The link between sleep problems in infancy and early childhood and attention problems at 5 and 14years: Evidence from a birth cohort study

Griffith University, Gold Coast, Australia.
Early human development (Impact Factor: 1.79). 07/2010; 86(7):419-24. DOI: 10.1016/j.earlhumdev.2010.05.020
Source: PubMed


Little research has examined the associations between early sleep problems and attention problems over several developmental periods.
To examine whether sleep problems in infancy and early childhood are independently related to attention difficulty at 5 and 14 years, and to the continuity of attention difficulties from 5 to 14 years.
The study was a prospective, population-based birth cohort study.
7223 women who delivered a live, singleton child between 1981 and 1983 were recruited at the first antenatal visit. Of these, 4204 had complete information on all key measures.
Attention problems were assessed with items from the Child Behaviour Checklist (CBCL) and were classified as adolescent onset (i.e. problems at 14 but not at 5); early remitter (problems at 5, no problem at 14); and persistent (i.e. at both 5 and 14).
At 6 months, sleep problems 'sometimes' were associated with the early remitter group in boys. For sleep problems between 2 and 4 years of age, findings were generally similar for boys and girls with strong associations with adolescent attention. Sleep problems 'often' were independently associated with early remitter and persistent attention problems, and 'sometimes' with early remitter and adolescent onset attention problems.
Sleep problems in early childhood are an indicator of subsequent attention problems that may persist into adolescence. Whether these associations are causal requires further research, however their presence provides an opportunity for early intervention and monitoring.

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Available from: Frances V O'Callaghan, Feb 23, 2015
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    • "Takentogether,thisworksuggeststhattempera- mentprofilesininfantswhogoontoADHDmaybe differenttothoseininfantswhogoontoASD.Inthe twostudiesthatusedverysimilarmeasures(Arnett etal.,2013;DelRosarioetal.,2014),6-montholds withlaterASDshowedbetteradaptabilityandmore approach(DelRosarioetal.,2014),while6-month oldswithlaterADHDshowedloweradaptabilityand lowerapproach(Arnettetal.,2013).Temperamental riskfactorsforASDandADHDseemtobedifferentin veryearlydevelopment. Atypicalitiesinphysiologicalregulatoryprocesses mayalsobeapparentinearlyADHD.Forexample, sleepdifficultiespredictlaterdiagnosisofADHD (O'Callaghanetal.,2010;Thunstr€om,2002;thereis lessevidencetosupportthisforASD–Jaspersetal., 2013).Gurevitzetal.(2012)alsofoundpoorersleep "
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    ABSTRACT: Background Autism spectrum disorders (ASD) and attention deficit hyperactivity disorder (ADHD) are two of the most common neurodevelopmental disorders, with a high degree of co-occurrence.Methods Prospective longitudinal studies of infants who later meet criteria for ASD or ADHD offer the opportunity to determine whether the two disorders share developmental pathways.ResultsProspective studies of younger siblings of children with autism have revealed a range of infant behavioral and neural markers associated with later diagnosis of ASD. Research on infants with later ADHD is less developed, but emerging evidence reveals a number of relations between infant measures and later symptoms of inattention and hyperactivity.Conclusions We review this literature, highlighting points of convergence and divergence in the early pathways to ASD and ADHD.
    Journal of Child Psychology and Psychiatry 09/2014; 56(3). DOI:10.1111/jcpp.12328 · 6.46 Impact Factor
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    • "The aetiology of ADHD is still unclear. However, multiple or persistent early regulatory problems (RP), such as excessive or prolonged crying (N 3 months of age), feeding, and/or sleeping difficulties [6] [7] [8], have been reported to be predictors of attentiondeficit/hyperactivity and associated problems during preschool and school years [9] [10] [11] [12] [13]. Wolke et al. [9] found that persistent infant crying associated with sleeping or feeding problems at 3 to 6 months of age was a precursor of lower academic achievement and more hyperactivity problems at 8 to 10 years of age. "
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    Early Human Development 08/2014; 90(8):399-405. DOI:10.1016/j.earlhumdev.2014.05.001 · 1.79 Impact Factor
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    • "At five years, a measure of maternal perceptions of sleep problems was derived from two questions regarding the frequency and severity of child sleep difficulties, each rated from 0 (never/no difficulties) to 3 (every day/severe difficulties ). Previous studies have found equivalent, brief, indices to have validity and predictive utility [32] [35]. "
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