The DOI matches its Crossref record; 53 of the 54 references it cites were found in a registry or an index.
Instability of Sleep Patterns in Children With Attention-Deficit/Hyperactivity Disorder
Abstract
Objective To compare the stability of the sleep-wake system of children with attention-deficit/hyperactivity disorder (ADHD) and controls by objective and subjective measures.Method Thirty-eight school-age boys with diagnosed ADHD and 64 control school-age boys were examined using actigraphic monitoring and sleep diaries, over 5 consecutive nights.Results Increased instability in sleep onset, sleep duration, and true sleep were found in the ADHD group compared with the control group. Discriminant analysis revealed that children's classification (ADHD versus control) could be significantly predicted on the basis of their sleep measures.Conclusions The findings support the hypothesis that instability of the sleep-wake system is a characteristic of children with ADHD. Given the potential negative effects of disturbed or unstable sleep on daytime functioning, it is recommended that a thorough sleep assessment be conducted when a sleep disturbance is suspected or when symptoms associated with daytime sleepiness or decreased arousal level are present.
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In the citing paper
“in an actigraphic study of 32 children with ADHD that sleep onset times are unstable”
From A systematic review of circadian function, chronotype and chronotherapy in attention deficit hyperactivity disorder (2017) · cites this paper as Gruber et al. (2000)
In the citing paper
“and a similar picture of volatility and unpredictability is observed in sleep patterns in children with ADHD (Gruber and Sadeh 2004; Gruber et al. 2000; Lecendreux and Cortese 2007; Tsai and Huang 2010).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Gruber et al. 2000
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
(1983) · Medical Entomology and Zoology · Cited by 4,251
Integrative Guide for the 1991 CBCL/4-18, Ysr, and Trf Profiles
Achenbach, T. M. (1991) · Medical Entomology and Zoology · Cited by 2,454
Normative data on Revised Conners Parent and Teacher Rating Scales
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00919127 · Cited by 1,728
Sleep Schedules and Daytime Functioning in Adolescents
Wolfson, A. R., & Carskadon, M. A. (1998) · Child Development · doi:10.1111/j.1467-8624.1998.tb06149.x · Cited by 1,676
Activity-Based Sleep-Wake Identification: An Empirical Test of Methodological Issues
Sadeh, A., Sharkey, M., & Carskadon, M. A. (1994) · Sleep · doi:10.1093/sleep/17.3.201 · Cited by 1,487
Self-citationDiagnostic and Statistical Manual of Mental Disorders
Preedy, V., & Watson, R. (2010) · Springer eBooks · doi:10.1007/978-0-387-78665-0_5485 · Cited by 1,146
The Role of Actigraphy in the Evaluation of Sleep Disorders
Sadeh, A., Hauri, P., Kripke, D. F., & Lavie, P. (1995) · SLEEP · doi:10.1093/sleep/18.4.288 · Cited by 914
Self-citationAcebo, C., Sadeh, A., Seifer, R., Tzischinsky, O., Wolfson, A. R., Hafer, A., & Carskadon, M. A. (1999) · Sleep · doi:10.1093/sleep/22.1.95 · Cited by 721
Self-citationThe regulation of sleep and arousal: development and psychopathology
Dahl, R. E. (1996) · Development and Psychopathology · doi:10.1017/s0954579400006945 · Cited by 707
Symptoms of Sleep Disorders, Inattention, and Hyperactivity in Children
Chervin, R. D., Dillon, J. E., Bassetti, C. L., Ganoczy, D. A., & Pituch, K. (1997) · SLEEP · doi:10.1093/sleep/20.12.1185 · Cited by 577
Sleep Problems in Early Childhood: Continuities, Predictive Factors, and Behavioral Correlates
Zuckerman, B., Stevenson, J., & Bailey, V. (1987) · Pediatrics · doi:10.1542/peds.80.5.664 · Cited by 472
Sleep Disturbances in Children With Attention‐Deficit/Hyperactivity Disorder
CORKUM, P., TANNOCK, R., & MOLDOFSKY, H. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199806000-00014 · Cited by 441
Cognitive Function Following Acute Sleep Restriction in Children Ages 10–14
(1998) · Sleep · doi:10.1093/sleep/21.8.861 · Cited by 430
Optimal stimulation: A model of disordered activity and performance in normal and deviant children.
Zentall, S. S., & Zentall, T. R. (1983) · Psychological Bulletin · doi:10.1037/0033-2909.94.3.446 · Cited by 407
Guilleminault, C., Winkle, R. A., Korobkin, R., & Simmons, B. F. (1982) · European Journal of Pediatrics · doi:10.1007/bf01377349 · Cited by 404
Effect of Sleep Disruption on Sleep, Performance, and Mood
Bonnet, M. H. (1985) · SLEEP · doi:10.1093/sleep/8.1.11 · Cited by 370
Toward a Clearer Definition of the Attentional Deficit of Hyperactive Children
Douglas, V. I., & Peters, K. G. (1979) · Springer eBooks · doi:10.1007/978-1-4613-2985-5_8 · Cited by 336
Sadeh, A., Lavie, P., Scher, A., Tirosh, E., & Epstein, R. (1991) · PEDIATRICS · doi:10.1542/peds.87.4.494 · Cited by 335
Self-citationA Naturalistic Assessment of the Motor Activity of Hyperactive Boys
Porrino, L. J. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.04390010091012 · Cited by 307
Sleep and the Maturing Nervous System
(1972) · Elsevier eBooks · doi:10.1016/b978-0-12-176250-6.x5001-0 · Cited by 284
Principles and practice of sleep medicine in the child
Talwar, D. (1996) · Pediatric Neurology · doi:10.1016/0887-8994(96)80507-8 · Cited by 277
Behavior Problems in Preschool Children
Campbell, S. B. (1997) · Advances in Clinical Child Psychology · doi:10.1007/978-1-4757-9035-1_1 · Cited by 255
Sadeh, A. (1996) · Sleep · doi:10.1093/sleep/19.10.757 · Cited by 240
Self-citationPrinciples and Practice of Sleep Medicine in the Child
Ferber, R. A., & Kryger, M. H. (1995) · Medical Entomology and Zoology · Cited by 231
Hyperactivity : current issues, research, and theory
Ross, D. M., & Ross, S. A. (1982) · Wiley eBooks · Cited by 220
Delayed sleep phase syndrome in adolescents
Thorpy, M. J., Korman, E., Spielman, A. J., & Glovinsky, P. B. (1988) · Journal of Adolescent Health Care · doi:10.1016/0197-0070(88)90014-9 · Cited by 213
BEHAVIOUR PROBLEMS IN PRE‐SCHOOL CHILDREN
Jenkins, S., BAX, M. C. O., & Hart, H. (1980) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1980.tb00011.x · Cited by 212
Night waking and temperament in infancy
Carey, W. B. (1974) · The Journal of Pediatrics · doi:10.1016/s0022-3476(74)80027-2 · Cited by 204
Sadeh, A. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.1.63 · Cited by 203
Self-citationSadeh, A. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.62.1.63 · Cited by 202
Self-citationSelf-Organization in Developmental Processes: Can Systems Approaches Work?
Thelen, E. (2008) · doi:10.1002/9780470753507.ch18 · Cited by 200
Sleeping and waking states in infants: A functional perspective
Thoman, E. B. (1990) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(05)80165-4 · Cited by 200
Sleep Disturbance in Preschool-Aged Hyperactive and Nonhyperactive Children
Kaplan, B. J., McNicol, J., Conte, R., & Moghadam, H. K. (1987) · PEDIATRICS · doi:10.1542/peds.80.6.839 · Cited by 181
Parmelee, A. H., & Stern, E. (1972) · Elsevier eBooks · doi:10.1016/b978-0-12-176250-6.50017-3 · Cited by 178
The Role of Sleep Disturbances in Attention Deficit Disorder Symptoms: A Case Study
Dahl, R. E., Pelham, W. E., & Wierson, M. (1991) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/16.2.229 · Cited by 177
Development of states in infants
Palmelee, A. J. (1972) · Medical Entomology and Zoology · Cited by 132
Thoman, E. B., Denenberg, V. H., Sievel, J., Zeidner, L. P., & Becker, P. (1981) · Neuropediatrics · doi:10.1055/s-2008-1059638 · Cited by 128
Greenhill, L., Puig-Antich, J., Goetz, R., Hanlon, C., & Davies, M. (1983) · Sleep · doi:10.1093/sleep/6.2.91 · Cited by 121
Sleep habits of children and the identification of pathologically sleepy children
Anders, T. F., Carskadon, M. A., Dement, W. C., & Harvey, K. (1978) · Child Psychiatry & Human Development · doi:10.1007/bf01463220 · Cited by 110
Zilber, N., Auerbach, J. G., & Lerner, Y. (1994) · PubMed · Cited by 107
Sleep Patterns in Hyperkinetic and Normal Children
Busby, K., Firestone, P., & Pivik, R. T. (1981) · SLEEP · doi:10.1093/sleep/4.4.366 · Cited by 105
Weinberg, W. A., & Brumback, R. A. (1990) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)82654-x · Cited by 103
Sleep and Temperament: Maternal Perceptions of Temperament of Sleep-Disturbed Toddlers
Sadeh, A., Lavie, P., & Scher, A. (1994) · Early Education and Development · doi:10.1207/s15566935eed0504_6 · Cited by 94
Self-citationGuilleminault, C., & Pelayo, R. (2000) · Pediatric Drugs · doi:10.2165/00148581-200002010-00001 · Cited by 84
Severity of sleep problems in children with severe learning difficulties: Description and correlates
Quine, L. (1992) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.2450020404 · Cited by 75
Kahn, A., Mozin, M. J., Rebuffat, E., Sottiaux, M., & Müller, M.-F. (1989) · PEDIATRICS · doi:10.1542/peds.84.4.595 · Cited by 70
Monotonic and rhythmic influences: A challenge for sleep deprivation research.
Babkoff, H., Caspy, T., Mikulincer, M., & Sing, H. C. (1991) · Psychological Bulletin · doi:10.1037/0033-2909.109.3.411 · Cited by 55
Sleep Patterns, Attention Span, and Infant Temperament
Weissbluth, M., & Liu, K. (1983) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-198303000-00007 · Cited by 47
Halpern, L. F., Jr., & Baumeister, A. A. (1995) · Developmental Review · doi:10.1006/drev.1995.1010 · Cited by 36
Sleep REM latency in hyperkinetic boys
Khan, A. U. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.10.1358 · Cited by 34
Behavioral stability predicts morbidity and mortality in infants from a neonatal intensive care unit
Tynan, W. D. (1986) · Infant Behavior and Development · doi:10.1016/0163-6383(86)90039-1 · Cited by 26
Foster, D., & Kleitman, N. (1965) · The American Journal of Psychology · doi:10.2307/1421116 · Cited by 22
Research works printed but not linked: 1
- Gruber, 1997, Sleep of school-aged children: objective and subjective measures, J Sleep Res, 26, 158
Cited by
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The role and validity of actigraphy in sleep medicine: an update
Sadeh, A. (2011) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2010.10.001 · Cited by 1,415
Self-citationSleep hygiene and melatonin treatment for children and adolescents with ADHD and initial insomnia.
Weiss, M. D., Wasdell, M. B., Bomben, M. M., Rea, K., & Fréeman, R. D. (2006) · PubMed · doi:10.1097/01chi.0000205706.78818.ef · Cited by 1,213
Sleep, neurobehavioral functioning, and behavior problems in school-age children
Sadeh, A., Gruber, R., & Raviv, A. (2002) · Child Development · doi:10.1111/1467-8624.00414 · Cited by 740
Self-citationThe role of actigraphy in sleep medicine
Sadeh, A., & Acebo, C. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2001.0182 · Cited by 743
Self-citationMaruff, P., Thomas, E., Cysique, L., Brew, B., Collie, A., Snyder, P., & Pietrzak, R. H. (2009) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acp010 · Cited by 635
Metadata
- Authors
- GRUBER, R., SADEH, A., & RAVIV, A.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- GRUBER, REUT
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-04
- Volume
- 39
- Issue
- 4
- Pages
- 495-501
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2073645804
- Cited by
- 381
- References
- 54
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 2 · 2019: 9 · 2018: 17 · 2017: 12 · 2016: 18 · 2015: 18 · 2014: 24 · 2013: 16 · 2012: 21
- FWCI
- 20.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- attention deficit hyperactivity disorder, sleep instability, sleep onset, sleep duration, actigraphy, sleep diary, sleep disorders, daytime sleepiness, children
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Humans, Male, Psychiatric Status Rating Scales, Biomarkers, Case-Control Studies, Polysomnography, Sleep Disorders, Circadian Rhythm
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