ArticleEuropean journal of pediatrics2025
The relationship between sleep and problem behaviors in children with attention-deficit/hyperactivity disorder.
Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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Who cites it
2 citing papers in PubMed.
- Vitamin B12 deficiency, restless legs syndrome and poor sleep quality in adolescents: A cross-sectional study.European journal of pediatrics · 2026Article
- The validation of measured and self-reported sleep duration and perceived sleep quality: an empirical study with three generations of smartwatches.Frontiers in psychiatry · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that is commonly associated with sleep disturbances. Sleep disruption can contribute to difficulties in a child's life and, therefore, can be an important determinant of their quality of life. This study uses data from the large multisite Adolescent Brain Cognitive Development (ABCD) database to examine the relationship between sleep and behavior in children with ADHD. We hypothesized that shorter and more interrupted sleep would relate to increased problem behaviors such as inattention and social difficulties. Sleep data was obtained using commercially available actigraphy (Fitbit) measures, and the Sleep Disturbance Scale for Children (SDSC) for 212 children ages 10 to 13 years, with ADHD and an age and sex matched control group (n = 212). Behavioral and emotional subscores were obtained from the Child Behavior Checklist (CBCL). SDSC sleep data was significantly different between ADHD and control groups, while wearable actigraphy data was not. ADHD diagnosis, family income, sleep latency (measured by wearable device), and 3 out of 6 of the SDSC subscores were significantly related to problem behavior scores measured by the CBCL.
conclusionThe results of this study indicate that parent report of sleep difficulties, but not wearable actigraphy measures of sleep, were associated with behavior and emotional responses in children with ADHD. Parent report of sleep difficulties, direct measures of sleep parameters, as well as behavior and quality of life, should be considered when evaluating or investigating sleep in children to better understand the influence on health and functioning. WHAT IS KNOWN: • Children with attention deficit/hyperactivity disorder (ADHD) have increased parent-reported sleep difficulties compared to neurotypical children. WHAT IS NEW: • Sleep measures from commercially available actigraphy were not different in children with ADHD compared to those that do not have ADHD. • Sleep measured from commercially available actigraphy had no correlation with parent-reported behavior difficulties.
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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.