Trial reportEuropean child & adolescent psychiatry2015
Behavioral sleep problems and internalizing and externalizing comorbidities in children with attention-deficit/hyperactivity disorder.
Trial report in European child & adolescent psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Brain imaging genetics in ADHD and beyond - Mapping pathways from gene to disorder at different levels of complexity.Neuroscience and biobehavioral reviews · 2017Pooled it
- Does Delivery Mode Matter? A Randomised Controlled Trial of the Sleeping Sound Intervention: Predicting Sleep Outcomes in Children With ADHD.Journal of attention disorders · 2026Trial
- Trial
- The Association Between the Impact of COVID-19 and Internalizing Problems Among Children and Adolescents with ADHD: The Moderating Role of Parental Anxiety.Child psychiatry and human development · 2026Article
- Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.Journal of autism and developmental disorders · 2026Article
- Clinical characterization of children and adolescents with ADHD and sleep disturbances.European archives of psychiatry and clinical neuroscience · 2025Article
- Parent stress reduction interventions and sleep problems in autistic youth.Research in autism · 2025Article
- Variation in sleep profiles in children with ADHD and associated clinical characteristics.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Sleep Duration and Internalizing Symptoms in Children.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022Article
- Sleep Disturbances in Children with Attentional Deficit Hyperactivity Disorder and Specific Learning Disorders.International journal of environmental research and public health · 2022Article
- Sleep in Individuals with ADHD: Prevalence, Impacts, Causes, and Treatments.Current topics in behavioral neurosciences · 2022Article
- Unpacking Associations between Mood Symptoms and Screen Time in Preadolescents: a Network Analysis.Journal of abnormal child psychology · 2020Article
- Sleep characteristics and problems of 2-year-olds with Williams syndrome: relations with language and behavior.Journal of neurodevelopmental disorders · 2020Article
- Article
- The moderating roles of bedtime activities and anxiety/depression in the relationship between attention-deficit/hyperactivity disorder symptoms and sleep problems in children.BMC psychiatry · 2018Article
- The impact of comorbid mental health symptoms and sex on sleep functioning in children with ADHD.European child & adolescent psychiatry · 2018Article
- Reliability and validity of a brief sleep questionnaire for children in Japan.Journal of physiological anthropology · 2017Article
- Sleep problems in children with attention-deficit hyperactivity disorder: associations with parenting style and sleep hygiene.European child & adolescent psychiatry · 2017Article
- The role of sleep problems and circadian clock genes in attention-deficit hyperactivity disorder and mood disorders during childhood and adolescence: an update.Journal of neural transmission (Vienna, Austria : 1996) · 2017Review
- Sleep-Dependent Consolidation of Rewarded Behavior Is Diminished in Children with Attention Deficit Hyperactivity Disorder and a Comorbid Disorder of Social Behavior.Frontiers in psychology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Behavioral sleep problems are common in children with attention-deficit/hyperactivity disorder (ADHD), as are internalizing and externalizing comorbidities. The prevalence of these difficulties and the extent to which they co-exist in children with ADHD could inform clinical practice, but remains unclear. Therefore, we examined the association between sleep problems and internalizing and externalizing comorbidities in children with ADHD. Children aged 5-13 years were recruited from 21 pediatric practices across Victoria, Australia (N = 392). Internalizing and externalizing comorbidities (none, internalizing, externalizing, co-occurring) were assessed by the telephone-administered Anxiety Disorders Interview Schedule for Children IV/Parent version. Sleep problem severity was assessed by primary caregiver report (no, mild, moderate or severe problem). Moderate/severe sleep problems were confirmed using International Classification of Sleep Disorders. Seven specific sleep problem domains (bedtime resistance, sleep anxiety, sleep onset delay, sleep duration, night waking, parasomnias and daytime sleepiness) were assessed using the Children's Sleep Habits Questionnaire. Data were analyzed using adjusted logistic and linear regression models. Compared to children without comorbidities, children with co-occurring internalizing and externalizing comorbidities were more likely to have moderate/severe sleep problems (adjusted OR 2.4, 95 % CI 1.2; 4.5, p = 0.009) and problematic sleep across six of seven sleep domains. Children with either comorbidity alone were not at risk of moderate/severe sleep problems, but at the sleep domain level, children with internalizing alone had more sleep anxiety, and those with externalizing alone had less night waking. In conclusion, children with ADHD experiencing co-occurring internalizing and externalizing comorbidities are at an increased risk of sleep problems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.