We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Sleep problems predict comorbid externalizing behaviors and depression in young adolescents with attention-deficit/hyperactivity disorder.
- Authors
Becker, Stephen; Langberg, Joshua; Evans, Steven
- Abstract
Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) experience high rates of sleep problems and are also at increased risk for experiencing comorbid mental health problems. This study provides an initial examination of the 1-year prospective association between sleep problems and comorbid symptoms in youth diagnosed with ADHD. Participants were 81 young adolescents (75 % male) carefully diagnosed with ADHD and their parents. Parents completed measures of their child's sleep problems and ADHD symptoms, oppositional defiant disorder (ODD) symptoms, and general externalizing behavior problems at baseline ( M = 12.2) and externalizing behaviors were assessed again 1 year later. Adolescents completed measures of anxiety and depression at both time-points. Medication use was not associated with sleep problems or comorbid psychopathology symptoms. Regression analyses indicated that, above and beyond demographic characteristics, ADHD symptom severity, and initial levels of comorbidity, sleep problems significantly predicted greater ODD symptoms, general externalizing behavior problems, and depressive symptoms 1 year later. Sleep problems were not concurrently or prospectively associated with anxiety. Although this study precludes making causal inferences, it does nonetheless provide initial evidence of sleep problems predicting later comorbid externalizing behaviors and depression symptoms in youth with ADHD. Additional research is needed with larger samples and multiple time-points to further examine the interrelations of sleep problems and comorbidity.
- Subjects
MENTAL depression risk factors; BEHAVIOR disorders in children; ANXIETY; ATTENTION-deficit hyperactivity disorder; CHILD Behavior Checklist; STATISTICAL correlation; LONGITUDINAL method; REGRESSION analysis; RESEARCH funding; SLEEP disorders; T-test (Statistics); COMORBIDITY; RANDOMIZED controlled trials; DATA analysis software; DESCRIPTIVE statistics; DISEASE complications; DISEASE risk factors
- Publication
European Child & Adolescent Psychiatry, 2015, Vol 24, Issue 8, p897
- ISSN
1018-8827
- Publication type
Article
- DOI
10.1007/s00787-014-0636-6