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Association of night-waking and inattention/hyperactivity symptoms trajectories in preschool-aged children

Eve Reynaud1,2,3, Anne Forhan1,2, Barbara Heude1,2

  • 1INSERM, UMR1153, Centre of Research in Epidemiology and Statistics Sorbonne Paris Cité (CRESS), EArly life Research on later Health Team (EARoH), Villejuif, F-94807, France.

Scientific Reports
|October 20, 2018
PubMed

Insights

Children with persistent night-waking are at higher risk for inattention/hyperactivity symptoms. Investigating sleep quality is crucial for behavioral difficulties in preschoolers.

Area of Science:

  • Developmental Psychology
  • Pediatric Sleep Medicine
  • Child Behavioral Health

Background:

  • Night-waking and inattention/hyperactivity symptoms are common in preschool years.
  • Understanding their longitudinal associations is crucial for early intervention.

Purpose of the Study:

  • To investigate the longitudinal associations between night-waking and inattention/hyperactivity symptoms in preschool children.
  • To identify joint developmental trajectories and associated risk factors.

Main Methods:

  • Utilized data from the French EDEN birth cohort study (n=1342).
  • Collected repeated measures of night-waking and inattention/hyperactivity symptoms at ages 2, 3, and 5-6 via questionnaires.
  • Employed group-based modeling for trajectory analysis and adjusted logistic regressions for risk factor identification.

Main Results:

  • Identified two night-waking trajectories (common and rare) and three inattention/hyperactivity trajectories (low, medium, high).
  • Children with common night-waking showed a significantly higher risk (OR=4.19) of high inattention/hyperactivity compared to rare night-wakers.
  • Persistence of both symptom types was observed throughout the preschool years.

Conclusions:

  • Children with behavioral difficulties, particularly inattention/hyperactivity, may benefit from systematic sleep quality assessment.
  • Conversely, persistent night-waking warrants investigation for potential behavioral issues.
  • Parental education, prior behavioral problems, child's gender, sleep duration, and early childcare were associated with joint trajectories.

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