title: The sleep patterns and problems of clinically anxious children.
abstract: Childhood sleep problems have been associated with a range of adverse cognitive and academic outcomes, as well as increased impulsivity and emotional disorders such as anxiety and depression. The aim of the study was to examine subjective reports of sleep-related problems in children with anxiety disorders during school and weekend nights. Thirty-seven children with clinically-diagnosed anxiety disorders and 26 non-clinical children aged 7-12 years completed an on-line sleep diary to track sleep patterns across school nights and weekend nights. Anxious children reported going to bed significantly later (p=0.03) and had significantly less sleep (p=0.006) on school nights compared to non-anxious children. No significant differences in sleep onset latency, number of awakenings or time awake during the night, daytime sleepiness, or fatigue were found between the two groups. On the weekends, anxious children fell asleep quicker and were less awake during the night than on weeknights. School-aged anxiety disordered children showed a sleep pattern that differs from their non-anxious peers. Although the mean 30 min less sleep experienced by anxious children may initially seem small, the potential consequences on daytime performance from an accumulation of such a sleep deficit may be significant, and further investigation is warranted.
authors.affiliation: Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Australia. jhudson@psy.mq.edu.au
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hudson
authors.forename: Michael
authors.initials: M
authors.lastname: Gradisar
authors.forename: Amanda
authors.initials: A
authors.lastname: Gamble
authors.forename: Carolyn A
authors.initials: CA
authors.lastname: Schniering
authors.forename: Ivone
authors.initials: I
authors.lastname: Rebelo
mesh_terms: D001008:Anxiety Disorders / Q000523:psychology*; D016022:Case-Control Studies; D002648:Child; D005221:Fatigue; D005260:Female; D006801:Humans; D008297:Male; D010507:Periodicity; D011569:Psychiatric Status Rating Scales; D012574:Schools; D012893:Sleep Wake Disorders / Q000209:etiology*; D012959:Socioeconomic Factors