Sleep Medicine
Volume 11, Issue 3 , Pages 281-288, March 2010

Association between sleep patterns and daytime functioning in children with insomnia: The contribution of parent-reported frequency of night waking and wake time after sleep onset

  • Kerstin Velten-Schurian

      Affiliations

    • University of Tuebingen, Department of Psychology, Christophstr. 2, 72072 Tuebingen, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 7071 2977187; fax: +49 7071 295219.
    • ,
  • Martin Hautzinger

      Affiliations

    • University of Tuebingen, Department of Psychology, Christophstr. 2, 72072 Tuebingen, Germany
    • Tel.: +49 7071 29 77301; fax: +49 7071 295219.
    • ,
  • Christian F. Poets

      Affiliations

    • Tuebingen University Hospital, Calwer-Str. 7, 72076 Tuebingen, Germany
    • Tel.: +49 7071 29 84742; fax: +49 07071 29 3969.
    • ,
  • Angelika A. Schlarb

      Affiliations

    • University of Tuebingen, Department of Psychology, Christophstr. 2, 72072 Tuebingen, Germany
    • Tel.: +49 7071 29 77185; fax: +49 7071 295219.

Received 3 November 2008; received in revised form 20 February 2009; accepted 4 March 2009.

Abstract 

Objective

The aim of this study was to investigate the association between sleep patterns and daytime functioning in children with insomnia. Furthermore, the role of frequency of night waking and wake time after sleep onset for daytime functioning was analyzed in the context of total sleep time and sleep onset latency.

Methods

Families with children with parent-perceived sleep problems were recruited for diagnostic clarification and subsequent treatment (if indicated) at an outpatient clinic. Out of 49 families seeking help, 34 children (age 5.2–10.9years, mean 7.1years) and their parents were included in the present study. Sleep and sleep problems were assessed by a structured clinical interview according to the diagnostic criteria of the International Classification of Sleep Disorders (ICSD-II). Parents kept a sleep diary over two weeks. In addition, they answered the Child Behavior Checklist, questions concerning the daytime sleepiness of their children, as well as a structured clinical interview assessing comorbid mental disorders.

Results

Reduced parent-reported total sleep time predicted more delinquent behavior and more concentration problems. Independent of total sleep time and frequency of night waking, longer parent-reported wake time after sleep onset was associated with greater daytime sleepiness, which in turn predicted more social problems.

Conclusions

Besides total sleep time, wake time after sleep onset could be another important determinant for specific aspects of daytime functioning in children with insomnia.

Keywords: Sleep pattern, Children, Daytime functioning, Insomnia, Total sleep time, Night waking, Behavior problems, Daytime sleepiness

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PII: S1389-9457(10)00006-7

doi:10.1016/j.sleep.2009.03.012

Sleep Medicine
Volume 11, Issue 3 , Pages 281-288, March 2010

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