Information de reference pour ce titreAccession Number: | 00004583-200302000-00014.
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Author: | CHERVIN, RONALD D. M.D., M.S.; DILLON, JAMES E. M.D.; ARCHBOLD, KRISTEN HEDGER R.N., PH.D.; RUZICKA, DEBORAH L. R.N., PH.D.
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Institution: | Dr. Chervin is Associate Professor, Sleep Disorders Center and Department of Neurology, University of Michigan, Ann Arbor; Dr. Dillon is Clinical Assistant Professor, Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Michigan, and Chief of Clinical Affairs, Huron Valley Center, Michigan Departments of Community Health and Corrections, Ypsilanti; Dr. Archbold is currently a postgraduate fellow, University of Washington School of Nursing, Seattle; Dr. Ruzicka is Research Associate, Sleep Disorders Center and Department of Neurology, University of Michigan.
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Title: | Conduct Problems and Symptoms of Sleep Disorders in Children.[Article]
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Source: | Journal of the American Academy of Child & Adolescent Psychiatry. 42(2):201-208, February 2003.
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Abstract: | Objective: Conduct problems and hyperactivity are frequent among children referred for sleep-disordered breathing (SDB), restless legs syndrome, or periodic leg movements during sleep (PLMS), but children not referred to sleep centers have received little study.
Method: Parents of children aged 2 to 14 years were surveyed at two general clinics between 1998 and 2000. A Pediatric Sleep Questionnaire generated validated scores for SDB and PLMS. The Conners Parent Rating Scale (CPRS-48) produced an age- and sex-adjusted Conduct Problem Index (CPI) and Hyperactivity Index.
Results: Parents of about 1,400 children were approached; those of 872 (62%) completed the surveys. Bullying and other specific aggressive behaviors were generally two to three times more frequent among 114 children at high risk for SDB than among the remaining children. An association between high CPI and SDB scores (p < .0001) retained significance after adjustment for sleepiness, high Hyperactivity Index, stimulant use, or PLMS scores. Analogous results were obtained for the association between high CPI and PLMS scores.
Conclusions: Conduct problems were associated with symptoms of SDB, restless legs syndrome, and PLMS. Although these results cannot prove a cause-and-effect relationship, assessment for sleep disorders may provide a new treatment opportunity for some aggressive children.
Copyright 2003 (C) American Academy of Child and Adolescent Psychiatry
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Author Keywords: | conduct disorder; sleep disorders; restless legs syndrome; periodic limb movement disorder; obstructive sleep apnea.
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Language: | English.
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Document Type: | ARTICLES.
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Journal Subset: | Nursing. Clinical Medicine. Behavioral & Social Sciences. Pharmacology.
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ISSN: | 0890-8567
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NLM Journal Code: | hg5, 8704565
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