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Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.

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Title: Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.
Authors: Liang, Xiao (AUTHOR), Zhao, Mengping (AUTHOR), Su, Li (AUTHOR), Haegele, Justin A. (AUTHOR), Xu, Richard H. (AUTHOR), Li, Jiayue (AUTHOR), Guo, Jinxian (AUTHOR), Tse, Andy Choi-Yeung (AUTHOR), Li, Shirley X. (AUTHOR), Shum, David H. K. (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Mar2026, Vol. 56 Issue 3, p1163-1172. 10p.
Subjects: Cross-sectional method, Self-evaluation, Attention-deficit hyperactivity disorder, Mental health, T-test (Statistics), Research funding, Questionnaires, Internalizing behavior, Chi-squared test, Descriptive statistics, Sleep disorders in children, Physical activity
Abstract: Children with attention deficit hyperactivity disorder (ADHD) experience high rates of sleep problems and are at increased risk for developing internalizing problems. This study aimed to examine the association of sleep problems and physical activity with internalizing symptoms in children with ADHD. This cross-sectional study included 188 children with ADHD (M age = 8.60 ± 1.38, 78.7% boys). Self-reported questionnaires were used to assess sleep problems (Pittsburgh Sleep Quality Index [PSQI]) and internalizing symptoms (Depression Anxiety Stress Scale 21 [DASS 21]). The presence of sleep problems was defined as a PSQI score > 5. Physical activity was recorded by an ActiGraph GT9X Link accelerometer for 7 consecutive days. In total, 111 children with ADHD presented with sleep problems (59%). Compared with their counterparts without sleep problems, children with sleep problems spent less time in daily moderator-to-vigorous physical activity (MVPA) (F = 15.35, η2 =.079), had a lower proportion of meeting the WHO-recommended 60 min of daily MVPA guideline (F = 9.57, η2 =.050), and showed more internalizing symptoms: depression (F = 10.09, η2 =.053), anxiety (F = 15.84, η2 =.081), and stress (F = 6.98, η2 =.037). BMI, daytime dysfunction of PSQI, and MVPA guideline attainment were significantly associated with internalizing symptoms in children with ADHD. Daytime dysfunction of PSQI is associated with more severe internalizing symptoms, and MVPA guideline attainment may reduce the likelihood of developing depression and anxiety in children with ADHD. Future studies are needed to examine the long-term effects of sleep on internalizing symptoms and the effects of PA-based interventions on sleep and internalizing symptoms in children with ADHD, respectively. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.
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  Data: <searchLink fieldCode="AR" term="%22Liang%2C+Xiao%22">Liang, Xiao</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhao%2C+Mengping%22">Zhao, Mengping</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Su%2C+Li%22">Su, Li</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haegele%2C+Justin+A%2E%22">Haegele, Justin A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xu%2C+Richard+H%2E%22">Xu, Richard H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Jiayue%22">Li, Jiayue</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guo%2C+Jinxian%22">Guo, Jinxian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tse%2C+Andy+Choi-Yeung%22">Tse, Andy Choi-Yeung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Shirley+X%2E%22">Li, Shirley X.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shum%2C+David+H%2E+K%2E%22">Shum, David H. K.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Mar2026, Vol. 56 Issue 3, p1163-1172. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Internalizing+behavior%22">Internalizing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders+in+children%22">Sleep disorders in children</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink>
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  Data: Children with attention deficit hyperactivity disorder (ADHD) experience high rates of sleep problems and are at increased risk for developing internalizing problems. This study aimed to examine the association of sleep problems and physical activity with internalizing symptoms in children with ADHD. This cross-sectional study included 188 children with ADHD (M age = 8.60 ± 1.38, 78.7% boys). Self-reported questionnaires were used to assess sleep problems (Pittsburgh Sleep Quality Index [PSQI]) and internalizing symptoms (Depression Anxiety Stress Scale 21 [DASS 21]). The presence of sleep problems was defined as a PSQI score > 5. Physical activity was recorded by an ActiGraph GT9X Link accelerometer for 7 consecutive days. In total, 111 children with ADHD presented with sleep problems (59%). Compared with their counterparts without sleep problems, children with sleep problems spent less time in daily moderator-to-vigorous physical activity (MVPA) (F = 15.35, η2 =.079), had a lower proportion of meeting the WHO-recommended 60 min of daily MVPA guideline (F = 9.57, η2 =.050), and showed more internalizing symptoms: depression (F = 10.09, η2 =.053), anxiety (F = 15.84, η2 =.081), and stress (F = 6.98, η2 =.037). BMI, daytime dysfunction of PSQI, and MVPA guideline attainment were significantly associated with internalizing symptoms in children with ADHD. Daytime dysfunction of PSQI is associated with more severe internalizing symptoms, and MVPA guideline attainment may reduce the likelihood of developing depression and anxiety in children with ADHD. Future studies are needed to examine the long-term effects of sleep on internalizing symptoms and the effects of PA-based interventions on sleep and internalizing symptoms in children with ADHD, respectively. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10803-024-06623-9
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 1163
    Subjects:
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Research funding
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      – SubjectFull: Internalizing behavior
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Sleep disorders in children
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      – SubjectFull: Physical activity
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      – TitleFull: Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.
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              M: 03
              Text: Mar2026
              Type: published
              Y: 2026
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