CoChat
Sign Up
Cited by 71Sleep and related disordersYouth Substance Use and School AttendanceChild and Adolescent Psychosocial and Emotional Development

Prevalence of sleep problems and relationship between sleep problems and school refusal behavior in school-aged children in children’s and parents’ ratings

Hochadel, Jochen, Frölich, Jan, Wiater, Alfred, Lehmkuhl, Gerd, Fricke-Oerkermann, Leonie·2014·Psychopathology
DOI 10.1159/000345403
Open this paper in CoChat — free account

Abstract

OBJECTIVE: This cross-section study investigated the prevalence of sleep disorders and the relationship between sleep problems (insomnias, parasomnias, and daytime sleepiness) and school refusal behavior in school-age children (fourth grade elementary school in Cologne, Germany). METHOD: A sample of 1,490 children (age range: 8-11 years) and their parents each completed a sleep questionnaire and the School Refusal Assessment Scale. RESULTS: The results indicate that sleep problems in childhood are frequent. Furthermore, the results of the study clearly indicate that there is a relationship between sleep problems and school refusal behavior. Children suffering from insomnias (sleep onset problems, difficulties maintaining sleep), parasomnias (nightmares, night terrors), and daytime sleepiness showed without exception significantly higher scores in 3 out of 4 school refusal behavior maintaining conditions compared to children without sleep problems. These three conditions are all associated with anxiety disorders (anxiety or depressive disorder, as well as separation anxiety disorder). Only in the fourth condition, which is associated with oppositional defiant or conduct disorders, truancy, or no disorder at all, were there no significant differences between children with and children without sleep problems. CONCLUSIONS: For research and clinical practice, it is important to view sleep problems and school refusal behavior in relation to each other rather than as isolated phenomena.

Integrity signals

Registry

Crossref · 10.1159/000345403

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Researchers have demonstrated across numerous studies that functions of school refusal behavior relate to different patterns of depression, anticipatory and school-based performance anxiety, stress, positive/negative affect, sleep problems, and social functioning.

    “Researchers have demonstrated across numerous studies that functions of school refusal behavior relate to different patterns of depression, anticipatory and school-based performance anxiety, stress, positive/negative affect, sleep problems, and social functioning (e.g., Kearney, 2002; Richards and Hadwin, 2011; Hochadel et al., 2014; Fernández-Sogorb et al., 2018; Gonzálvez et al., 2018; Sanmartín”

    From Reconciling Contemporary Approaches to School Attendance and School Absenteeism: Toward Promotion and Nimble Response, Global Policy Review and Implementation, and Future Adaptability (Part 1) (2019) · cites this paper as Hochadel et al., 2014

Cites

Flagged first, then by citations

1 of the 43 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Hochadel, J., Frölich, J., Wiater, A., Lehmkuhl, G., & Fricke-Oerkermann, L.
Affiliations
  • University of Cologne (DE)
  • Heidelberg University (DE)
  • Krankenhaus Porz am Rhein (DE)
ORCID
Wiater, Alfred
Venue
Psychopathology
Publisher
S. Karger AG
Published
2013-09-27
Volume
47
Issue
2
Pages
119-126
ISSN
  • 0254-4962 (ISSN-L)
  • 1423-033X
DOI
10.1159/000345403
OpenAlex
W1988905334
Cited by
71
References
43
Citations by year
2026: 4 · 2025: 8 · 2024: 4 · 2023: 8 · 2022: 9 · 2021: 10 · 2020: 6 · 2019: 6 · 2018: 8 · 2016: 5 · 2015: 2
FWCI
3.15
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
  • Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
Funders
Imhoff Stiftung
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Social Sciences › Education › Youth Substance Use and School Attendance
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
sleep disorders, school refusal, elementary school students, insomnia, parasomnias, nightmares, night terrors, daytime sleepiness, separation anxiety disorder, anxiety disorders, conduct disorder, truancy, prevalence, parent ratings
MeSH terms
Adult, Mental Disorders, Child, Child Behavior, Cross-Sectional Studies, Female, Germany, Humans, Male, Parents, Surveys and Questionnaires, Schools, Sleep, Sleep Wake Disorders, Students, Prevalence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review