{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:08:23Z","timestamp":1790698103208,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T00:00:00Z","timestamp":1679270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCPP Advances"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Children with attention\u2010deficit\/hyperactivity disorder (ADHD) have more sleep problems than their peers which contribute to behavioral and functional impairments. This study examines the bidirectional relationship between nightly sleep (i.e., total sleep time and sleep efficiency) and daily behavior of children with ADHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Forty\u2010three children (ages 6\u201313 [mean\u00a0=\u00a09.05, 54% male, 77% medicated]) participated in a 2\u2010week study during an ADHD Summer Treatment Program (STP). Sleep was measured with actigraphy. Behavior was assessed using STP clinical data and daily parent and counselor ratings of ADHD symptoms, oppositional defiant disorder behaviors, and emotion regulation (e.g., difficulty regulating emotional disposition and controlling emotions). We hypothesized that healthier night's sleep measured by actigraphy (i.e., sleep efficiency and total sleep time [TST]) would relate to less ADHD symptoms, less emotional dysregulation, and better academic performance the next day. Additionally, we hypothesized that less ADHD symptoms, less emotional dysregulation, and greater academic performance would relate to healthier sleep that night.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher nightly sleep efficiency was related to improved parent\u2010ratings of ADHD the next day (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.04, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) and improved parent\u2010ratings of ADHD during the day lead to higher sleep efficiency that night (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.002, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02). Higher rates of daily assignment completion were related to higher sleep efficiency at night (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.035, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03). TST was not related to any behavioral outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sleep efficiency may be more relevant than TST to behavioral performance the next day. Additionally, a bidirectional relationship exists between sleep efficiency and parent ratings of ADHD. Findings highlight the importance of assessing for manifestations of poor sleep efficiency, waking minutes, and wakings after sleep onset when diagnosing and treating ADHD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcv2.12157","type":"journal-article","created":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T13:19:23Z","timestamp":1679318363000},"source":"Crossref","is-referenced-by-count":15,"title":["Examining bidirectional associations between sleep and behavior among children with attention\u2010deficit\/hyperactivity disorder"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2654-882X","authenticated-orcid":false,"given":"Craig A.","family":"Sidol","sequence":"first","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Psychology University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9046-5183","authenticated-orcid":false,"given":"Stephen P.","family":"Becker","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L.","family":"Peugh","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Lynch","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather A.","family":"Ciesielski","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison K.","family":"Zoromski","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery N.","family":"Epstein","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Psychology University of Cincinnati  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,20]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010III","author":"American Psychiatric Association","year":"1980"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2014.06.001"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/10870547211056965"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2018.09.439"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.07.004"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2017.09.005"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.1642"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1015770025043"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054712448252"},{"issue":"1","key":"e_1_2_10_11_1","first-page":"33","article-title":"The effects of extended\u2010release stimulant medication on sleep in children with ADHD","volume":"29","author":"Corkum P.","year":"2020","journal-title":"Journal of the Canadian Academy of Child and Adolescent Psychiatry"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2011.03.004"},{"issue":"9","key":"e_1_2_10_13_1","first-page":"894","article-title":"Sleep in children with attention\u2010deficit\/hyperactivity disorder: Meta\u2010analysis of subjective and objective studies","volume":"48","author":"Cortese S.","year":"2009","journal-title":"Journal of the American Academy of Child & Adolescent Psychiatry"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2005.11.001"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2018.07.014"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038498"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-014-0634-8"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000148"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2014.05.012"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-7795.2006.00498.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.2012.01834.x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1757"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h68"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.4.499"},{"key":"e_1_2_10_25_1","volume-title":"Kiddie schedule for affective disorders and schizophrenia \u2013 present and lifetime version (K\u2010SADS\u2010PL)","author":"Kaufman J.","year":"1996"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2014.922698"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12226"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12049"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.2010.00856.x"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2015.09.019"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2008.03.013"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-200002000-00005"},{"issue":"1","key":"e_1_2_10_33_1","first-page":"19","article-title":"Adolescent sleep disturbance and school performance: The confounding variable of socioeconomics","volume":"3","author":"Pagel J. F.","year":"2007","journal-title":"Journal of Clinical Sleep Medicine"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2015.12.006"},{"key":"e_1_2_10_35_1","first-page":"193","volume-title":"Model Programs for Service Delivery for Child and Family Mental Health","author":"Pelham W. E.","year":"1996"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2016.07.008"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2010.10.001"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2015.06.006"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.33.6.906"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsx006"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000012"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.162.4.336"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsw040"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp2704_3"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.02.006"},{"key":"e_1_2_10_46_1","volume-title":"Troubled families\u2014problem children: Working with parents: A collaborative process","author":"Webster\u2010Stratton C.","year":"1994"}],"container-title":["JCPP Advances"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcv2.12157","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcv2.12157","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcv2.12157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T17:58:27Z","timestamp":1760637507000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1002\/jcv2.12157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,20]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/jcv2.12157"],"URL":"https:\/\/doi.org\/10.1002\/jcv2.12157","archive":["Portico"],"relation":{},"ISSN":["2692-9384","2692-9384"],"issn-type":[{"value":"2692-9384","type":"print"},{"value":"2692-9384","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,20]]},"article-number":"e12157"}}