@article{ref1,
title="Aggressive behavior, bullying, snoring, and sleepiness in schoolchildren",
journal="Sleep Medicine",
year="2011",
author="O'Brien, Louise M. and Lucas, Neali H. and Felt, Barbara T. and Hoban, Timothy F. and Ruzicka, Deborah L. and Jordan, Ruth and Guire, Kenneth and Chervin, Ronald D.",
volume="12",
number="7",
pages="652-658",
abstract="BACKGROUND: To assess whether urban schoolchildren with aggressive behavior are more likely than peers to have symptoms suggestive of sleep-disordered breathing. METHODS: Cross-sectional survey of sleep and behavior in schoolchildren. Validated screening assessments for conduct problems (Connor's rating scale), bullying behavior, and sleep-disordered breathing (pediatric sleep questionnaire) were completed by parents. Teachers completed Connor's teacher rating scale. RESULTS: Among 341 subjects (51% female), 110 (32%) were rated by a parent or teacher as having a conduct problem (T-score ⩾65) and 78 (23%) had symptoms suggestive of sleep-disordered breathing. Children with conduct problems, bullying, or discipline referrals, in comparison to non-aggressive peers, more often had symptoms suggestive of sleep-disordered breathing (each p<0.05). Children with vs. without conduct problems were more likely to snore habitually (p<0.5). However, a sleepiness subscale alone, and not a snoring subscale, predicted conduct problems after accounting for age, gender, a measure of socioeconomic status, and stimulant use. CONCLUSIONS: Urban schoolchildren with aggressive behaviors may have symptoms of sleep-disordered breathing with disproportionate frequency. Sleepiness may impair emotional regulation necessary to control aggression.<p /> <p>Language: en</p>",
language="en",
issn="1389-9457",
doi="10.1016/j.sleep.2010.11.012",
url="http://dx.doi.org/10.1016/j.sleep.2010.11.012"
}