ArticleEuropean child & adolescent psychiatry2015
Sleep problems predict comorbid externalizing behaviors and depression in young adolescents with attention-deficit/hyperactivity disorder.
Article in European child & adolescent psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06146595 (Prevalence Study of Attention Deficit Hyperactivity Disorder and Its Comorbidities Among a Sample of Primary School Students in New Valley Governorate), which is not on this map. Cited by 37 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.
Prevalence Study of Attention Deficit Hyperactivity Disorder and Its Comorbidities Among a Sample of Primary School Students in New Valley Governorate
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- Association Between Disturbed Sleep and Depression in Children and Youths: A Systematic Review and Meta-analysis of Cohort Studies.JAMA network open · 2021Pooled it
- Impact of sleep restriction on affective functioning in adolescents with attention-deficit/hyperactivity disorder.Journal of child psychology and psychiatry, and allied disciplines · 2020Trial
- Shortened Sleep Duration Causes Sleepiness, Inattention, and Oppositionality in Adolescents With Attention-Deficit/Hyperactivity Disorder: Findings From a Crossover Sleep Restriction/Extension Study.Journal of the American Academy of Child and Adolescent Psychiatry · 2019Trial
- Psychometric Properties of the PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment Self and Proxy Short Forms in Early Adolescents With and Without ADHD.Journal of sleep research · 2026Article
- Behavioral Sleep Treatment in ADHD Across Child and Adolescent Development: Recent Findings, Integration with Existing Interventions, and Emerging Directions.Current sleep medicine reports · 2026Article
- Factors Associated with Sleep Problems in Children with ADHD: Focusing on Emotional Regulation, Emotional Intensity and Internalizing Symptoms.Behavioral sciences (Basel, Switzerland) · 2026Article
- Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.Journal of autism and developmental disorders · 2026Article
- Sleep disturbances in children and adolescents with attention-deficit/hyperactivity disorder: A narrative review.World journal of clinical pediatrics · 2025Review
- Night Owls and Early Birds: The Role of Adolescents' Chronotype on Educational Identity Trajectories.International journal of psychology : Journal international de psychologie · 2025Article
- Changed sleep according to weighted blanket adherence in a 16-week sleep intervention among children with attention-deficit/hyperactivity disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- NREM Slow-Wave Activity in Adolescents Is Differentially Associated With ADHD Levels and Normalized by Pharmacological Treatment.The international journal of neuropsychopharmacology · 2024Article
- Sleep, Emotional, and Behavioral Problems Among Youth Presenting to Treatment Following Sexual Abuse.Journal of child & adolescent trauma · 2024Article
- The impact of social media addiction on the negative emotions of adolescent athletes: the mediating role of physical appearance comparisons and sleep.Frontiers in public health · 2024Article
- Variation in sleep profiles in children with ADHD and associated clinical characteristics.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Sleep and psychiatric symptoms in young child psychiatric outpatients - a Follow-up study.Clinical child psychology and psychiatry · 2023Article
- Psychometric Properties of the Czech Version of the Vanderbilt ADHD Diagnostic Parent Rating Scale.Journal of attention disorders · 2023Article
- Associations Between ADHD, Sleep Problems, and Mental Health Symptoms in Adolescents.Journal of attention disorders · 2023Article
- A thalamic circuit facilitates stress susceptibility via melanocortin 4 receptor-mediated activation of nucleus accumbens shell.CNS neuroscience & therapeutics · 2023Article
- Changes in sleep duration and disturbances during Covid-19 lockdown and internalizing-externalizing behaviors in children with attention deficit hyperactivity disorders.Sleep medicine · 2023Article
- Sleep and behavioral problems in Down syndrome: differences between school age and adolescence.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) experience high rates of sleep problems and are also at increased risk for experiencing comorbid mental health problems. This study provides an initial examination of the 1-year prospective association between sleep problems and comorbid symptoms in youth diagnosed with ADHD. Participants were 81 young adolescents (75 % male) carefully diagnosed with ADHD and their parents. Parents completed measures of their child's sleep problems and ADHD symptoms, oppositional defiant disorder (ODD) symptoms, and general externalizing behavior problems at baseline (M age = 12.2) and externalizing behaviors were assessed again 1 year later. Adolescents completed measures of anxiety and depression at both time-points. Medication use was not associated with sleep problems or comorbid psychopathology symptoms. Regression analyses indicated that, above and beyond demographic characteristics, ADHD symptom severity, and initial levels of comorbidity, sleep problems significantly predicted greater ODD symptoms, general externalizing behavior problems, and depressive symptoms 1 year later. Sleep problems were not concurrently or prospectively associated with anxiety. Although this study precludes making causal inferences, it does nonetheless provide initial evidence of sleep problems predicting later comorbid externalizing behaviors and depression symptoms in youth with ADHD. Additional research is needed with larger samples and multiple time-points to further examine the interrelations of sleep problems and comorbidity.
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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.