title: Association Between Childhood Sleep-Disordered Breathing and Disruptive Behavior Disorders in Childhood and Adolescence.
abstract: We examined the association between sleep-disordered breathing (SDB) and disruptive behavior disorders in 605 children participating in a population-based cohort study. Nineteen percent of children snored (sometimes or often) and 10% had obstructive sleep apnea (OSA) symptoms. Thirteen percent had an ADHD diagnosis or symptoms and 5-9% had behavioral problems or a conduct disorder. Snoring or OSA symptoms were associated with a twofold difference in the odds of ADHD diagnosis or symptoms. OSA symptoms were associated with a threefold to fourfold difference in the odds of behavioral problems or conduct disorder. Clinicians should consider inquiring about SDB in children with disruptive behavior disorders and should also consider disruptive behavior disorders as potential sequelae of SDB.
authors.affiliation: a Department of Pediatrics McGill University.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Constantin
authors.affiliation: b Department of Psychiatry McGill University.
authors.forename: Nancy C P
authors.initials: NC
authors.lastname: Low
authors.affiliation: c Centre de Recherche du Centre Hospitalier de l'Université de Montréal.
authors.forename: Erika
authors.initials: E
authors.lastname: Dugas
authors.affiliation: c Centre de Recherche du Centre Hospitalier de l'Université de Montréal.|d Department of Social and Preventive Medicine University of Montréal.
authors.forename: Igor
authors.initials: I
authors.lastname: Karp
authors.affiliation: c Centre de Recherche du Centre Hospitalier de l'Université de Montréal.|d Department of Social and Preventive Medicine University of Montréal.|e Institut national de santé publique du Québec.
authors.forename: Jennifer
authors.initials: J
authors.lastname: O'Loughlin
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000150:complications / Q000523:psychology; D002648:Child; D002652:Child Behavior; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents; D000066553:Problem Behavior / Q000523:psychology*; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000523:psychology*; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000523:psychology; D012913:Snoring / Q000150:complications; D011795:Surveys and Questionnaires; D055815:Young Adult