@article{pmid41660498,

title = {Sleep without borders starts here: Principles and pathways for sleep health promotion},

author = {Reut Gruber and Winfried Randerath},

doi = {10.1016/j.sleepx.2025.100172},

issn = {2590-1427},

year  = {2026},

date = {2026-12-01},

journal = {Sleep Med X},

volume = {11},

pages = {100172},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid41809770,

title = {Sleeping without borders: Gaps in contextualizing sleep duration guidelines for adults in low-income countries},

author = {Reut Gruber and Jean-Philippe Chaput and Oliviero Bruni and Rosalie Barbeau},

doi = {10.1016/j.sleepx.2026.100176},

issn = {2590-1427},

year  = {2026},

date = {2026-12-01},

journal = {Sleep Med X},

volume = {11},

pages = {100176},

abstract = {BACKGROUND: Empirical data on adult sleep health are scarce in many low-income countries, despite the significant health risks associated with inadequate sleep. To help address this gap in low-income countries, the World Sleep Society's Global Sleep Health Taskforce recommends applying evidence from high-income settings - such as guidance from the American Academy of Sleep Medicine/Sleep Research Society AASM/SRS) and the National Sleep Foundation (NSF) to inform the development of sleep health policies and programs.nnOBJECTIVE: To evaluate the appropriateness of adapting existing consensus recommendations on healthy sleep duration for adults from the AASM/SRS and the NSF for use in low-income countries by applying World Health Organization (WHO) contextualization benchmarks.nnMETHODS: We reviewed AASM/SRS and NSF methods papers and assessed four WHO benchmarks: (1) consideration of low-income country priorities in question formulation and literature search; (2) inclusion of evidence from low-income countries; (3) involvement of stakeholders from low-income countries in consensus preparation; and (4) representation of low-income countries or relevant expertise in expert panels. Empirical studies cited in both statements were classified by country income level using World Bank 2025-2026 classifications. Chi-square tests compared distributions across income groups.nnRESULTS: Neither the AASM/SRS or NSF consensus process incorporated priorities, evidence, or representation from low-income countries. Of the empirical studies reviewed, 96% originated from high-income countries, 4% from upper-middle-income countries, and none from lower-middle-income countries (LMIC). No stakeholders or experts from low-income countries participated in guideline development. Both statements showed significant overrepresentation of high-income contexts (p < .001).nnCONCLUSIONS: Current sleep duration recommendations lack contextualization for low-income settings and do not meet WHO standards in this regard. Future guideline development should broaden evidence sources, engage local stakeholders, and apply participatory frameworks to ensure cultural relevance, equity, and practical implementation.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid41341621,

title = {It takes a village, not questionnaires, to improve children's sleep health: A commentary on community-driven sleep health},

author = {Reut Gruber},

doi = {10.1016/j.sleepx.2025.100161},

issn = {2590-1427},

year  = {2025},

date = {2025-12-01},

journal = {Sleep Med X},

volume = {10},

pages = {100161},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid41234671,

title = {Delivering sleep: Bed kit distributions to children living in poverty in Tanzania},

author = {Debbie Will-Dryden and Wandoa Mwambu and Teegan Nordstrom and Reut Gruber},

doi = {10.1016/j.sleepx.2025.100155},

issn = {2590-1427},

year  = {2025},

date = {2025-12-01},

journal = {Sleep Med X},

volume = {10},

pages = {100155},

abstract = {BACKGROUND: Overcrowded housing, insufficient beds, and poor mosquito protection are major barriers to healthy sleep for children living in poverty in developing countries. This study aimed to address these barriers by providing children living in poverty in Tanzania with climate-appropriate items essential for creating a safe and comfortable micro-sleep environment.nnMETHODS: From 2000 to 2024, Sleeping Children Around the World (SCAW) delivered 135,500 bed kits to children aged 7-11 years living in poverty in Tanzania. Since 2019, culturally adapted sleep education information was delivered orally to parents of bed kit recipients.nnRESULTS: Twenty-four distributions reached an average of 5646 children per cohort years. Mattresses and mosquito nets were consistently included; other items varied.nnCONCLUSIONS: This study demonstrates a community-driven approach to improving the sleep environments of children living in poverty in a developing country, offering a scalable model for promoting sleep health in low-resource settings.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid39789983,

title = {Evolving trends in novel sleep tracking and sleep testing technology publications between 2020 and 2022},

author = {Steven Holfinger and Sharon Schutte-Rodin and Dulip Ratnasoma and Ambrose A Chiang and Kelly Baron and Maryann Deak and Evin Jerkins and Julie Baughn and Kevin Gipson and Reut Gruber and Jennifer N Miller and Shalini Paruthi and Sachin Shah and Anuja Bandyopadhyay and },

doi = {10.5664/jcsm.11562},

issn = {1550-9397},

year  = {2025},

date = {2025-05-01},

journal = {J Clin Sleep Med},

volume = {21},

number = {5},

pages = {891--905},

abstract = {STUDY OBJECTIVES: To update sleep medicine providers regarding (1) published research on the uses and performance of novel sleep tracking and testing technologies, (2) the use of artificial intelligence to acquire and process sleep data, and (3) research trends and gaps regarding the development and/or evaluation of these technologies.nnMETHODS: Medline and Embase electronic databases were searched for studies utilizing screening and diagnostic sleep technologies, published between 2020 and 2022 in journals focusing on human sleep. Studies' quality was determined based on the Study Design criteria of The Oxford Center for Evidence-Based Medicine Levels of Evidence.nnRESULTS: Ninety-six of 3,849 articles were included. Most studies were adult performance evaluation (validation) studies, often comparing a novel technology to polysomnography. Sleep tracker publications tended to be Unites States-based, nonindustry-funded, performance studies on healthy adults using non-Food and Drug Administration-cleared technologies. Sleep apnea testing technologies were more frequently industry-funded and Food and Drug Administration-cleared. All studied technologies utilized software with an algorithm and/or artificial intelligence. Few studies used randomized control designs, or accounted for recruitment/attrition biases associated with participants' age, race/ethnicity, or comorbid health conditions.nnCONCLUSIONS: Evidence-based publications have not kept pace with the proliferation and landscape of consumer and clinical sleep technologies. Due to the variance in technologies used within sleep research, careful review of the software used within studies is recommended. Future publications may fill identified gaps by including underrepresented populations, maintaining independence from industry, and through rigorous study design.nnCITATION: Holfinger S, Schutte-Rodin S, Ratnasoma D, et al. Evolving trends in novel sleep tracking and sleep testing technology publications between 2020 and 2022. . 2025;21(5):891-905.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid38070132,

title = {Sleep and insulin sensitivity in adolescents at risk of type 2 diabetes: the Sleep Manipulation in Adolescents at Risk of Type 2 Diabetes randomized crossover study},

author = {Caroline Dutil and Irina Podinic and Ryan B Featherstone and Amelia Eaton and Christin M Sadler and Gary S Goldfield and Stasia Hadjiyannakis and Reut Gruber and Mark S Tremblay and Denis Prud'homme and Jean-Philippe Chaput},

doi = {10.1093/sleep/zsad313},

issn = {1550-9109},

year  = {2024},

date = {2024-05-01},

journal = {Sleep},

volume = {47},

number = {5},

abstract = {STUDY OBJECTIVES: To investigate the effect of increasing sleep duration for 1 week, compared to a week of habitual and decreased sleep, on insulin sensitivity (IS) in adolescents at risk for type 2 diabetes (T2D).nnMETHODS: Adolescents, 13-18 years old, at risk for T2D, with obesity and other risk factors, were recruited for a randomized (1:1), open-label, sex-stratified crossover study, that manipulated time-in-bed to modify sleep duration (measured by actigraphy). Following a week of habitual (HB) sleep, time-in-bed was increased (IN) and decreased (DE) by 1 hour 30 min/night for 1 week, counterbalanced across participants (HBINDE or HBDEIN), and separated by a week of washout sleep. The main outcome measure was IS, obtained via 2-hour oral-glucose-tolerance-test conducted after each sleep week.nnRESULTS: Of the 43 participants recruited, 36 (84%) completed all sleep interventions (52.8% female, age = 15.1 years, body mass index = 99.9th percentile, order: HBINDE = 18 and HBDEIN = 18). On average, during the HB week, participants slept 7 hours 31 min/night; sleep duration was 1 hour 02 min/night higher during the IN week and 1 hour 19 min/night lower during the DE week. We found a significant effect of sleep week on IS with a large effect size. Following the IN sleep week, IS was 20% higher compared to after the HB and DE sleep weeks, but there was no significant difference in IS following HB versus DE sleep weeks.nnCONCLUSIONS: Whenever possible, clinicians should empower youth at risk of T2D to improve their sleep duration, since even a modest increase in sleep duration of 1 h/night for 1 week can have a positive impact on IS in this population.nnCLINICAL TRIALS: Sleep Extension and IS in Adolescents, https://clinicaltrials.gov/study/NCT03754036, November 23rd, 2018.nnTRIAL REGISTRATION: ClinicalTrials.gov (ID:NCT03754036).},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid38302206,

title = {The Associations Between Sleep and Externalizing and Internalizing Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder: Empirical Findings, Clinical Implications, and Future Research Directions},

author = {Jenny Dimakos and Gabrielle Gauthier-Gagné and Lanyi Lin and Samantha Scholes and Reut Gruber},

doi = {10.1016/j.psc.2023.06.012},

issn = {1558-3147},

year  = {2024},

date = {2024-03-01},

journal = {Psychiatr Clin North Am},

volume = {47},

number = {1},

pages = {179--197},

abstract = {Sleep problems are common in youth with attention-deficit/hyperactivity disorder (ADHD). Externalizing and internalizing problems contribute to dysfunction in youth with ADHD and are amplified by disrupted sleep. This objective of this article is to synthesize empirical studies that examined the associations between sleep and internalizing or externalizing problems in individuals with ADHD. The main findings are that sleep problems precede, predict, and significantly contribute to the manifestation of internalizing and externalizing behavior problems among children and adolescents with ADHD. Clinicians should assess sleep and integrate sleep interventions into the management of youth with ADHD.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid37626491,

title = {The Associations between the Homeostatic and Circadian Sleep Processes and the Neurobehavioral Functioning (NBF) of Individuals with ADHD-A Systematic Review},

author = {Reut Gruber and Gabrielle Gauthier-Gagné and Charlotte Little and Ziqi Fu},

doi = {10.3390/brainsci13081134},

issn = {2076-3425},

year  = {2023},

date = {2023-07-01},

journal = {Brain Sci},

volume = {13},

number = {8},

abstract = {The objective of the present review was to systematically examine associations between perturbations of the homeostatic or circadian sleep processes and the neurobehavioral functioning (NBF) of individuals with ADHD. Electronic databases were searched for articles published between December 2013 and March 2023. Studies were included if they used objective measures of NBF, used objective or subjective measures of sleep, and focused on individuals with ADHD. Ten studies met these inclusion criteria. Of these, eight studies found perturbations in the interplay between NBF and Process S or Process C, and three studies did not. The quality of the studies was degraded because they failed to address key factors that affect the sleep processes and by the presence of methodological weaknesses. Our review suggests that homeostatic and circadian sleep processes are associated with NBF in individuals with ADHD. However, to confirm the validity of this conclusion, future studies should examine or control for confounders and utilize experimental designs that allow causality to be inferred.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36843359,

title = {Associations Between Multidimensional Sleep Health Parameters and Adolescents' Self-reported Light Exposure in the Free-living Environment},

author = {Gabrielle Gauthier-Gagné and Sujata Saha and Jana Jensen and Gail Sommerville and Reut Gruber},

doi = {10.1177/07487304231152987},

issn = {1552-4531},

year  = {2023},

date = {2023-06-01},

journal = {J Biol Rhythms},

volume = {38},

number = {3},

pages = {305--317},

abstract = {The objective of this study was to characterize the associations between light exposure in the free-living environment and multiple dimensions of sleep health of typically developing adolescents. Fifty-six (29 girls, 27 boys) typically developing adolescents (mean age = 13.59, SD = 0.89, range = 12-17 years) participated. For six consecutive nights, sleep was assessed in the home environment using actigraphy. During the same period, participants were asked to fill out a daily sleep log and a daily light exposure log, and to complete questionnaires regarding their alertness and subjective sleep satisfaction. Longer self-reported exposure to daylight in the morning was associated with longer objectively measured sleep duration. Longer self-reported exposures to electronic devices in the evening were associated with later objectively measured sleep onset and offset times, shorter sleep duration, and greater day-to-day sleep variability. Longer morning exposure to outdoor light was associated with a longer sleep duration. Self-reported light exposure was not associated with sleep satisfaction, alertness/sleepiness, or sleep efficiency. Among the covariates, circadian preference accounted for the highest percentage of variance. Adolescents' sleep health is associated with the self-reported duration of exposure to daylight in the morning and to electronic devices in the evening.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid37113558,

title = {Sleep Disturbances in Adolescents with Attention-Deficit/Hyperactivity Disorder},

author = {Reut Gruber and Liron Salamon and Riva Tauman and Michal Al-Yagon},

doi = {10.2147/NSS.S386435},

issn = {1179-1608},

year  = {2023},

date = {2023-01-01},

journal = {Nat Sci Sleep},

volume = {15},

pages = {275--286},

abstract = {INTRODUCTION: Delayed sleep phase syndrome (DSPS) and insomnia disorders are prevalent in adolescents and are comorbid with attention-deficit/hyperactivity disorder (ADHD), but only limited information is available regarding the prevalence of DSPS and insomnia in adolescents with ADHD. Moreover, previous studies comparing objective sleep parameters averaged the findings across all participants of each group (ADHD, control) regardless of each individual's level of reported sleep disturbance. This might have resulted in inconsistency between information obtained by objective and subjective sleep measures in adolescents with ADHD. The objectives of the present study were 1) to compare the prevalence of risk for DSPS and insomnia in adolescents with ADHD and control adolescents in our samples; 2) to compare objectively measured sleep characteristics of adolescents with ADHD and controls while taking into consideration their levels of risk for DSPS or their level of insomnia; and 3) to compare the ADHD symptom levels of adolescents with moderate/high and low risk for DSPS or insomnia.nnMETHODS: Seventy-three adolescents (37 ADHD, 36 controls) aged 12-15 years participated in a cross-sectional study. Actigraphy was used to characterize objective sleep parameters and parents' or adolescents' reports were used to characterize subjective sleep parameters.nnRESULTS: Of the participants in the ADHD and control groups, 33.33% and 27%, respectively, had moderate/high levels of risk for DSPS. Adolescents in the high-risk group for DSPS had an objectively measured delayed sleep schedule and more variable sleep duration, time in bed, and sleep efficiency compared to adolescents in the low-risk group for DSPS, regardless of their ADHD diagnosis. Adolescents with higher levels of insomnia spent more time in bed and had more variable sleep efficiency compared to adolescents with no insomnia, regardless of their diagnosis.nnCONCLUSION: The prevalence of moderate/high risk for DSPS was similarly high in adolescents with ADHD and controls. Participants' subjective reports of sleep disturbances were consistent with their objective sleep parameters when the type and level of subjectively defined sleep disturbance were considered. ADHD symptom levels were not different in adolescents with moderate/high or low risk for DSPS or insomnia.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36334499,

title = {Sleep duration, but not insomnia symptoms, is associated with poor executive functions in adolescents},

author = {Reut Gruber and Gail Sommerville and Antonia Panaitescu and Sujata Saha},

doi = {10.1016/j.sleep.2022.10.009},

issn = {1878-5506},

year  = {2023},

date = {2023-01-01},

journal = {Sleep Med},

volume = {101},

pages = {36--39},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid35963823,

title = {National strategy on the integration of sleep and circadian rhythms into public health research and policies: Report from the Canadian Sleep and Circadian Network},

author = {Jean-Philippe Chaput and Geneviève Gariépy and Sachin R Pendharkar and Najib T Ayas and Charles Samuels and Annie Vallières and Judith R Davidson and Charles M Morin and Guido Simonelli and Catherine Bourguinat and Reut Gruber and Dominique Petit and Indra Narang and Valérie Viau and Julie Carrier},

doi = {10.1016/j.sleh.2022.06.005},

issn = {2352-7226},

year  = {2022},

date = {2022-10-01},

journal = {Sleep Health},

volume = {8},

number = {5},

pages = {551--563},

abstract = {Scientists in sleep and circadian rhythms, public health experts, healthcare providers, partners, and stakeholders convened in 2020 for a 2-day meeting organized by the Canadian Sleep and Circadian Network to develop a national strategy for integrating sleep and circadian rhythms into public health and policies in Canada. The objective of this paper is to present the national strategy that emerged from this meeting of 60 participants from across Canada. The meeting focused on 4 key target priorities: (1) atypical working schedules, (2) sleep and circadian rhythms of children and adolescents, (3) insomnia, and (4) impact of sleep apnea on health. Following constructive discussions, it was decided that the following 4 strategic objectives should be prioritized to accelerate the integration of sleep and circadian rhythms into public health policies in Canada: (1) increase public health sleep and circadian rhythm research, (2) increase public health education and knowledge mobilization on sleep, (3) inform and support public health sleep interventions and policies, and (4) promote sleep health training. Participants recommended that research and public health efforts address needs along the continuum of sleep health. The committee noted that strategies and interventions could differ across contexts, settings, sectors, and jurisdictions. The national strategy also identified high-priority research questions in public health and recommended mechanisms to build research capacity, providing a path forward for the integration of sleep and circadian rhythms into public health research and policies.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid34883399,

title = {Sleep and daytime behavior in individuals with Christianson Syndrome},

author = {Reut Gruber and Samantha Scholes and Armando Bertone and R Anne McKinney and John Orlowski and Merrill S Wise},

doi = {10.1016/j.sleep.2021.11.007},

issn = {1878-5506},

year  = {2022},

date = {2022-01-01},

journal = {Sleep Med},

volume = {89},

pages = {55--59},

abstract = {BACKGROUND: The objectives of this study were to: 1) characterize the sleep behaviors and symptoms of individuals with Christianson Syndrome (CS) by means of validated questionnaires; and 2) determine their associations with daytime emotional and behavioral symptoms in this population.nnMETHODS: Participants included 16 boys genetically diagnosed with CS, between 2.5 and 40 years of age (M = 14.5 ± 8.08). Parents completed questionnaires regarding the sleep, daytime behavior, and health of their child.nnRESULTS: Of the participants, 31% did not obtain the recommended amount of sleep for their age, 43% experienced a prolonged sleep latency, and 88% had a clinical or sub-clinical score for at least one subscale of the Sleep Disturbance Scale for Children (SDSC). Specific problems detected included insomnia, sleep-wake transition disorders, periodic limb movements in sleep, and sleep related breathing disorders. About half of the participants manifested emotional and behavioral problems at clinical levels. Higher levels of sleep disturbances were associated with higher levels of behavioral and emotional daytime symptoms.nnCONCLUSIONS: Sleep problems are common in individuals with CS and are associated with daytime behavioral and emotional symptoms.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid34225220,

title = {Should we use the multidimensional model of sleep health to assess the outcomes of sleep health promotion interventions? A commentary on: "Do sleep interventions change sleep duration in children aged 0-5 years?" By Taylor et al},

author = {Reut Gruber},

doi = {10.1016/j.smrv.2021.101517},

issn = {1532-2955},

year  = {2021},

date = {2021-10-01},

journal = {Sleep Med Rev},

volume = {59},

pages = {101517},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid34472600,

title = {Children's Sleep During COVID-19: How Sleep Influences Surviving and Thriving in Families},

author = {Nicole E MacKenzie and Elizabeth Keys and Wendy A Hall and Reut Gruber and Isabel M Smith and Evelyn Constantin and Roger Godbout and Robyn Stremler and Graham J Reid and Ana Hanlon-Dearman and Cary A Brown and Sarah Shea and Shelly K Weiss and Osman Ipsiroglu and Manisha Witmans and Christine T Chambers and Pantelis Andreou and Esmot Begum and Penny Corkum},

doi = {10.1093/jpepsy/jsab075},

issn = {1465-735X},

year  = {2021},

date = {2021-09-01},

journal = {J Pediatr Psychol},

volume = {46},

number = {9},

pages = {1051--1062},

abstract = {OBJECTIVE: The COVID-19 pandemic has the potential to disrupt the lives of families and may have implications for children with existing sleep problems. As such, we aimed to: (1) characterize sleep changes during the COVID-19 pandemic in children who had previously been identified as having sleep problems, (2) identify factors contributing to sleep changes due to COVID-19 safety measures, and (3) understand parents' and children's needs to support sleep during the pandemic.nnMETHODS: Eighty-five Canadian parents with children aged 4-14 years participated in this explanatory sequential, mixed-methods study using an online survey of children's and parents' sleep, with a subset of 16 parents, selected based on changes in their children's sleep, participating in semi-structured interviews. Families had previously participated in the Better Nights, Better Days (BNBD) randomized controlled trial.nnRESULTS: While some parents perceived their child's sleep quality improved during the COVID-19 pandemic (14.1%, n = 12), many parents perceived their child's sleep had worsened (40.0%, n = 34). Parents attributed children's worsened sleep to increased screen time, anxiety, and decreased exercise. Findings from semi-structured interviews highlighted the effect of disrupted routines on sleep and stress, and that stress reciprocally influenced children's and parents' sleep.nnCONCLUSIONS: The sleep of many Canadian children was affected by the first wave of the COVID-19 pandemic, with the disruption of routines influencing children's sleep. eHealth interventions, such as BNBD with modifications that address the COVID-19 context, could help families address these challenges.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid34461960,

title = {Pre-pandemic sleep behavior and adolescents' stress during Covid-19: a prospective longitudinal study},

author = {Reut Gruber and Gabrielle Gauthier-Gagne and Denise Voutou and Gail Somerville and Sujata Saha and Johanne Boursier},

doi = {10.1186/s13034-021-00399-x},

issn = {1753-2000},

year  = {2021},

date = {2021-08-01},

journal = {Child Adolesc Psychiatry Ment Health},

volume = {15},

number = {1},

pages = {43},

abstract = {OBJECTIVE: To prospectively document changes in adolescents' sleep before versus during the COVID-19 pandemic, and to examine their impact on adolescents' perceived stress.nnMETHODS: Sixty-two typically developing adolescents participated in the study before (Time 1: January 15 to March 13, 2020) and during (Time 2: May 15 to June 30, 2020) the COVID-19 pandemic in Canada. At Time 1, each participant's sleep pattern was assessed in the home environment using actigraphy and sleep logs for seven consecutive nights. Adolescents completed a battery of questionnaires in which they reported on their sleep schedule, duration, and quality, as well as their activities at bedtime, their daytime sleepiness, and their social/emotional behavior. The participants' parents provided demographic information. At Time 2, each participant completed a sleep log, the same battery of questionnaires regarding sleep, and the Perceived Stress Scale.nnRESULTS: (1) Adolescents' reported sleep was of longer duration and on a delayed schedule during the COVID-19 pandemic compared to pre-pandemic. (2) A larger proportion of adolescents reported meeting or exceeding the recommended amount of sleep during the COVID-19 pandemic compared to pre-pandemic sleep. (3) "Social jet lag" disappeared during the COVID-19 pandemic. (4) A shorter reported sleep duration and higher level of arousal at bedtime at Time 1 were significant predictors of adolescents' perceived stress at Time 2-during the COVID-19 pandemic. (5) A higher levels of arousal at bedtime and lower reported sleep quality at Time 2 were concurrently associated with higher levels of perceived stress among adolescents, even when we controlled for the levels of pre-pandemic emotional or behavioral issues, sleep duration, or sleep quality.nnCONCLUSION: Sleep duration and cognitive-emotional arousal, which are both modifiable behaviors, were associated with adolescents' perceived stress during the COVID-19 pandemic. These behaviors could be useful targets for preventive interventions aiming to reduce adolescents' stress in the face of stressogenic situations, such as the COVID-19 pandemic.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid33223061,

title = {The Associations Between Sleep and Externalizing and Internalizing Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder: Empirical Findings, Clinical Implications, and Future Research Directions},

author = {Jenny Dimakos and Gabrielle Gauthier-Gagné and Lanyi Lin and Samantha Scholes and Reut Gruber},

doi = {10.1016/j.chc.2020.08.001},

issn = {1558-0490},

year  = {2021},

date = {2021-01-01},

journal = {Child Adolesc Psychiatr Clin N Am},

volume = {30},

number = {1},

pages = {175--193},

abstract = {Sleep problems are common in youth with attention-deficit/hyperactivity disorder (ADHD). Externalizing and internalizing problems contribute to dysfunction in youth with ADHD and are amplified by disrupted sleep. This objective of this article is to synthesize empirical studies that examined the associations between sleep and internalizing or externalizing problems in individuals with ADHD. The main findings are that sleep problems precede, predict, and significantly contribute to the manifestation of internalizing and externalizing behavior problems among children and adolescents with ADHD. Clinicians should assess sleep and integrate sleep interventions into the management of youth with ADHD.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}