Sleep, neurobehavioral functioning, and behavior problems in school-age children

Sadeh, Avi; Gruber, Reut; Raviv, Amiram

doi:10.1111/1467-8624.00414

Cited by 740Sleep and related disordersSleep and Wakefulness ResearchChild and Adolescent Psychosocial and Emotional Development

Sleep, neurobehavioral functioning, and behavior problems in school-age children

Sadeh, Avi, Gruber, Reut, Raviv, Amiram·2002·Child Development

DOI 10.1111/1467-8624.00414

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Abstract

The aim of this study was to examine the associations between sleep and neurobehavioral functioning (NBF) in school-age children. These variables were assessed for 135 unreferred, healthy school children (69 boys and 66 girls), from second-, fourth-, and sixth-grade classes. Objective assessment methods were used on the participants in their regular home settings. Sleep was monitored using actigraphy for 5 consecutive nights; and NBF was assessed using a computerized neurobehavioral evaluation system, administered twice, at different times of the day. Significant correlations between sleep-quality measures and NBF measures were found, particularly in the younger age group. Children with fragmented sleep were characterized by lower performance on NBF measures, particularly those associated with more complex tasks such as a continuous performance test and a symbol-digit substitution test. These children also had higher rates of behavior problems as reported by their parents on the Child Behavior Checklist. These results highlight the association between sleep quality, NBF, and behavior regulation in child development; and raise important questions about the origins of these associations and their developmental and clinical significance.

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Several observational studies have found that speed of processing, sustained attention, working memory, and executive function are poorer in children and adolescents who report shorter sleep.
“Although several observational studies have found that speed of processing, sustained attention, working memory, and executive function are poorer in children and adolescents who report shorter sleep, [22][23][24] other studies have failed to find a significant relationship between sleep duration and speed of processing, 23,25 working memory, or executive function.12,23,25”
From Cognitive Performance, Sleepiness, and Mood in Partially Sleep Deprived Adolescents: The Need for Sleep Study (2016) · cites this paper as [23]
Other studies have failed to find a significant relationship between sleep duration and speed of processing, working memory, or executive function in children and adolescents.
“Although several observational studies have found that speed of processing, sustained attention, working memory, and executive function are poorer in children and adolescents who report shorter sleep, [22][23][24] other studies have failed to find a significant relationship between sleep duration and speed of processing, 23,25 working memory, or executive function.12,23,25”
From Cognitive Performance, Sleepiness, and Mood in Partially Sleep Deprived Adolescents: The Need for Sleep Study (2016) · cites this paper as [23]

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“This finding is consis‑ tent with previous research (Luntamo et al., 2012; Sadeh et al., 2002).”

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Actigraphy in children
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Authors: Sadeh, A., Gruber, R., & Raviv, A.
Affiliations: Tel Aviv University (IL)
ORCID: Sadeh, Avi
Gruber, Reut
Raviv, Amiram
Venue: Child Development
Publisher: Oxford University Press (OUP)
Published: 2002-03-01
Volume: 73
Issue: 2
Pages: 405-417
ISSN: 0009-3920 (ISSN-L)
1467-8624
DOI: 10.1111/1467-8624.00414
OpenAlex: W2122314945
Cited by: 740
References: 103
Citations by year: 2026: 15 · 2025: 32 · 2024: 17 · 2023: 13 · 2022: 23 · 2021: 29 · 2020: 32 · 2019: 38 · 2018: 37 · 2017: 28 · 2016: 36 · 2015: 39 · 2014: 49 · 2013: 41 · 2012: 50
FWCI: 21.00
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 333 d)
Locations: Child Development (publishedVersion)
PubMed (publishedVersion)
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 quality, neurobehavioral function, behavioral problems, elementary school students, sleep fragmentation, actigraphy, continuous performance test, Symbol Digit Substitution Test, Child Behavior Checklist, behavioral regulation
MeSH terms: Attention, Child, Child Behavior Disorders, Female, Humans, Male, Neuropsychological Tests, Personality Assessment, Psychomotor Performance, Reaction Time, Sleep Deprivation, Sleep Wake Disorders, Polysomnography

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Sleep, neurobehavioral functioning, and behavior problems in school-age children

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