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  • Title: Web survey of sleep problems associated with early-onset bipolar spectrum disorders.
    Author: Lofthouse N, Fristad M, Splaingard M, Kelleher K, Hayes J, Resko S.
    Journal: J Pediatr Psychol; 2008 May; 33(4):349-57. PubMed ID: 18192301.
    Abstract:
    OBJECTIVE: As research on sleep difficulties associated with Early-Onset Bipolar Spectrum Disorders (EBSD) is limited, a web-based survey was developed to further explore these problems. METHODS: 494 parents of 4-to-12 year-olds, identified by parents as being diagnosed with EBSD, completed a web survey about past and current EBSD-related sleep problems. The survey included Children's Sleep Habits Questionnaire (CSHQ) items and sleep problems from the International Classification of Sleep Disorders 2nd edition. RESULTS: Nearly all parents reported some type of past or current EBSD-sleep problem. Most occurred during a worst mood period, particularly with mixed manic-depressive symptoms. Symptoms caused impairments at home, school, or with peers in 96.9% of the sample and across all three contexts in 64.0% of children. Sleep problems were also noted after three-day weekends and Spring and Fall Daylight Savings time changes. CONCLUSIONS: Findings, study limitations, and implications for treatment and etiology are discussed.
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