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Abstract
Title: Long term sleep disturbance and young childrens risky acts, aggressive behavior and externalizing behavior problems.
Background/Objective: Lack of sleep has been associated with childrens disruptive behavior in general while aggression in early childhood has been shown to be an important predictor of conduct disorder and violent offending later in life. Examining the relationships between sleep disturbance over time, disruptive behavior and aggression will provide evidence of the unique contribution of sleep to each of these behaviors. 
Methods: Secondary data analysis of a representative community sample (N=177) of children ages 4 to 6 participating in a longitudinal descriptive study. Childrens sleep was assessed with the Sleep Duration subscale of the Childrens Sleep Habits Questionnaire (CSHQ), risky acts with the Injury Behavior Checklist (IBC) and aggressive/externalizing behavior problems with the Childrens Behavior Checklist (CBCL).     
Results: It was found that children with consistent low sleep duration over time exhibited higher levels of risky acts, higher aggressive behaviors scores and higher externalizing behaviors scores when compared to those with consistent high sleep duration. Statistically significant differences however were only those related to aggressive behaviors (mean = 8.04, SD=5.8 vs mean = 5.06, SD=5.0, p = 0.02). 
Conclusion: Lack of sleep relates to childrens aggressive behaviors but the relationship is stronger among children who consistently over time do not acquire enough sleep. Early identification of sleep related issues among young children is important for developing interventions to address potential aggressive behavior problems.

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