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Source: Pediatr Int  |  Posted 4 years ago

Relationship between behavioral symptoms and sleep problems in children with anxiety disorders; Iwadare Y, Kamei Y, Usami M, Ushijima H, Tanaka T, Watanabe K, Kodaira M, Saito K; Pediatrics International (Mar 2015)

BACKGROUND Sleep disorders are frequently associated with childhood behavioral problems and mental illnesses such as anxiety disorders. To identify promising behavioral targets for therapy ofpediatric anxiety disorders, we investigated the associations between specific sleep and behavioral problems.

METHODS We conducted retrospective reviews of 105 patientsaged 4-12 yearswho met the DSM-IV criteria for primary diagnosis of generalized anxiety disorder (GAD; n = 33), separation anxiety disorder (SAD;n = 23), social phobia (SP; n = 21), or obsessivecompulsive disorder (OCD;n = 28). Sleep problems were evaluated using the Children's Sleep Habits Questionnaire (CSHQ) and behavioral problems bythe Spence Children's Anxiety Scale (SCAS), Oppositional Defiant Behavior Inventory (ODBI), and Depression Self-Rating Scale for Children (DSRS-C).

RESULTS Depressive behavior was weakly correlated with CSHQ subscores for sleep onset delayand night waking but not with total sleep disturbance.Anxiety was correlated withbedtime resistance,night waking, and total sleep disturbance score. Oppositional defiance was correlated with bedtime resistance,day time sleepiness,sleep onset delay,and most strongly withtotal sleep disturbance.Multiple regression analyses revealed thatOBDI score had the strongest positive association with total sleep disturbance andthe strongest negative association with total sleep duration.

CONCLUSIONS Sleep problems in children with anxiety disorders are closely related to anxiety and oppositional defiant symptoms.

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