Objective Sleep Measurement in Typically and Atypically Developing Preschool Children with ADHD-Like Profiles

  • Beth L. Goodlin-Jones
  • Sara Waters
  • Thomas F. Anders


Objective This study investigated the association between preschool children’s sleep patterns measured by actigraphy and parent-reported hyperactivity symptoms. Many previous studies have reported sleep problems in children with attention deficit hyperactivity disorder (ADHD)-like symptoms. Methods This study examined a cross-sectional sample of 186 preschoolers age 2–5 years in three groups: children with autism, children with developmental delay without autism, and typically developing children recruited from the general population. One week of actigraphic sleep data plus a parent report of the presence or absence of a current sleep problem were collected. Parents completed the child behavior checklist; a subset of children in preschool had teachers who completed the caregiver-teacher report form. Sleep behavior was compared for those children with and without clinical levels of attention-deficit/hyperactivity symptoms (T scores ≥65). Results The prevalence of a parent-defined sleep problem across the entire sample was 36.1%. Thirty-four percent of the sample had a parent-reported ADHD composite in the clinical range. Those children with a clinical ADHD profile were more likely to be described by parents as having a sleep problem. However, no significant differences in actigraphic sleep patterns or night-to-night sleep-wake variability were found for children with an ADHD profile in the clinical range. Conclusions In this non-clinical sample of preschool age children, parental reports of clinical ADHD profiles were significantly associated with parental reports of sleep problems but not with actigraphically recorded sleep-wake data.


Sleep Actigraphy Children ADHD Preschoolers Psychopathology 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Beth L. Goodlin-Jones
    • 1
  • Sara Waters
    • 1
  • Thomas F. Anders
    • 1
  1. 1.Department of PsychiatryMIND InstituteSacramentoUSA

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