Stability and predictors of parent-reported sleep problems in a population-based sample were investigated in 259 children whose parents completed the Pediatric Behavior Scale at mean ages 8 and 15. Reduced sleep (e.g., sleeps less than normal), fragmented sleep (e.g., wakes during the night), and excessive sleep were predicted from Pediatric Behavior Scale inattention, impulsivity, hyperactivity, autism, cognitive disengagement syndrome, oppositional defiant disorder/ODD, conduct problems, depression, anxiety, and somatic complaints scores; polysomnography (overnight sleep lab) data; and demographics. The prevalence of reduced, fragmented, and excessive sleep in childhood was 10%, 14%, and 14%, respectively. Adolescent prevalence rates were 3%, 3%, and 15%. Persistence rates were low (16%, 14%, and 31%), and few children had these sleep problems at both time points (2%, 2%, and 4%). In contrast, studies using parent-reported insomnia symptoms in childhood and self-report in adolescence showed an increase in insomnia and higher persistence over time. In our study, reduced and fragmented sleep in childhood predicted adolescent reduced and fragmented sleep, respectively, whereas excessive sleep in childhood did not predict adolescent excessive sleep. Childhood predictors of adolescent sleep problems were few and explained little of the variance. ODD and inattention were correlates of reduced and fragmented sleep in childhood, and hyperactivity and somatic complaints were correlates in adolescence. Polysomnography and demographics were unrelated to parent-reported sleep problems. Results support complementing parent-report with self-report in adolescence and treating reduced and fragmented sleep, ADHD, and ODD in childhood to possibly alleviate current sleep problems and reduce their likelihood in adolescence.

对 259 名儿童进行了基于人群的样本中父母报告的睡眠问题的稳定性和预测因素的调查，这些儿童的父母在平均年龄 8 岁和 15 岁时完成了儿科行为量表。睡眠减少（例如，睡眠时间少于正常水平）、睡眠碎片化（例如，夜间醒来），过度睡眠是根据儿童行为量表的注意力不集中、冲动、多动、自闭症、认知脱离综合征、对立违抗障碍/ODD、行为问题、抑郁、焦虑和躯体投诉评分预测的；多导睡眠图（夜间睡眠实验室）数据；和人口统计数据。儿童期睡眠减少、碎片化和过度的发生率分别为 10%、14% 和 14%。青少年患病率分别为3%、3%和15%。持续率较低（16%、14% 和 31%），并且很少有儿童在这两个时间点都出现这些睡眠问题（2%、2% 和 4%）。相比之下，使用父母报告的儿童期失眠症状和青春期自我报告的研究表明，随着时间的推移，失眠症会增加，并且持续时间会更高。在我们的研究中，儿童期睡眠减少和碎片化分别预示着青少年睡眠减少和碎片化，而儿童期睡眠过多并不能预测青少年睡眠过多。青少年睡眠问题的童年预测因素很少，并且无法解释这种差异。注意力不集中和注意力不集中与儿童时期的睡眠减少和碎片化有关，而多动症和躯体症状则与青春期的睡眠有关。多导睡眠图和人口统计数据与家长报告的睡眠问题无关。 结果支持在青春期用自我报告补充家长报告，并治疗儿童期睡眠减少和碎片化、注意力缺陷多动症和对立障碍，以可能缓解当前的睡眠问题并降低青春期出现这些问题的可能性。