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Sleep in children with disruptive behavioral disorders
Eeva T Aronen1, Tuulikki Lampenius, Tuija Fontell
1a Department of Child Psychiatry Children's Hospital, Helsinki University and Helsinki University Central Hospital.
Insights
Children with Conduct Disorder/Oppositional Defiant Disorder (CD/ODD) experience more sleep problems. Poor sleep in these children is linked to increased externalizing behaviors, suggesting sleep evaluation is crucial.
Area of Science:
- Child Psychology
- Sleep Medicine
- Neurodevelopmental Disorders
Background:
- Conduct Disorder/Oppositional Defiant Disorder (CD/ODD) significantly impacts child development and behavior.
- Sleep disturbances are frequently reported in pediatric behavioral disorders but require further investigation in CD/ODD.
- Understanding the relationship between sleep and behavioral symptoms is essential for effective intervention.
Purpose of the Study:
- To compare sleep patterns between children diagnosed with CD/ODD and typically developing children.
- To examine the association between sleep characteristics and behavioral symptoms in children with CD/ODD.
Main Methods:
- A case-control study involving 30 children (aged 7-12) with CD/ODD and matched controls.
- Sleep was assessed using parent-reported questionnaires and objective actigraphy.
- Behavioral symptoms were evaluated through parent reports, focusing on externalizing behaviors.
Main Results:
- Patients with CD/ODD reported significantly more sleep problems than controls.
- Actigraphy revealed reduced sleep duration in CD/ODD children with comorbid ADHD compared to controls and CD/ODD alone.
- Lower sleep amount and efficiency in CD/ODD patients correlated significantly with increased parent-reported externalizing symptoms.
Conclusions:
- Children with CD/ODD exhibit notable sleep disturbances.
- Sleep problems in CD/ODD are associated with more severe externalizing behaviors.
- Clinical evaluation of sleep in children with CD/ODD is recommended, as sleep improvement may alleviate behavioral symptoms.
Abstract:
This study compared sleep in patients with Conduct Disorder/Oppositional Defiant Disorder (CD/ODD) and normative children and evaluated the associations between sleep and behavioral symptoms in patients. Participants were 30 patients, aged 7 to 12 years, with diagnoses of CD/ODD and their age and gender matched controls. Patients with CD/ODD and their parents reported significantly more sleep problems than did the control children and their parents (p values < 0.01). By actigraphy, CD/ODD children with comorbid ADHD slept significantly less than did the patients with CD/ODD alone and the controls. In patients, low sleep amount and efficiency associated with increased amount of parent-reported externalizing symptoms (r = -0.72, 0.66, p values < 0.001). Results highlight the need of evaluating sleep in children with CD/ODD. Improving their sleep may ease their symptoms.
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