{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:58:10Z","timestamp":1792112290852,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,6,8]],"date-time":"2015-06-08T00:00:00Z","timestamp":1433721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sleep disorders are frequently associated with childhood behavioral problems and mental illnesses such as anxiety disorder. To identify promising behavioral targets for pediatric anxiety disorder therapy, we investigated the associations between specific sleep and behavioral problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted retrospective reviews of 105 patients aged 4\u201312 years who met the <jats:styled-content style=\"fixed-case\">DSM\u2010IV<\/jats:styled-content> criteria for primary diagnosis of generalized anxiety disorder (n = 33), separation anxiety disorder (n = 23), social phobia (n = 21), or obsessive compulsive disorder (n = 28). Sleep problems were evaluated using the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hildren's <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>leep <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>abits <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire (<jats:styled-content style=\"fixed-case\">CSHQ<\/jats:styled-content>) and behavioral problems by the Spence <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hildren's <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nxiety <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale, <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>ppositional <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>efiant <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ehavior <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nventory (<jats:styled-content style=\"fixed-case\">ODBI<\/jats:styled-content>), and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>epression <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>elf\u2010<jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>ating <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale for <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hildren.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Depressive behavior was weakly correlated with <jats:styled-content style=\"fixed-case\">CSHQ<\/jats:styled-content> subscores for sleep onset delay and night waking but not with total sleep disturbance. Anxiety was correlated with bedtime resistance, night waking, and total sleep disturbance score. Oppositional defiance was correlated with bedtime resistance, daytime sleepiness, sleep onset delay, and most strongly with total sleep disturbance. On multiple regression analysis <jats:styled-content style=\"fixed-case\">ODBI<\/jats:styled-content> score had the strongest positive association with total sleep disturbance and the strongest negative association with total sleep duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sleep problems in children with anxiety disorders are closely related to anxiety and oppositional defiant symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12620","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T13:23:13Z","timestamp":1425648193000},"page":"690-693","source":"Crossref","is-referenced-by-count":25,"title":["Behavioral symptoms and sleep problems in children with anxiety disorder"],"prefix":"10.1111","volume":"57","author":[{"given":"Yoshitaka","family":"Iwadare","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry National Center for Global Health and Medicine Kohnodai Hospital  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National Center for Global Health and Medicine Kohnodai Hospital  Ichikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyota","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry National Center for Global Health and Medicine Kohnodai Hospital  Ichikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Kodaira","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Aiiku Hospital  Minato Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Aiiku Hospital  Minato 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