0820 A Longitudinal Analysis of the Relationship Between Sleep Disturbance and Behavioral Problems in Children. (27th April 2018)

• Record Type: Journal Article
• Authors: Liu, J; Cui, N; Liu, X
• Is Part Of: Sleep. Volume 41(2018)Supplement 1
• Page Start: A304
• Page End: A304
• Publication Date: 2018-04-27
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsy061.819
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: Most studies on the relationship between childhood sleep disturbance and behavioral problems have been cross-sectional. However, the temporal order and direction of this relationship are unclear. Furthermore, previous studies on such assessments were limited to single informant. We aim to longitudinally examine the relationship between sleep and behavior (internalizing, externalizing, and ADHD) by parent-, teacher-, and self-report. Methods: Participants came from the China Jintan Child Cohort. Both sleep and behavior were assessed at two time points using ASEBA (Child Behavior Checklist, Teacher's Report Form, Youth Self Report). At age 6, 1, 209 children were assessed by teachers and parents. At age 12, 672 children were assessed by parents, 749 children by teachers, and 775 by self-report. Generalized linear model with binomial family and logit link function were employed to assess the longitudinal relationship between age 6 years sleep disturbance and age 12 years behavior problems controlling for age 6 years behavior problems and other covariates. Same procedures were used for behavior problems at age 6 years and sleep problems at age 12 years. Results: About 15.0% of children were reported to have sleep and behavior problems. Children with sleep and behavior problems at age 6 years were more likely to have the same problem by mother and teacher's report at age 12 years. Sleep disturbance at 6 years increased the risk of self-reported internalizing problem (adjusted OR=1.55, 95% CI=1.08, 2.21) and ADHD (adjusted OR=2.30, 95% CI=1.47, 3.59) at age 12 years, controlling for sample characteristics and the same behavior construct at 6 years. Teacher- or mother-reported externalizing problem and teacher-reported ADHD at age 6 years predicted more sleep disturbance (OR=1.61—2.11, p values < 0.05) at age 12 years after adjusting for sample characteristics and sleep disturbance at 6 years. Conclusion: This longitudinal analysis suggests that (1) early sleep and behavioral problems predispose to later same problems; (2) early sleep problems predispose to later internalizing problems; and (3) early externalizing problems predispose to later sleep disturbance. Support (If Any): NIEHS R01-ES018858, K02-ES019878, K01-ES015877, and P30-ES013508.