ArticleThe journal of primary prevention2019
Linking Sleep to Externalizing Behavioral Difficulties: A Longitudinal Psychometric Survey in a Cohort of Italian School-Age Children.
Article in The journal of primary prevention, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Sleep and internalizing problems in primary school children with attention-deficit hyperactivity disorder.Pediatric research · 2024Article
- Associations between sleep problems and emotional/behavioural difficulties in healthy children and adolescents.BMC pediatrics · 2024Article
- The bidirectional relationship between sleep and externalizing behavior: A systematic review.Sleep epidemiology · 2022Article
- The Strengths and Difficulties Questionnaire as a Valuable Screening Tool for Identifying Core Symptoms and Behavioural and Emotional Problems in Children with Neuropsychiatric Disorders.International journal of environmental research and public health · 2022Article
- Longitudinal bidirectional association between sleep and behavior problems at age 6 and 11 years.Sleep medicine · 2021Article
- Sleep Characteristics in Italian Children During Home Confinement Due to Covid-19 Outbreak.Clinical neuropsychiatry · 2021Article
- Understanding the Relationship Between Sleep Problems in Early Childhood and Borderline Personality Disorder: A Narrative Review.Nature and science of sleep · 2021Review
- Sleep Problems in School Aged Children: A Common Process across Internalising and Externalising Behaviours?Clocks & sleep · 2020Article
- Disturbing Dreams and Psychosocial Maladjustment in Children: A Prospective Study of the Moderating Role of Early Negative Emotionality.Frontiers in neurology · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We examined the longitudinal relationship between sleep problems and behavioral problems at primary school in Italian children. We recruited a school-based sample of 227 children (age range 6-10 years) in schools located in Pisa (Italy). Parents completed the Sleep Disturbance Scale for Children (SDSC), and teachers completed the Strengths and Difficulties Questionnaire (SDQ) to evaluate children's behavioral difficulties. We used a two-step robust regression approach to identify which aspects of sleep problems might affect children's behavior at school. After removing socio-demographic effects, results indicated an association between an increase in sleep problems and the worsening of inattentive and hyperactive behavioral problems at school 1 year later. This association was particularly robust in children whose sleep problems had gotten worse over the year. We found no associations between child sleep problems and conduct problems in school settings. Schools may be a suitable arena in which to identify and prevent the development of severe externalizing behaviors through screening procedures and intervention for children's sleep problems.
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Registered trials
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