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Cited by 521Sleep and related disordersSleep and Wakefulness ResearchChild and Adolescent Psychosocial and Emotional Development

Associations Between Sleep Duration Patterns and Behavioral/Cognitive Functioning at School Entry

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Touchette, Évelyne, Petit, Dominique, Séguin, Jean R., Boivin, Michel, Tremblay, Richard E., Montplaisir, Jacques Y.·2007·Sleep
DOI 10.1093/sleep/30.9.1213PMC PMC1978413
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Abstract

OBJECTIVE: The aim of the study was to investigate the associations between longitudinal sleep duration patterns and behavioral/cognitive functioning at school entry. DESIGN, SETTING, AND PARTICIPANTS: Hyperactivity-impulsivity (HI), inattention, and daytime sleepiness scores were measured by questionnaire at 6 years of age in a sample of births from 1997 to 1998 in a Canadian province (N=1492). The Peabody Picture Vocabulary Test--Revised (PPVT-R) was administered at 5 years of age and the Block Design subtest (WISC-III) was administered at 6 years of age. Sleep duration was reported yearly by the children's mothers from age 2.5 to 6 years. A group-based semi-parametric mixture model was used to estimate developmental patterns of sleep duration. The relationships between sleep duration patterns and both behavioral items and neurodevelopmental tasks were tested using weighted multivariate logistic regression models to control for potentially confounding psychosocial factors. RESULTS: Four sleep duration patterns were identified: short persistent (6.0%), short increasing (4.8%),10-hour persistent (50.3%), and 11-hour persistent (38.9%). The association of short sleep duration patterns with high HI scores (P=0.001), low PPVT-R performance (P=0.002), and low Block Design subtest performance (P=0.004) remained significant after adjusting for potentially confounding variables. CONCLUSIONS: Shortened sleep duration, especially before the age of 41 months, is associated with externalizing problems such as HI and lower cognitive performance on neurodevelopmental tests. Results highlight the importance of giving a child the opportunity to sleep at least 10 hours per night throughout early childhood.

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  • Before the age of 3 years, poor sleep quality and shorter sleep durations are predictive of hyperactivity, cognitive deficits and impulsivity at 6 years of age, even in children showing normative sleep in the interim period.

    “Interestingly, before the age of 3 years, poor sleep quality and shorter sleep durations, which could be the result of inconsistent sleep–wake cycles and less-robust circadian rhythms, are predictive of hyperactivity, cognitive deficits and impulsivity at 6 years of age55,56, even in children showing normative sleep in the interim period57.”

    From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [57]

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Research works printed but not linked: 3

  1. Fallone G, Seifer R, Acebo C, Carskadon MA. Prolonged sleep re- striction in 11-and 12-year-old children: Effects on behavior, sleep- iness, and mood. Sleep 2000;23:A28.
  2. Tikotzky L, Sadeh A. Sleep patterns and sleep disruptions in kinder- garten. J Clin Child Psychol. 2001;30:581-91.
  3. Mindell JA. Sleep in America. SRS Bulletin 2004;10:14-5.

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Authors
Touchette, É., Petit, D., Séguin, J. R., Boivin, M., Tremblay, R. E., & Montplaisir, J. Y.
Affiliations
  • Hôpital du Sacré-Cœur de Montréal (CA)
  • Centre Hospitalier Universitaire Sainte-Justine (CA)
  • Research Unit on Children's Psychosocial Maladjustment (CA)
Corresponding author
Montplaisir, Jacques Y.
ORCID
Venue
Sleep
Publisher
Oxford University Press (OUP)
Published
2007-09
Volume
30
Issue
9
Pages
1213-1219
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
DOI
10.1093/sleep/30.9.1213
PMC
PMC1978413
OpenAlex
W2120824283
Cited by
521
References
45
Citations by year
2026: 26 · 2025: 27 · 2024: 26 · 2023: 21 · 2022: 40 · 2021: 31 · 2020: 42 · 2019: 39 · 2018: 25 · 2017: 30 · 2016: 36 · 2015: 34 · 2014: 27 · 2013: 24 · 2012: 17
FWCI
20.52
Type
journal article
Language
en
Open access
Locations
  • SLEEP (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Deep Blue (University of Michigan) (submittedVersion)
Funders
  • Pfizer
  • GlaxoSmithKline
  • Sanofi
  • Jazz Pharmaceuticals
  • Servier
  • Canadian Institutes of Health Research (44072)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
sleep duration, sleep patterns, school entry, hyperactivity/impulsivity, inattention, daytime sleepiness, cognitive performance, vocabulary, block designs, externalizing problems, early childhood, developmental trajectories, sleep deprivation
MeSH terms
Child, Child Development, Child Welfare, Child, Preschool, Circadian Rhythm, Cognition, Female, Health Status, Humans, Longitudinal Studies, Male, Sleep, Students, Wakefulness

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