Sleep and Psychiatric Symptoms in School-Age Children

Aronen, Eeva T.; Paavonen, E. Juulia; Fjällberg, Mika; Soininen, Mika; Törrönen, Johanna

doi:10.1097/00004583-200004000-00020

Cited by 236 publications

(158 citation statements)

References 26 publications

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“…In the line of this, we found that both short sleep and sleeping difficulties were related to both inattention and externalizing symptoms according to both informants. Two previous epidemiological studies have shown that school-aged children's behavioral symptoms are related to short sleep duration [2,28], but as far as we know, younger children have not been studied previously (even though there are studies on young children's sleeping difficulties and behavioral problems, there are no studies on sleep duration and behavioral problems). Among older children and similar to our findings, short sleep duration has been linked with depressiveness [2,30] and behavioral problems [2,28].…”

Section: Discussionmentioning

confidence: 93%

“…Two previous epidemiological studies have shown that school-aged children's behavioral symptoms are related to short sleep duration [2,28], but as far as we know, younger children have not been studied previously (even though there are studies on young children's sleeping difficulties and behavioral problems, there are no studies on sleep duration and behavioral problems). Among older children and similar to our findings, short sleep duration has been linked with depressiveness [2,30] and behavioral problems [2,28]. Sleep quality, well-defined bedtimes and feeling rested at school has been associated with better functioning at school [19] and an early start-time for school has been linked with daytime sleepiness and attention problems [6,11].…”

Section: Discussionmentioning

confidence: 93%

“…Two studies have assessed sleep duration using actigraphs and compared it to behavioral symptoms. Aronen et al [2] reported a negative correlation between actigraphically measured sleep duration and behavioral/internalizing symptoms in 7-12-year-old children. Nixon et al [20] reported that short sleep duration (\10 pt; 9.0 h) in 7-year-old children was related to emotional instability.…”

Section: Introductionmentioning

confidence: 99%

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Sleep quality, duration and behavioral symptoms among 5–6-year-old children

Paavonen

Porkka‐Heiskanen

Lahikainen

2009

Eur Child Adolesc Psychiatry

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To cite this version:E. Juulia Paavonen, Tarja Porkka-Heiskanen, Anja Riitta Lahikainen. Sleep quality, duration and behavioral symptoms among 5-6-year-old children. European child & adolescent psychiatry, 2009, 18 (12), pp.747-754. <10.1007/s00787-009-0033-8>. Abstract The objective of the present study was to examine whether parent-reported short sleep duration and sleeping difficulties are related to behavioral symptoms among pre-school aged children. The study is a crosssectional survey of 297 families with 5-6-year-old children. The Sleep Disturbance Scale for children was used to measure sleep duration and sleeping difficulties, and the Child Behavior Checklist and Teacher's Report Form were used to measure attention problems, and internalizing and externalizing symptoms. In multivariate logistic regression models, short sleep duration was according to parental reports related to inattention (adjusted odds ratio 4.70, 95% CI 1.58-14.00), internalizing (adjusted odds ratio 3.84, 95% CI 1.32-11.21), and total psychiatric symptoms (adjusted odds ratio 3.53, 95% CI 1.23-10.17) while according to teacher's reports it was almost significantly related to internalizing symptoms (adjusted odds ratio 4.20, 95% CI 0.86-20.51). Sleeping difficulties were strongly related to all subtypes of psychiatric symptoms according to parental reports (adjusted odds ratios ranging from 6.47 to 11.71) and to externalizing symptoms according to teachers' reports (adjusted odds ratio 7.35, 95% CI 1.69-32.08). Both short sleep duration and sleeping difficulties are associated with children's behavioral symptoms. Intervention studies are needed to study whether children's behavioral symptoms can be reduced by lengthening sleep duration or improving sleep quality.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Sleep quality, duration and behavioral symptoms among 5–6-year-old children

Paavonen

Porkka‐Heiskanen

Lahikainen

2009

Eur Child Adolesc Psychiatry

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“…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

157

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 problems are furthermore of interest because children with ADHD often have learning difficulties [4], and several studies have documented a link between sleep disorders and learning difficulties [14,34,35,42,45].…”

Section: Introductionmentioning

confidence: 99%

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Hvolby¹,

Jørgensen

Bilenberg

2009

Eur Child Adolesc Psychiatry

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Objective: Sleep problems have often been associated with attention deficit/hyperactivity disorder (ADHD). Parents of those with ADHD and children with ADHD report sleep difficulties more frequently than healthy children and their parents. The primary objective of this paper is to describe sleep patterns and problems of 5 to 11-year-old children suffering from ADHD as described by parental reports and sleep questionnaires. Method: The study included 321 children aged 5–11 years (average age 8.4 years); 45 were diagnosed with ADHD, 64 had other psychiatric diagnoses, and 212 were healthy. One hundred and ninety-six of the test subjects were boys and 125 were girls. A semi-structured interview (Kiddie-SADS-PL) was used to DSM-IV diagnose ADHD and comorbidity in the clinical group. Sleep difficulties were rated using a structured sleep questionnaire (Children Sleep Behaviour Scale). Results: Children diagnosed with ADHD had a significantly increased occurrence of sleep problems. Difficulties relating to bedtime and unsettled sleep were significantly more frequent in the ADHD group than in the other groups. Children with ADHD showed prolonged sleep onset latency, but no difference was shown regarding numbers of awakenings per night and total sleep time per night. Comorbid oppositional defiant disorder appeared not to have an added effect on problematic behaviour around bedtime. Conclusion: Parents of children with ADHD report that their children do not sleep properly more often than other parents. The ADHD group report problems with bedtime resistance, problems with sleep onset latency, unsettled sleep and nightmares more often than the control groups. It may therefore be relevant for clinicians to initiate a closer examination of those cases reporting sleep difficulties

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Sleep and Psychiatric Symptoms in School-Age Children

Cited by 236 publications

References 26 publications

Sleep quality, duration and behavioral symptoms among 5–6-year-old children

Sleep quality, duration and behavioral symptoms among 5–6-year-old children

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

Parental rating of sleep in children with attention deficit/hyperactivity disorder

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