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Sleep and internalizing problems in primary school children with attention-deficit hyperactivity disorder

Han-Yu Dong1,2, Chun-Yue Miao1,2, Yang Xue1,2

  • 1Department of Developmental and Behavioral Pediatrics, Children's Medical Center, The First Hospital of Jilin University, Changchun, China.

Pediatric Research
|April 18, 2024
PubMed

Insights

Sleep issues and externalizing problems in children with ADHD may signal underlying emotional difficulties. Addressing sleep and conduct problems can help identify and manage internalizing issues in ADHD patients.

Area of Science:

  • Child Psychology
  • Neurodevelopmental Disorders
  • Sleep Medicine

Background:

  • Attention-deficit hyperactivity disorder (ADHD) is frequently comorbid with internalizing and externalizing disorders.
  • Understanding the interplay between sleep, internalizing, and externalizing problems in ADHD is crucial for effective intervention.

Purpose of the Study:

  • To investigate the relationship between sleep and internalizing problems in children with ADHD.
  • To explore the mediating role of externalizing problems in this relationship.

Main Methods:

  • 203 primary school children with newly diagnosed ADHD were assessed.
  • Sleep, internalizing (emotional symptoms, peer problems), and externalizing (conduct problems, hyperactivity-inattention) problems were measured.
  • Multi-step linear regression analyzed the mediating effects.

Main Results:

  • Sleep disturbances in ADHD children were linked to emotional problems.
  • Conduct problems (externalizing) significantly mediated the association between sleep and emotional problems.

Conclusions:

  • Sleep and externalizing problems serve as potential indicators for identifying internalizing, particularly emotional, problems in children with ADHD.
  • Interventions targeting sleep and externalizing behaviors may aid in managing internalizing symptoms in this population.
Abstract

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