Mood is associated with snoring in preschool-aged children
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Updated: Jun 25, 2026

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Eeva T Aronen1, Katja Liukkonen, Petteri Simola
1Department of Child Psychiatry, Hospital for Children and Adolescents, Helsinki University Central Hospital, Neuroscience Unit of the Helsinki Brain Research Center, Helsinki, Finland. eeva.aronen@helsinki.fi
Insights
Snoring children aged 3-6 show more internalizing emotional problems and worse cognitive performance, including attention and language skills. Sleep disordered breathing (SDB) is a potential risk factor for these issues in children.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Neurodevelopmental Disorders
Background:
- Snoring in children is common and can be associated with sleep disordered breathing (SDB).
- The impact of snoring on emotional, behavioral, and cognitive development in young children requires further investigation.
Purpose of the Study:
- To compare emotional and behavioral problems, sleep quality, and cognitive performance between snoring and nonsnoring children aged 3 to 6 years.
- To identify potential links between snoring and developmental outcomes in preschool-aged children.
Main Methods:
- A clinical study involving 43 snoring and 46 nonsnoring children aged 3-6 years.
- Parental completion of the Child Behavior Checklist (CBCL).
- Neuropsychological assessments including the Wechsler Preschool and Primary Scale of Intelligence, Revised, and NEPSY-A subtests for attention, language, sensorimotor, memory, and learning.
Main Results:
- Snoring children exhibited significantly more parent-reported internalizing symptoms, particularly anxious/depressed mood and emotional reactivity.
- A higher percentage of snoring children scored in the subclinical or clinical range for internalizing symptoms compared to nonsnorers.
- The snoring group performed worse on auditory attention and language skills (verbal IQ) tests.
- Snoring children also reported more sleep problems beyond snoring.
Conclusions:
- Snoring, indicative of potential sleep disordered breathing (SDB), is associated with increased internalizing emotional symptoms in young children.
- Impaired cognitive functions, specifically in attention and language, are observed in children who snore.
- SDB should be considered a risk factor for mood disorders and cognitive deficits in childhood.
Objective:
To study emotional and behavioral problems and sleep and cognitive performance in snoring and nonsnoring 3- to 6-year-old children.
Methods:
As part of an epidemiological study of sleep disordered breathing (SDB) in preschool-aged children, 43 snorers and 46 nonsnorers participated in a clinical study. Their parents completed the Child Behavior Checklist (CBCL). The children were assessed with Wechsler Preschool and Primary Scale of Intelligence, Revised and subtests of the Developmental Neuropsychological Assessment (NEPSY-A) representing aspects of attention, language skills, sensorimotor functions, memory, and learning.
Results:
On the CBCL snoring children had significantly more parent reported internalizing symptoms (p < .05) than the nonsnoring children, especially symptoms of anxious/depressed mood (p < .01) and emotional reactivity (p < .05). More children from the snoring group than from the nonsnoring group (22 vs 11%) scored in the subclinical or clinical range on the internalizing scale. Interestingly, no significant difference between the groups was found in the amount of externalizing symptoms. The amount of sleep problems other than snoring was higher in the snoring than in the nonsnoring group (p < .01). On tests measuring auditory attention (p < .01) and language skills (verbal IQ, p < .05), the snoring group performed worse than the nonsnoring group.
Conclusions:
Our results support the view that SDB should be considered a possible risk factor for mood disorder symptoms and impaired cognitive performance in children.
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