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Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder.

Publication ,  Journal Article
Shanahan, L; Copeland, WE; Angold, A; Bondy, CL; Costello, EJ
Published in: J Am Acad Child Adolesc Psychiatry
May 2014

OBJECTIVE: We tested whether sleep problems co-occur with, precede, and/or follow common psychiatric disorders during childhood and adolescence. We also clarified the role of comorbidity and tested for specificity of associations among sleep problems and psychiatric disorders. METHOD: Data came from the Great Smoky Mountains Study, a representative population sample of 1,420 children, assessed 4 to 7 times per person between ages 9 and 16 years for major Diagnostic and Statistical Manual-Fourth Edition (DSM-IV) disorders and sleep problems. Sleep-related symptoms were removed from diagnostic criteria when applicable. RESULTS: Sleep problems during childhood and adolescence were common, with restless sleep and difficulty falling asleep being the most common symptoms. Cross-sectional analyses showed that sleep problems co-occurred with many psychiatric disorders. Longitudinal analyses revealed that sleep problems predicted increases in the prevalence of later generalized anxiety disorder (GAD) and high GAD/depression symptoms, and oppositional defiant disorder (ODD). In turn, GAD and/or depression and ODD predicted increases in sleep problems over time. CONCLUSIONS: Sleep problems both predict and are predicted by a diagnostic cluster that includes ODD, GAD, and depression. Screening children for sleep problems could offer promising opportunities for reducing the burden of mental illness during the early life course.

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Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

May 2014

Volume

53

Issue

5

Start / End Page

550 / 558

Location

United States

Related Subject Headings

  • United States
  • Statistics as Topic
  • Sleep Wake Disorders
  • Psychometrics
  • Male
  • Longitudinal Studies
  • Humans
  • Health Surveys
  • Female
  • Developmental & Child Psychology
 

Citation

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ICMJE
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Shanahan, L., Copeland, W. E., Angold, A., Bondy, C. L., & Costello, E. J. (2014). Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry, 53(5), 550–558. https://doi.org/10.1016/j.jaac.2013.12.029
Shanahan, Lilly, William E. Copeland, Adrian Angold, Carmen L. Bondy, and E Jane Costello. “Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder.J Am Acad Child Adolesc Psychiatry 53, no. 5 (May 2014): 550–58. https://doi.org/10.1016/j.jaac.2013.12.029.
Shanahan L, Copeland WE, Angold A, Bondy CL, Costello EJ. Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 2014 May;53(5):550–8.
Shanahan, Lilly, et al. “Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder.J Am Acad Child Adolesc Psychiatry, vol. 53, no. 5, May 2014, pp. 550–58. Pubmed, doi:10.1016/j.jaac.2013.12.029.
Shanahan L, Copeland WE, Angold A, Bondy CL, Costello EJ. Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 2014 May;53(5):550–558.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

May 2014

Volume

53

Issue

5

Start / End Page

550 / 558

Location

United States

Related Subject Headings

  • United States
  • Statistics as Topic
  • Sleep Wake Disorders
  • Psychometrics
  • Male
  • Longitudinal Studies
  • Humans
  • Health Surveys
  • Female
  • Developmental & Child Psychology