Actigraphic Sleep Pattern of Preschoolers With ADHD

Melegari, Maria Grazia; Vittori, Elena; Mallia, Luca; Devoto, Alessandra; Lucidi, Fabio; Ferri, Raffaele; Bruni, Oliviero

doi:10.1177/1087054716672336

Cited by 25 publications

(14 citation statements)

References 65 publications

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“…Data on actigraphic sleep parameters, reported in Table 1 , globally show that ADHD children present an impaired actigraphic sleep quality, in comparison to C, in terms of a reduced SE and an extended WASO. These findings are, overall, in line with recent evidence on this topic [ 11 , 12 ].…”

Section: Discussionsupporting

confidence: 92%

A Pilot Study on Circadian Activity Rhythm in Pediatric Attention-Deficit Hyperactivity Disorder

Tonetti

Zoppello²,

Rossi

et al. 2019

Clocks & Sleep

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A recent study has applied a novel statistical framework (functional linear modeling: FLM) to the study of circadian activity rhythm (CAR) in adult attention-deficit hyperactivity disorder (ADHD), pointing out the absence of the physiological post-lunch dip. The aim of the present study was to apply FLM to explore the features of CAR in pediatric ADHD. To this end, a secondary analysis of previously collected data was carried out. Twenty-four ADHD children (four females, mean age 8.67 ± 1.74) and 107 controls (C, 60 females, mean age 10.25 ± 0.48) were examined. The actigraph model Actiwatch AW64 was used to objectively monitor sleep/wake behavior and CAR. In the original study each participant wore the actigraph on the non-dominant wrist for one week. FLM was applied to examine the differences between groups in CAR. Compared with C, the CAR of ADHD children was distinguished by a higher motor activity during the whole of the daytime and within a reduced time window during the nighttime.

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Section: Discussionsupporting

confidence: 92%

A Pilot Study on Circadian Activity Rhythm in Pediatric Attention-Deficit Hyperactivity Disorder

Tonetti

Zoppello²,

Rossi

et al. 2019

Clocks & Sleep

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“…When participants with ADHD performed the CPT, the study found the new electrophysiological biomarker collected by the activity sensor to be especially useful. The result shows that the actigraphy is an objective tool for the monitoring of activity in patients with ADHD, supporting previous findings that use actigraphy to understand the features of children with ADHD [ 24 - 28 ]. However, Muñoz-Organero et al [ 27 ] used an exam time of 6 school hours, while this study took only 20 minutes, which provides a better performance.…”

Section: Discussionsupporting

confidence: 86%

Using Mobile Electroencephalography and Actigraphy to Diagnose Attention-Deficit/Hyperactivity Disorder: Case-Control Comparison Study

Chu¹,

Lu²,

Huang³

et al. 2020

JMIR Ment Health

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Background Children with attention-deficit/hyperactivity disorder (ADHD), a neurobehavioral disorder, display behaviors of inattention, hyperactivity, or impulsivity, which can affect their ability to learn and establish proper family and social relationships. Various tools are currently used by child and adolescent psychiatric clinics to diagnose, evaluate, and collect information and data. The tools allow professional physicians to assess if patients need further treatment, following a thorough and careful clinical diagnosis process. Objective We aim to determine potential indicators extracted from a mobile electroencephalography (EEG) device (Mindset; NeuroSky) and an actigraph (MotionWatch 8; CamNtech) and to validate them for diagnosis of ADHD. The 3 indicators are (1) attention, measured by the EEG; (2) meditation, measured by the EEG; and (3) activity, measured by the actigraph. Methods A total of 63 participants were recruited. The case group comprised 40 boys and 9 girls, while the control group comprised 5 boys and 9 girls. The groups were age matched. The test was divided into 3 stages—pretest, in-test, and posttest—with a testing duration of 20 minutes each. We used correlation analysis, repeated measures analysis of variance, and regression analysis to investigate which indicators can be used for ADHD diagnosis. Results With the EEG indicators, the analysis results show a significant correlation of attention with both hit reaction time (RT) interstimulus interval (ISI) change (r=–0.368; P=.003) and hit standard error (SE) ISI change (r=–0.336; P=.007). This indicates that the higher the attention of the participants, the smaller both the hit RT change and the hit SE ISI change. With the actigraph indicator, confidence index (r=0.352; P=.005), omissions (r=0.322; P=.01), hit RT SE (r=0.393; P=.001), and variability (r=0.351; P=.005) were significant. This indicates that the higher the activity amounts, the higher the impulsive behavior of the participants and the more target omissions in the continuous performance test (CPT). The results show that the participants with ADHD present a significant difference in activity amounts (P<0.001). The actigraph outperforms the EEG in screening ADHD. Conclusions When the participants with ADHD are stimulated under restricted conditions, they will present different amounts of activity than in unrestricted conditions due to participants’ inability to exercise control over their concentration. This finding could be a new electronic physiological biomarker of ADHD. An actigraph can be used to detect the amount of activity exhibited and to help physicians diagnose the disorder in order to develop more objective, rapid auxiliary diagnostic tools.

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“…The data reported here are part of a larger study designed to investigate sleep and temperament in ADHD preschool children. Details about samples, methodology, actigraphic procedures, and measures utilized and the Temperament and Character Inventory (TCI) version for preschooler (PsTCI) Italian validation have been previously described in separate studies (Melegari, Innocenzi, Marano, Donfrancesco, & Cloninger, 2014; Melegari et al, 2015; Melegari et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

Relations Between Sleep and Temperament in Preschool Children With ADHD

Melegari

Sette

Vittori³

et al. 2018

J Atten Disord

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Actigraphic Sleep Pattern of Preschoolers With ADHD

Abstract: This pilot study in preschoolers with ADHD showed increased motor activity during sleep and night-to-night variability for sleep duration and motor activity.

Cited by 25 publications

References 65 publications

A Pilot Study on Circadian Activity Rhythm in Pediatric Attention-Deficit Hyperactivity Disorder

A Pilot Study on Circadian Activity Rhythm in Pediatric Attention-Deficit Hyperactivity Disorder

Using Mobile Electroencephalography and Actigraphy to Diagnose Attention-Deficit/Hyperactivity Disorder: Case-Control Comparison Study

Relations Between Sleep and Temperament in Preschool Children With ADHD

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