Sleep and behavioral/emotional problems in children: a population-based study

S Carvalho Bos1, A Gomes, V Clemente

  • 1Institute of Medical Psychology, Faculty of Medicine, Coimbra, Portugal. sbos@fmed.uc.pt

Sleep Medicine
|February 16, 2008
PubMed

Insights

Bedtime resistance in children is linked to hyperactivity and conduct issues. Longer sleep durations may also correlate with hyperactive or emotional problems in school-aged children.

Area of Science:

  • Child Psychology
  • Sleep Medicine
  • Behavioral Science

Background:

  • The relationship between sleep-wake behaviors and emotional/disruptive problems in healthy school-aged children requires further investigation.
  • Existing research has not clearly established these connections.

Purpose of the Study:

  • To explore the association between sleep-wake behaviors and emotional, hyperactivity, and conduct problems in school-aged children.
  • To identify specific sleep patterns linked to behavioral issues.

Main Methods:

  • A parental questionnaire assessed children's sleep patterns (duration, bedtime resistance, awakenings, daytime sleepiness).
  • The Rutter Scale B2, completed by teachers, evaluated psychiatric symptomatology (emotional, hyperactivity, conduct problems).
  • The study included 779 children aged 6-11 years.

Main Results:

  • Bedtime resistance was associated with hyperactivity and conduct problems in boys.
  • Hyperactivity in boys correlated with longer weekend sleep durations.
  • Conduct and emotional problems in girls were linked to earlier school-day bedtimes and longer sleep durations.

Conclusions:

  • Bedtime resistance emerged as a significant sleep behavior associated with hyperactivity and conduct problems.
  • Longer sleep durations were more common in children experiencing hyperactive or emotional difficulties.
  • Promoting good sleep hygiene practices at bedtime may aid parents in establishing sleep limits.
Abstract

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