ArticleSleep medicine2017
The association between Disruptive Mood Dysregulation Disorder symptoms and sleep problems in children with and without ADHD.
Article in Sleep medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Sleep dysregulation in ADHD children: a systematic review and meta-analysis.Psychological medicine · 2025Pooled it
- Cognitive Disengagement Syndrome: Changes in Severity, Comorbid Conditions, and Impairment from Childhood to Adolescence.Research on child and adolescent psychopathology · 2026Article
- Overall Weak Association Between Gastrointestinal Symptoms and Psychological, Autism, and Demographic Variables in Autistic Children.Autism : the international journal of research and practice · 2026Article
- Somatic Symptoms in a Population-Based Sample from Childhood to Adolescence: Stability and Concurrent and Longitudinal Predictors.Child psychiatry and human development · 2026Article
- Co-occurring Symptoms of ADHD, Autism, Oppositional Defiant Disorder, and Academic Impairment in Referred and Community Children.Journal of psychopathology and behavioral assessment · 2026Article
- Challenges in diagnosing attention-deficit/hyperactivity disorder in pediatric practice: A regional and global perspective.World journal of clinical pediatrics · 2025Review
- Autism Spectrum Disorder Phenotypes Based on Sleep Dimensions and Core Autism Symptoms.Journal of autism and developmental disorders · 2025Article
- Oppositional Defiant Disorder in Autism and ADHD.Journal of autism and developmental disorders · 2025Article
- Clinical characterization of children and adolescents with ADHD and sleep disturbances.European archives of psychiatry and clinical neuroscience · 2025Article
- Prevalence and Correlates of Poor Safety Awareness and Accidental Injury in ASD, ADHD, ASD + ADHD, and Neurotypical Youth Samples.Journal of autism and developmental disorders · 2025Article
- Bidirectional Relationship Between Dental Diseases and Sleep Disturbances in Pediatric Patients.Clinical and experimental dental research · 2025Review
- Cognitive Disengagement Syndrome (CDS) (Formerly Sluggish Cognitive Tempo), Autism, and Insomnia Symptoms in Childhood Predict CDS in Adolescence: A Longitudinal Population-Based Study.Child psychiatry and human development · 2025Article
- Emotion Regulation in Pediatric Obsessive-Compulsive Disorder and Related Interventions: A Scoping Review.Children (Basel, Switzerland) · 2025Review
- Cognitive Disengagement Syndrome and Autism Traits are Empirically Distinct from each Other and from Other Psychopathology Dimensions.Research on child and adolescent psychopathology · 2025Article
- The mediating role of sleep disorders in the relationship between breastfeeding and behavioral problems among 6- to 8-year-old children in Shanghai, China.Frontiers in public health · 2025Article
- An Expanded Conceptual Framework for Understanding Irritability in Childhood: The Role of Cognitive Control Processes.Clinical child and family psychology review · 2024Review
- The Sleep Patterns of Children and Adolescents with Chronic Conditions and Their Families: An Integrative Literature Review.Children (Basel, Switzerland) · 2024Review
- Edward O. Bixler, PhD: from the Apollo project and chimpanzees to sleep epidemiology.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Physical Aggression Toward Others and Self: Correlates in Autism, Attention-Deficit/Hyperactivity Disorder, and Population-Based Child Samples.JAACAP open · 2023Article
- Examining bidirectional associations between sleep and behavior among children with attention-deficit/hyperactivity disorder.JCPP advances · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundMany youth experience persistent irritability and recurrent temper outbursts, conceptualized by DSM-5 as Disruptive Mood Dysregulation Disorder (DMDD). Sleep deprivation impairs emotion regulation which could increase rates of DMDD symptoms, especially in those with preexisting regulatory impairments, as seen with ADHD. However, there has been little examination of the relationship between chronic sleep problems and DMDD symptoms.
methodsAssociations between DMDD symptoms and sleep parameters in children were assessed using parent-report and objective measures of sleep in a general population sample (N = 665) and an ADHD sample (N = 784). Irritability, temper outbursts, sleep problems and other psychological problems were assessed with the Pediatric Behavior Scale. The general population study also completed overnight polysomnography (PSG).
resultsDMDD symptoms were reported in 9.2% of the community sample and 31.4% of the ADHD sample. In both samples, children with DMDD symptoms had significantly higher parent-reported sleep problems than children without DMDD symptoms. Children with sleep problems had significantly higher DMDD scores than children without sleep problems. However, DMDD symptoms were most strongly associated with oppositional behavior. Sleep problems were not a significant contributor. Hyperactivity-impulsivity was most strongly associated with sleep problems, and DMDD was not a significant contributor. Children with and without DMDD symptoms did not differ significantly on any PSG parameter.
conclusionsAssociations between parent-reported sleep problems and DMDD symptoms were due to their shared relationship with other behavioral problems. Therefore, chronic sleep problems do not appear to be a primary source of DMDD symptoms in children with or without ADHD.
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