Publications (2)5.52 Total impact
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Article: Continuity and discontinuity of trouble sleeping behaviors from early childhood to young adulthood in a large Australian community-based-birth cohort study.
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ABSTRACT: OBJECTIVE: To examine the continuity and discontinuity of trouble sleeping behaviors (TSB) from childhood to adolescence and young adulthood in a community-based prospective birth cohort study. METHODS: The original study comprised 7223 mother-offspring pairs who were followed prospectively at pregnancy, 6months, 5, 14 and 21years post-delivery. Participant numbers differ by follow-up stages. There were 3184 offspring for whom we have consistently collected information on TSB retrospectively at 2-4years, and prospectively at 14 and 21years of age. RESULTS: These comprised maternal-reported offspring TSB at 2-4years and 14years, and offspring-reported trouble sleeping at 14 and 21years. One in two children had persistent trouble sleeping from 2-4 to 14years and two-thirds from 14 to 21years. In the adjusted analysis, compared with 2-4-years-old children with no trouble sleeping, those who experienced trouble sleeping were 1.20 (95% CI: 1.00, 1.44) times more likely to have trouble sleeping at 21years. Similarly, adolescents who experienced trouble sleeping were 1.94 (95% CI: 1.66, 2.27) times more likely to experience trouble sleeping at 21years. CONCLUSIONS: There is a continuity of TSB from early childhood through adolescence and young adulthood, although the persistence of TSB is strongest from adolescence to young adulthood. Interventions improving sleep in young children may prevent longer term difficulties in adolescents and young adults.Sleep Medicine 09/2012; · 3.40 Impact Factor -
Article: The link between sleep problems in infancy and early childhood and attention problems at 5 and 14 years: Evidence from a birth cohort study.
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ABSTRACT: 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.Early human development 07/2010; 86(7):419-24. · 2.12 Impact Factor
