Behavioral symptoms and sleep problems in children with anxiety disorder

Pediatrics International : Official Journal of the Japan Pediatric Society
Yoshitaka IwadareKazuhiko Saito

Abstract

Sleep disorders are frequently associated with childhood behavioral problems and mental illnesses such as anxiety disorder. To identify promising behavioral targets for pediatric anxiety disorder therapy, we investigated the associations between specific sleep and behavioral problems. We conducted retrospective reviews of 105 patients aged 4-12 years who met the DSM-IV criteria for primary diagnosis of generalized anxiety disorder (n = 33), separation anxiety disorder (n = 23), social phobia (n = 21), or obsessive compulsive disorder (n = 28). Sleep problems were evaluated using the Children's Sleep Habits Questionnaire (CSHQ) and behavioral problems by the Spence Children's Anxiety Scale, Oppositional Defiant Behavior Inventory (ODBI), and Depression Self-Rating Scale for Children. Depressive behavior was weakly correlated with CSHQ subscores for sleep onset delay and night waking but not with total sleep disturbance. Anxiety was correlated with bedtime resistance, night waking, and total sleep disturbance score. Oppositional defiance was correlated with bedtime resistance, daytime sleepiness, sleep onset delay, and most strongly with total sleep disturbance. On multiple regression analysis ODBI score had the strongest positiv...Continue Reading

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Citations

Dec 2, 2017·Journal of Sleep Research·Wilson J BrownBrian E Bunnell
Sep 19, 2015·Current Opinion in Psychiatry·Dana L McMakin, Candice A Alfano
Sep 17, 2017·Journal of Physiological Anthropology·Masakazu OkadaKazuo Mishima
Nov 5, 2020·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Anna R Van Meter, Ellen A Anderson

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