Short Nighttime Sleep-Duration and Hyperactivity Trajectories in Early Childhood

OBJECTIVES: Our objectives were to investigate the developmental trajectories of nighttime sleep duration and hyperactivity over the preschool years and to identify the risk factors associated with short nighttime sleep duration and high hyperactivity scores. DESIGN, SETTING, AND PARTICIPANTS: Nighttime sleep duration and hyperactivity were measured yearly by questionnaires administered to mothers of 2057 children from age 1.5 to 5 years. Developmental trajectories of nighttime sleep duration and hyperactivity throughout early childhood were analyzed to determine interassociations. A multinomial logistic regression was performed to determine which factors among selected child, maternal, and family characteristics and parental practices surrounding sleep periods in early childhood were associated with short nighttime sleep duration and high hyperactivity scores. RESULTS: The trajectories of nighttime sleep duration and hyperactivity were significantly associated. The odds ratio (OR) of reporting short nighttime sleep duration was 5.1 for highly hyperactive children (confidence interval [CI]: 3.2–7.9), whereas the OR of reporting high hyperactivity scores was 4.2 for persistently short sleepers (CI: 2.7–6.6). The risk factors for reporting short nighttime sleep duration and high hyperactivity scores were (1) being a boy, (2) having insufficient household income, (3) having a mother with a low education, and (4) being comforted outside the bed after a nocturnal awakening at 1.5 years of age. CONCLUSIONS: The risk of short nighttime sleep duration in highly hyperactive children is greater than the risk of high hyperactivity scores in short sleepers. Preventive interventions that target boys living in adverse familial conditions could be used to address these concomitant behavioral problems.

[1]  T. Woodruff,et al.  Associations between , 2020 .

[2]  Michel Boivin,et al.  Associations between sleep duration patterns and behavioral/cognitive functioning at school entry. , 2007, Sleep.

[3]  Patrick E Shrout,et al.  ADHD and gender: are risks and sequela of ADHD the same for boys and girls? , 2007, Journal of Child Psychology and Psychiatry and Allied Disciplines.

[4]  R. Tremblay,et al.  Associations of Maternal Prenatal Smoking with Early Childhood Physical Aggression, Hyperactivity-Impulsivity, and Their Co-Occurrence , 2007, Journal of Abnormal Child Psychology.

[5]  R. Tremblay,et al.  Associations of Maternal Prenatal Smoking with Early Childhood Physical Aggression, Hyperactivity-Impulsivity, and Their Co-Occurrence , 2007, Journal of abnormal child psychology.

[6]  R. Tremblay,et al.  Development and Prediction of Hyperactive Symptoms From 2 to 7 Years in a Population-Based Sample , 2006, Pediatrics.

[7]  C. Anderson‐Cook,et al.  Group-Based Modeling of Development , 2006 .

[8]  J. Owens.  The ADHD and Sleep Conundrum: A Review , 2005, Journal of developmental and behavioral pediatrics : JDBP.

[9]  J. Montplaisir,et al.  Factors associated with fragmented sleep at night across early childhood. , 2005, Archives of pediatrics & adolescent medicine.

[10]  J. Groswasser,et al.  Influences of maternal cigarette smoking on infant arousability. , 2004, Early human development.

[11]  D. Hay,et al.  Maternal smoking during pregnancy and attention deficit hyperactivity disorder symptoms in offspring. , 2003, The American journal of psychiatry.

[12]  P. McGrath,et al.  Antecedent-Consequence Conditions in Maternal Mood and Child Adjustment: A Four-Year Cross-Lagged Study , 2003, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[13]  M. Jarvelin,et al.  Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: review of the current evidence. , 2003, The American journal of psychiatry.

[14]  Gahan Fallone,et al.  Sleepiness in children and adolescents: clinical implications. , 2002, Sleep medicine reviews.

[15]  S. Kagamimori,et al.  The Validity of Sleeping Hours of Healthy Young Children as Reported by Their Parents , 2002, Journal of epidemiology.

[16]  Avi Sadeh,et al.  Sleep Patterns and Sleep Disruptions in Kindergarten Children , 2001, Journal of clinical child psychology.

[17]  K. Roeder,et al.  A SAS Procedure Based on Mixture Models for Estimating Developmental Trajectories , 2001 .

[18]  D. Shaw,et al.  Infant and toddler pathways leading to early externalizing disorders. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[19]  K. Merikangas,et al.  Psychosocial and clinical correlates of ADHD in a community sample of school-age children. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[20]  Daniel S. Nagin,et al.  Analyzing developmental trajectories: A semiparametric, group-based approach , 1999 .

[21]  Julian M. B. Morrell,et al.  The role of maternal cognitions in infant sleep problems as assessed by a new instrument, the maternal cognitions about infant sleep questionnaire. , 1999, Journal of child psychology and psychiatry, and allied disciplines.

[22]  R. Dahl,et al.  The impact of inadequate sleep on children's daytime cognitive function. , 1996, Seminars in pediatric neurology.

[23]  S. Faraone,et al.  Predictors of persistence and remission of ADHD into adolescence: results from a four-year prospective follow-up study. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[24]  K. Riegel,et al.  The incidence of sleeping problems in preterm and fullterm infants discharged from neonatal special care units: an epidemiological longitudinal study. , 1995, Journal of child psychology and psychiatry, and allied disciplines.

[25]  A. Sadeh.  Assessment of intervention for infant night waking : parental reports and activity-based home monitoring , 1994 .

[26]  A. Sadeh.  Assessment of intervention for infant night waking: parental reports and activity-based home monitoring. , 1994, Journal of consulting and clinical psychology.

[27]  John G. Orme,et al.  Factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale. , 1986, Journal of clinical psychology.

[28]  E. Tassel.  The relative influence of child and environmental characteristics on sleep disturbances in the first and second years of life. , 1985 .

[29]  E. Van Tassel.  The Relative Influence of Child and Environmental Characteristics on Sleep Disturbances in the First and Second Years of Life , 1985, Journal of developmental and behavioral pediatrics : JDBP.