The bidirectional relationship between sleep problems and internalizing and externalizing problems in children with ADHD: a prospective cohort study

Mulraney, Melissa, Giallo, Rebecca, Lycett, Kate, Mensah, Fiona and Sciberras, Emma 2016, The bidirectional relationship between sleep problems and internalizing and externalizing problems in children with ADHD: a prospective cohort study, Sleep medicine, vol. 17, pp. 45-51, doi: 10.1016/j.sleep.2015.09.019.

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Title The bidirectional relationship between sleep problems and internalizing and externalizing problems in children with ADHD: a prospective cohort study
Author(s) Mulraney, Melissa
Giallo, Rebecca
Lycett, Kate
Mensah, Fiona
Sciberras, EmmaORCID iD for Sciberras, Emma orcid.org/0000-0003-2812-303X
Journal name Sleep medicine
Volume number 17
Start page 45
End page 51
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-01
ISSN 1389-9457
1878-5506
Keyword(s) sleep
ADHD
internalizing
externalizing
Summary BACKGROUND: Behavioral sleep problems are common in children with attention deficit hyperactivity disorder (ADHD), and longitudinal studies have found sleep problems to be both a predictor and outcome of internalizing and externalizing problems. We investigated the potential bidirectional relationship between sleep problems and internalizing/externalizing problems.

METHODS: Children with ADHD, aged 5-13 years, were recruited from 21 pediatric practices across Victoria, Australia (N = 270). Across a 12-month period, at three time points, parents reported on their child's sleep problems (Children's Sleep Habits Questionnaire) and emotional and behavioral functioning (Strengths and Difficulties Questionnaire). Data were analyzed using autoregressive cross-lagged panel models.

RESULTS: Sleep problem severity and emotional/behavioral problem severity were very stable across the 12-month period. Sleep problems at baseline predicted emotional problems at six months (r = 0.17, p < 0.01), and emotional problems at baseline predicted sleep problems at six months (r = 0.07, p < 0.05). However, there was no predictive relationship between sleep problems and emotional problems from 6-12 months. No bidirectional relationship was observed between sleep problems and conduct problems.

CONCLUSIONS: In children with ADHD, there is weak evidence of a bidirectional relationship between sleep problems and emotional problems. These symptoms are also very stable over time; therefore, the best treatment approach to improve overall functioning may be to target both sleep and emotional functioning in these children.
Language eng
DOI 10.1016/j.sleep.2015.09.019
Field of Research 170199 Psychology not elsewhere classified
1103 Clinical Sciences
1701 Psychology
Socio Economic Objective 920501 Child Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30087797

Document type: Journal Article
Collection: School of Psychology
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