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Journal of Pediatric Psychology Advance Access published online on November 18, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp097
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Concurrent Associations among Sleep Problems, Indicators of Inadequate Sleep, Psychopathology, and Shared Risk Factors in a Population-based Sample of Healthy Ontario Children

J. Aimée Coulombe, MA1, Graham J Reid, PhD1,2,3, Michael H Boyle, PhD4,5 and Yvonne Racine, MSc4,5

1Department of Psychology, 2Departments of Family Medicine and Paediatrics, The University of Western Ontario, 3Scientist, The Children's Health Research Institute, 4Departments of Psychiatry and Behavioral Neurosciences, and 5Offord Centre for Child Studies, McMaster University

All correspondence concerning this article should be addressed Graham J. Reid, PhD, The University of Western Ontario, Westminster Hall, Room 319E, London Ontario N6A 3K7, Canada. E-mail: greid{at}uwo.ca.


  Abstract

Objectives Examine the contribution of sleep problems and indicators of inadequate sleep to psychopathology among children after accounting for shared risk and comorbid psychopathology. Methods Secondary analyses of cross-sectional data on 4- to 11-year-old (N = 1,550) children without chronic illness or developmental delay or disability. Parents provided information about sleep problems, indicators of inadequate sleep, symptoms of psychopathology, and risk factors for psychopathology. Teachers provided information about indicators of inadequate sleep and symptoms of psychopathology. Results Adjusting for risk factors and comorbid psychopathology, sleeping more than other children was related to parent-rated aggression. Nightmares and trouble sleeping were related to parent-rated anxious/depressed mood. Sleep problems were not related to attention problems. Being overtired was related to parent- and teacher-rated psychopathology. Conclusions Relations among sleep problems, indicators of inadequate sleep, and psychopathology are complex; accounting for potential confounding variables and considering sleep variables separately may clarify these relations.

Key words: children; mental health; risk; sleep..

Received October 18, 2008; revision received September 30, 2009; accepted September 30, 2009


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