Sleep behavior problems (SBP) in children predict later health-related quality of life (HRQoL) psychosocial and physical impairments; attending to both SBP and HRQoL early could prevent progression of concurrent internalizing (e.g. anxiety) and externalizing (e.g. hyperactivity) symptoms.
Why this matters
Sleep behavior problems are common in children, particularly those with anxiety and hyperactivity disorders, and they play a role in long-term functional outcomes; however, the direction of this association is largely unknown.
Early intervention of SBP and its psychosocial comorbidities may have important implications for long-term social functioning and HRQoL in affected children.