{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T22:54:16Z","timestamp":1778453656853,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R21 HD082307"],"award-info":[{"award-number":["R21 HD082307"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001673","name":"Fondation J\u00e9r\u00f4me Lejeune","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001673","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The connection between sleep problems and behavioural challenges in individuals with Down syndrome (DS) has been a central focus of research across different age groups. However, uncertainty remains regarding this association, particularly when relying solely on daily\u2010based assessments. This study aimed to examine the relationship between sleep problems and behavioural challenges at both overall (macro) and daily (micro) levels among youth with DS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sleep disturbances were measured in a sample of 65 youth with DS aged 6\u201317\u2009years using the Children's Sleep Habits Questionnaire (CSHQ) and actigraph watches assessing sleep efficiency, sleep duration and wake after sleep onset. Behavioural challenges were evaluated through externalising and internalising subscales of the Child Behavior Checklist (CBCL) and of the Scales of Independent Behavior, Revised (SIB\u2010R).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The findings demonstrated that over a period of time, sleep problems are significantly associated with both externalising and internalising behaviours as measured by CSHQ and CBCL, even after accounting for the effects of IQ and SIB\u2010R Broad Independence. No significant correlations were observed on a daily basis over seven consecutive days, as measured by actigraphy and both externalising and internalising indices of SIB\u2010R.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results highlight the complexity of the sleep\u2013behaviour relationship in DS, indicating that while chronic sleep issues impact long\u2010term behaviours, nightly variations do not predict immediate behavioural changes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.13213","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T13:17:30Z","timestamp":1739279850000},"page":"310-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Examining the Relation Between Sleep Problems and Behavioural Challenges in Youth With Down Syndrome"],"prefix":"10.1111","volume":"69","author":[{"given":"Amanallah","family":"Soltani","sequence":"first","affiliation":[{"name":"School of Education, Faculty of Social Science and Leisure Management Taylor's University  Subang Jaya Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Wiley","sequence":"additional","affiliation":[{"name":"Division of Developmental and Behavioral Pediatrics Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Williams\u2010Arya","sequence":"additional","affiliation":[{"name":"Division of Developmental and Behavioral Pediatrics Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily\u00a0K.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Division of Developmental and Behavioral Pediatrics Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2649-7791","authenticated-orcid":false,"given":"Anna\u00a0J.","family":"Esbensen","sequence":"additional","affiliation":[{"name":"Division of Developmental and Behavioral Pediatrics Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"ASEBA School\u2010Age Forms & Profiles","author":"Achenbach T. M.","year":"2001"},{"key":"e_1_2_7_3_1","volume-title":"Micro\u2010Mini Motionlogger Instruction Manual","author":"Ambulatory Monitoring Inc","year":"2000"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2020.10.007"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2011.01435.x"},{"key":"e_1_2_7_6_1","volume-title":"SIB\u2010R: Scales of Independent Behavior\u2010Revised","author":"Bruininks R. H.","year":"1996"},{"issue":"5","key":"e_1_2_7_7_1","first-page":"368","article-title":"Common Sleep Disorders in Children","volume":"89","author":"Carter K. A.","year":"2014","journal-title":"American Family Physician"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s11689-021-09365-2"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.8630"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.12.022"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsm105"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2009.11.006"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2788.2002.00431.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-122.3.215"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12236"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12315"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-127.2.149"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12463"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12533"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-122.3.247"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1193176"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18095001"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11051188"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200208000-00015"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.3618"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3156.2005.00323.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/19315864.2014.920941"},{"key":"e_1_2_7_28_1","volume-title":"KBIT\u20102: Kaufman Brief Intelligence Test","author":"Kaufman A.","year":"2004"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/03004430.2016.1180790"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-0266"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2005.00732.x"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781316783269"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1589"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s11689-023-09491-z"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/23.8.1d"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/19315864.2018.1481473"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/17.3.201"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000001189"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12572"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.06.054"}],"container-title":["Journal of Intellectual Disability Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jir.13213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T02:58:37Z","timestamp":1741748317000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jir.13213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":39,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/jir.13213"],"URL":"https:\/\/doi.org\/10.1111\/jir.13213","archive":["Portico"],"relation":{},"ISSN":["0964-2633","1365-2788"],"issn-type":[{"value":"0964-2633","type":"print"},{"value":"1365-2788","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,10]]},"assertion":[{"value":"2024-09-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}