Effects of adenoidectomy/adenotonsillectomy on ADHD symptoms and behavioral problems in children

Aksu, Hatice; Günel, Ceren; Özgür, Börte Gürbüz; Toka, Ali; Başak, Sema

doi:10.1016/j.ijporl.2015.04.018

Cited by 19 publications

(7 citation statements)

References 26 publications

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“…[4,5] Diagnosis of sleep disorders and sleep deprivation is important in children as they have been found to be associated with daytime napping, cardiovascular morbidity, attention deficit hyperactivity disorder (ADHD), and obesity. [6][7][8] Indian data using the sleep questionnaires suggests that around 13% of toddlers have sleep problems, most common being the night awakenings. [9] Another study reported that among 3-10 years old children, 43% had some kind of sleep disorder.…”

Section: Introductionmentioning

confidence: 99%

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Gupta

Ali

Verma

et al. 2017

Journal of Neurosciences in Rural Practice

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Objective:The objective of this study is to assess the prevalence of sleep disorders among children aging between 4 and 9 years using Hindi version of Pediatric Sleep Questionnaire (PSQ).Methods:This study had two parts first, translation and validation of PSQ into Hindi language, and second, assessment of the prevalence of sleep disorders using PSQ Hindi version. Hindi PSQ was distributed in randomly chosen primary schools in a semi-urban area. The children were requested to get them filled by their parents. When the questionnaires were returned, responses were analyzed.Results:Most of the items of the Hindi version had perfect agreement with original questionnaire in a bilingual population (κ =1). Totally, 435 children were included in the field study having average age of 6.3 years. Obstructive sleep apnea was reported in 7.5% children; symptoms suggestive of restless legs syndrome were reported by 2%–3%; teeth grinding by 13.9% and sleep talking by 22.6% children.Conclusion:PSQ Hindi version is a validated tool to screen for sleep disorders among children. Sleep disorders are fairly prevalent among young children in India.

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Section: Introductionmentioning

confidence: 99%

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Gupta

Ali

Verma

et al. 2017

Journal of Neurosciences in Rural Practice

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“…8 Another study used the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children: Present and Lifetime Version (K-SADS-PL) and the Turgay DSM [Diagnostic and Statistical Manual of Mental Disorders]-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-S) for 41 children with upper airway obstruction during sleep before and after adenotonsillectomy and reported a relationship between pediatric OSA and behavioral problems. 17 Mitchell et al reviewed 33 articles describing behavioral and cognitive problems and sleep breathing disorders and suggested that adenotonsillectomy can improve behavioral and cognitive problems and QOL. 14 The present study aimed to confirm the improvement in sleep-related QOL and behavioral problems in the longterm follow-up after adenotonsillectomy, with a mean followup period of 55.3 months.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10][11][12][13][14] A few existing studies in the literature report the negative effects of upper airway obstruction and OSA on behavior and attention in children; these evaluations were performed by pediatric psychiatrists using standardized semistructured diagnostic interviews. [15][16][17] However, the results of longterm follow-up with regard to QOL and behavioral problems remain unclear. 18 The present study aimed to report the long-term follow-up results of QOL and behavioral disorders after adenotonsillectomy in children with OSA.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, domestic studies using the OSA‐18 Survey (OSA‐18), which was designed to evaluate the QOL of children with OSA, have been performed . A few existing studies in the literature report the negative effects of upper airway obstruction and OSA on behavior and attention in children; these evaluations were performed by pediatric psychiatrists using standardized semistructured diagnostic interviews . However, the results of long‐term follow‐up with regard to QOL and behavioral problems remain unclear …”

Section: Introductionmentioning

confidence: 99%

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Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy

et al. 2019

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Objectives Improvements in sleep‐related quality of life (QOL) and behavioral problems have been observed in children with obstructive sleep apnea (OSA) during a short‐term follow‐up after adenotonsillectomy. Whether this trend continues beyond the short term remains unclear. Therefore, we aimed to evaluate the long‐term effects of surgery in children with OSA. Methods The study participants comprised 20 children with OSA who underwent adenotonsillectomy. We used the scores from the Attention Deficit and Hyperactivity Disorder Rating Scale (ADHD‐RS) and total scores from the Korean OSA‐18 Survey (KOSA‐18) before and after adenotonsillectomy to compare and analyze behavioral problems and OSA‐specific health‐related QOL, respectively, during a long‐term follow‐up. Respiratory disturbance parameters from standard polysomnography and subjective symptom scores for snoring and apnea were also investigated. Results The mean patient age was 6.6 ± 3.4 years (range, 3–13), and the male‐to‐female ratio was 15:5. The mean follow‐up period was 54.5 months (range, 27–98). The total scores for both ADHD‐RS (from 17.6 to 10.5; P = 0.006) and KOSA‐18 (from 74.3 to 40.7; P = 0.001) decreased significantly from before to after surgery. Significant decreases were also observed in the subjective symptom scores for snoring (from 5.4 to 2.4; P = 0.000) and apnea (from 3.3 to 0.8; P = 0.002). Conclusion Significant improvement was observed in sleep‐related QOL and behavioral problems in children with OSA during long‐term follow‐up after adenotonsillectomy. Level of Evidence 4 Laryngoscope, 130:546–550, 2020

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“…Numerous investigations have identified an association between EDS and behaviour, however, many of those investigations were conducted with children and adolescents who have undergone an adenotonsillectomy, tonsillectomy, or adenoidectomy. Pre-and postsurgery investigations found a significant reduction in oppositional behaviour, inattention and hyperactivity (for example, Aksu, Günel, Özgür, Toka, & Başak, 2015;N. J. Ali, Pitson, & Stradling, 1996;Amiri et al, 2015;Avior et al, 2004;Ayral et al, 2013).…”

Section: Association Between Hypersomnolence and Behaviourmentioning

confidence: 99%

The Learning Implications for Children and Adolescents with Hypersomnolence

Ludwig¹

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The quantity and quality of sleep can impact behaviour, memory, cognition, executive function, attention, mood, and overall quality of life. Sleep disorders in children and adolescents range from behavioural insomnias, sleep breathing disorders, and sleep-wake transition disorders, through to disorders of excessive somnolence. Excessive daytime vi Publications included in this thesis Ludwig, B., Smith, S.S., & Heussler, H. (2018). Associations between neuropsychological, neurobehavioral and emotional functioning and either narcolepsy or idiopathic hypersomnia in children and adolescents.

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Effects of adenoidectomy/adenotonsillectomy on ADHD symptoms and behavioral problems in children

Cited by 19 publications

References 26 publications

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy

The Learning Implications for Children and Adolescents with Hypersomnolence

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