorbid depression, anxiety, and pain problems in this population thus warrant further study. Co-occurrence of sleep problems and short sleep duration with inattention and hyperactivity-impulsivity has also been documented in children [11], adolescents [12,13], and young adults [14]. A meta-analysis concluded that children with ADHD are more impaired than typically developed children on most subjective (and some objective) measures of sleep, such as bedtime resistance, sleep onset difficulty, night awakening, difficulty with morning awakening, sleep-disordered breathing, daytime sleepiness, sleep onset latency, and apnea and hypopnea [15].…”

Section: Introductionmentioning

confidence: 99%

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Relationships of Subjective Insomnia and Sleep Duration with Depression, Anxiety, and Pain Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Wang¹,

Wu²,

Yang³

et al. 2018

Neuropsychiatry

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Objective:This study examined the relationships of subjective insomnia and short and long nocturnal sleep duration with depression, anxiety, and pain problems in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). Methods:A total of 469 children and adolescents (97 girls and 372 boys; age, 6-18 years) who had received a clinical diagnosis of ADHD completed the eight-item Athens Insomnia Scale, Children's Depression Inventory-Taiwan Version, Multidimensional Anxiety Scale for ChildrenTaiwanese Version, and a questionnaire about sleep duration, pain-related dysfunction, and the severity of perceived pain. Their parents provided information on the children's current ADHD and oppositional symptoms, rated on the abridged Chinese version of the Swanson, Nolan, and Pelham Scale, Version IV. Multiple regression was conducted to examine the relationships of subjective insomnia and sleep duration with depression and anxiety. Logistic regression was applied to examine the relationships of subjective insomnia and sleep duration with pain-related dysfunction and the severity of perceived pain. Results:Subjective insomnia was positively associated with depression, anxiety, pain-related dysfunction, and severe perceived pain in the study population. Short nocturnal sleep duration was positively associated with depression, anxiety, and perceived pain. Long nocturnal sleep duration was positively associated with anxiety and perceived pain. Conclusion:Insomnia and short and long nocturnal sleep duration are associated with depression, Neuropsychiatry (London) (2018) 8(1) 139Research Cheng-Fang Yen Sleep problems not only have negative impacts on quality of life and social functioning [16] but are also significantly associated with health problems. Previous cross-sectional studies have indicated that youth with comorbid ADHD and depression [17] and anxiety may have sleep problems that are more severe relative to those with ADHD alone [18,19]. Prospective studies have shown that sleep problems can significantly predict greater depressive but not anxiety symptoms 1 year later in young adolescents with ADHD [20], that transient or persistent sleep problems at the baseline can predict behavioral and emotional problems 1 year later in children with ADHD [21], and that sleep problems at the baseline can predict emotional problems at 6 months (and vice versa) [22]. These results indicate that sleep problems should be a treatment target for depression and anxiety symptoms in individuals with ADHD.Several issues concerning the association of insomnia and sleep duration with health problems in individuals with ADHD warrant further study. First, community-based studies have shown that compared with adolescents with average sleep duration, those with long nocturnal sleep duration were more prone to violence, alcohol and illicit drug use, and truancy [23], whereas long nocturnal sleep duration was found to be significantly associated with higher psychological well-being and quality of life [24]. Although one...

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Relationships of Subjective Insomnia and Sleep Duration with Depression, Anxiety, and Pain Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Wang¹,

Wu²,

Yang³

et al. 2018

Neuropsychiatry

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show abstract

“…Many observational and experimental studies of typically developing children have documented a significant association between poorer sleep functioning and higher levels of inattention (e.g., Aronen et al 2000;Becker 2014;Fallone et al 2005;Paavonen et al 2009). Although not as much work has been completed with adolescent samples, findings seem to converge with studies conducted in children.…”

Section: Sleep and Adhdmentioning

confidence: 99%

Advancing a Biopsychosocial and Contextual Model of Sleep in Adolescence: A Review and Introduction to the Special Issue

Becker

Langberg

Byars

2015

J Youth Adolescence

158

130

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Sleep problems in adolescence have been identified as an international public health issue. Over the past few decades, notable advances have been made in our understanding of the patterns and consequences of sleep in adolescence. Despite these important gains, there is much about the role of sleep in adolescence that remains to be understood. This Special Issue brings together studies that examine sleep as it specifically pertains to adolescent development and adjustment. In this introductory article, we argue for the importance of grounding the study of sleep and adolescence in developmental science and a developmental psychopathology framework. First, a review of the literature is used to outline a biopsychosocial and contextual model of sleep in adolescence. Second, attention-deficit/hyperactivity disorder (ADHD) is used as an exemplar of the proposed model given the pervasiveness of sleep problems among youth with ADHD and the likelihood that sleep problems and ADHD symptoms are interconnected in complex ways. Finally, a brief introduction to the empirical articles included in the Special Issue is provided, with particular attention given to how these articles fit within the proposed biopsychosocial and contextual model. Along with the framework proposed in this article, the studies included in this Special Issue advance the current literature and point to critical directions for future research.

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“…Sleep disturbances, including sleep fragmentation and daytime sleepiness, are more common in PD patients with ICDs than PD alone and healthy controls [9]. Similar patterns of sleep disturbance have been linked to impulsive behaviour in other related disorders such as Attention Deficit/Hyperactivity Disorder (ADHD) and restless legs syndrome (RLS) [10,11], both of which have been associated with low serum levels of the iron storage protein, ferritin [12,13]. Moreover, in a study of children with ADHD, Oner and colleagues (2012) identified a relationship between serum ferritin and hyperactivity scores [14], presenting a possible marker for broader impulse control conditions.…”

Section: Introductionmentioning

confidence: 99%

Sleep Disturbance and Serum Ferritin Levels Associate with High Impulsivity and Impulse Control Disorders in Male Parkinson’s Disease Patients

Anderton¹

2017

AJPN

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Impulse control disorders (ICDs) occur in a subset of Parkinson's disease (PD) patients on dopaminergic medications however there are currently no reliable markers to identify patients at risk. Sleep disturbances are more common in patients with an ICD. Serum ferritin levels have been associated with PD disease stage and progression, but have not previously been associated with impulsivity levels. The objective of this study was to determine if serum ferritin levels and sleep disturbance are associated with high traits of impulsivity and ICD in a cohort of PD patients attending a movement disorders clinic. This study assessed impulsiveness in 87 PD patients using the Barratt Impulsiveness Scale. Severity of sleep disturbance was determined using the sleep-related items of the MDS-UPDRS. Serum ferritin, iron and transferrin levels were measured in patients, as well as 36 age-matched healthy controls. Serum ferritin levels were significantly elevated in male PD patients in the high impulsivity group compared to patients in the low (p=.022) and normal range groups (p=.024) and showed a linear increase across the three groups. Sleep disturbance also demonstrated a linear trend, which was most severe in the high impulsivity group (p=.030). A subgroup of 11 male PD patients who fulfilled the DSM-5 criteria for an ICD had significantly higher ferritin levels and more severe sleep disturbance when compared with the remaining male PD cohort. Serum ferritin levels and sleep disturbance severity are highlighted as potential markers for abnormal impulsivity and ICD in PD patients.

show abstract

Short Sleep Duration and Behavioral Symptoms of Attention-Deficit/Hyperactivity Disorder in Healthy 7- to 8-Year-Old Children

Abstract: Children's short sleep duration and sleeping difficulties increase the risk for behavioral symptoms of attention-deficit/hyperactivity disorder.

Cited by 160 publications

References 38 publications

Relationships of Subjective Insomnia and Sleep Duration with Depression, Anxiety, and Pain Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Relationships of Subjective Insomnia and Sleep Duration with Depression, Anxiety, and Pain Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Advancing a Biopsychosocial and Contextual Model of Sleep in Adolescence: A Review and Introduction to the Special Issue

Sleep Disturbance and Serum Ferritin Levels Associate with High Impulsivity and Impulse Control Disorders in Male Parkinson’s Disease Patients

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