Cited by 192Sleep and related disordersAttention Deficit Hyperactivity DisorderSleep and Wakefulness Research

Short Sleep Duration and Behavioral Symptoms of Attention-Deficit/Hyperactivity Disorder in Healthy 7- to 8-Year-Old Children

Paavonen, E. Juulia, Räikkönen, Katri, Lahti, Jari, Komsi, Niina, Heinonen, Kati, Pesonen, Anu-Katriina, Järvenpää, Anna-Liisa, Strandberg, Timo +2 more·2009·Pediatrics

Abstract

OBJECTIVE. It has been hypothesized that sleep deprivation may manifest in children as behavioral symptoms rather than as tiredness, but only a few studies have investigated this hypothesis. The objective of our study was to evaluate whether short sleep is associated with behavioral symptoms of attention-deficit/hyperactivity disorder in 7- to 8-year-old children. METHODS. We performed a cross-sectional study of children born in 1998 in Helsinki, Finland. The participants included 280 (146 girls, 134 boys) children with a mean age of 8.1 years (SD: 0.3; range: 7.4–8.8). Sleep quality was measured by using actigraphs. The Sleep Disturbance Scale for Children and the Attention-Deficit/Hyperactivity Disorder Rating Scale IV were administered to parents. RESULTS. Children whose average sleep duration as measured by actigraphs was short (<10th percentile, ie, <7.7 hours) and had a higher hyperactivity/impulsivity score (9.7 vs 7.8 or 7.5) and a higher attention-deficit/hyperactivity disorder total score (17.3 vs 14.5 or 13.1) but a similar inattention score (7.6 vs 6.7 or 5.6) compared with children sleeping 7.7 to 9.4 hours or >9.4 hours. In multivariate statistical models, short sleep duration remained a statistically significant predictor of hyperactivity/impulsivity, and sleeping difficulties were associated with hyperactivity/impulsivity, inattention, and the total score. There were no significant interactions between short sleep and sleeping difficulties. CONCLUSIONS. Children's short sleep duration and sleeping difficulties increase the risk for behavioral symptoms of attention-deficit/hyperactivity disorder.

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Crossref · 10.1542/peds.2008-2164

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  • The effect of sleep impairment differs greatly from one individual to another, but can be distressing to both the child and the family and may give rise to behavioural and learning difficulties in the daytime.

    “The effect of sleep impairment differs greatly from one individual to another, but can be distressing to both the child and the family and may give rise to behavioural and learning difficulties in the daytime [103, 107].”

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Authors
Paavonen, E. J., Räikkönen, K., Lahti, J., Komsi, N., Heinonen, K., Pesonen, A.-K., Järvenpää, A.-L., Strandberg, T., Kajantie, E., & Porkka-Heiskanen, T.
Affiliations
  • Finnish Institute for Health and Welfare (FI)
  • Departments of Psychology
  • Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland
  • Oulu University Hospital (FI)
  • Helsinki University Hospital (FI)
  • Physiology, University of Helsinki, Helsinki, Finland
Venue
Pediatrics
Published
2009-05-01
Volume
123
Issue
5
Pages
e857-e864
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
OpenAlex
W2128739394
Cited by
192
References
40
Citations by year
2026: 4 · 2025: 6 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 7 · 2020: 12 · 2019: 4 · 2018: 8 · 2017: 13 · 2016: 12 · 2015: 17 · 2014: 14 · 2013: 12 · 2012: 16
FWCI
23.66
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
  • WOS
Funders
  • John D. and Catherine T. MacArthur Foundation
  • Lastentautien Tutkimussäätiö
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 › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords
short sleep duration, attention deficit hyperactivity disorder, hyperactivity/impulsivity, inattention, sleep disorders, sleep deprivation, children, actigraphy, behavioral symptoms
MeSH terms
Attention Deficit Disorder with Hyperactivity, Child, Cross-Sectional Studies, Female, Humans, Male, Sleep Wake Disorders, Comorbidity, Multivariate Analysis

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