Parental and Self-report of Sleep in Children With Attention-Deficit/Hyperactivity Disorder

Owens, Judith; Maxim, Rolanda; Nobile, Chantelle; McGuinn, Melissa; Msall, Michael E.

doi:10.1001/archpedi.154.6.549

Cited by 336 publications

(256 citation statements)

References 32 publications

(40 reference statements)

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“…Also, self-reported sleep difficulties are more frequent for ADHD children than for others [38]. Like Wiggs et al [48], we also found that parents of children with ADHD experienced more difficulties related with bedtime than parents of healthy children.…”

Section: Discussionsupporting

confidence: 82%

“…Little need for sleep, difficulties falling asleep, restless sleep, frequent awakenings and fatigue in the morning are commonly reported problems [16,30,46]. The children themselves also report sleep difficulties more often than children without ADHD [38]. Self-report studies show that more than half the children with ADHD reported that they experienced sleep difficulties [5,20,30], which could be of great theoretical importance in the clinical work.…”

Section: Introductionmentioning

confidence: 99%

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Parental rating of sleep in children with attention deficit/hyperactivity disorder

Hvolby¹,

Jørgensen

Bilenberg

2009

Eur Child Adolesc Psychiatry

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Objective: Sleep problems have often been associated with attention deficit/hyperactivity disorder (ADHD). Parents of those with ADHD and children with ADHD report sleep difficulties more frequently than healthy children and their parents. The primary objective of this paper is to describe sleep patterns and problems of 5 to 11-year-old children suffering from ADHD as described by parental reports and sleep questionnaires. Method: The study included 321 children aged 5–11 years (average age 8.4 years); 45 were diagnosed with ADHD, 64 had other psychiatric diagnoses, and 212 were healthy. One hundred and ninety-six of the test subjects were boys and 125 were girls. A semi-structured interview (Kiddie-SADS-PL) was used to DSM-IV diagnose ADHD and comorbidity in the clinical group. Sleep difficulties were rated using a structured sleep questionnaire (Children Sleep Behaviour Scale). Results: Children diagnosed with ADHD had a significantly increased occurrence of sleep problems. Difficulties relating to bedtime and unsettled sleep were significantly more frequent in the ADHD group than in the other groups. Children with ADHD showed prolonged sleep onset latency, but no difference was shown regarding numbers of awakenings per night and total sleep time per night. Comorbid oppositional defiant disorder appeared not to have an added effect on problematic behaviour around bedtime. Conclusion: Parents of children with ADHD report that their children do not sleep properly more often than other parents. The ADHD group report problems with bedtime resistance, problems with sleep onset latency, unsettled sleep and nightmares more often than the control groups. It may therefore be relevant for clinicians to initiate a closer examination of those cases reporting sleep difficulties

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Hvolby¹,

Jørgensen

Bilenberg

2009

Eur Child Adolesc Psychiatry

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“…49 Our data failed to demonstrate an association between inadequate sleep and ADHD in either age group in multivariate models. Studies relying on parental report of sleep behavior 18,38,50 support an association between a diagnosis of ADHD and sleep problems in children. Parents of children with ADHD report sleep problems in 25% to 50% of these children, 20 but these findings are not supported when more objective measurements such as polysomnography are used.…”

Section: Sleep and Comorbiditymentioning

confidence: 99%

“…Conversely, ADHD symptoms and psychostimulant medication may exacerbate sleep impairment. Although as many as 50% of parents of children and adolescents with ADHD report sleep problems, [18][19][20] studies using more objective polysomnography have failed to demonstrate differences in sleep architecture between children with and without ADHD. 20 Similarly, both research and clinical experience supports the relationship between sleep problems and mood and anxiety disorders, although it is unclear whether the sleep problem or the psychiatric disorder is the primary problem.…”

mentioning

confidence: 99%

Sleepless in America: Inadequate Sleep and Relationships to Health and Well-being of Our Nation's Children

2007

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OBJECTIVE. Our goal was to identify characteristics associated with inadequate sleep for a national random sample of elementary school-aged children (6 -11 years) and adolescents (12-17 years).METHODS. Data from 68 418 participants in the 2003 National Survey of Children's Health were analyzed by using weighted bivariate and multivariate regression models. The dependent variable was report of not getting enough sleep for a child of his or her age Ն1 night of the past week. Independent variables included demographic characteristics, child health, school and other activities, and family life.RESULTS. Parents of elementary school-aged children with inadequate sleep were more likely to report that their child was having problems at school or had a father with fair or poor health. Parents of adolescents with inadequate sleep were more likely to report that their child had an atopic condition, frequent or severe headaches, a parent with less-than-excellent emotional health, or experienced frequent parental anger. Inadequate sleep in both age groups was associated with parental report that their child usually or always displayed depressive symptomatology, family disagreements involved heated arguing, or parental concern that the child was not always safe at home, at school, or in their neighborhood.CONCLUSIONS. Approximately 15 million American children are affected by inadequate sleep. Primary care providers should routinely identify and address inadequate sleep and its associated health, school, and family factors.www.pediatrics.org/cgi

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“…Children with ADHD have more sleep problems compared with their peers [3]. Their parents report sleep problems in 25-55% [4] and the prevalence of sleep problems, such as falling asleep and maintaining sleep, can vary between 55% and 74% [5][6][7]. The primary sleep disorder symptoms are resistance against sleep, an increase in the amount waking at night, and sleepiness during the day [8,9].…”

Section: Introductionmentioning

confidence: 99%

Behavioural sleep problems in previously untreated children with attention deficit hyperactivity disorder

Eyüboğlu

2017

Psychiatry and Clinical Psychopharmacology

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OBJECTIVE: Although sleep symptoms are not included in the diagnostic criteria of attention deficit hyperactivity disorder (ADHD), these problems are common in children with ADHD. The presence of sleep problems was associated with impairment in functionality and increase in ADHD intensity. The aims of the study were to evaluate sleep problems of children with ADHD who had never received any psychiatric treatment and investigate the effects of these problems in functionality. METHODS: The present study included 83 children who were diagnosed as having ADHD and had never received any psychiatric treatment. The control group consisted of 106 healthy children. Psychiatric diagnostic interview was applied to all children. The parents completed the Conner's Parent Questionnaire to evaluate the intensity of ADHD in the children, the Children's Sleep Habits Questionnaire (CSHQ) to evaluate sleep problems, and the Weiss Functional Impairment Rating Scale to evaluate the functionality of the children. RESULTS: The total scores of subscale and scales of CSHQ were significantly higher in the study group. ADHD children slept 1 hour later and sleep quantity was 1.5 hours less than the control group. There was a significant correlation between sleep problems, ADHD severity, and functionality of these children. CONCLUSIONS:The results demonstrated that children with ADHD experienced more sleep problems and slept less than the children in the healthy control group, and functional impairments increased due to these problems. Another important finding is that sleep problems are not related to drug use. Maintaining sleep hygiene or interventions against sleep problems may increase sleep quality and may improve self and family functionality. Therefore, the standardized sleep evaluation must be performed in cooperation with parents in all children with ADHD. ARTICLE HISTORY

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Parental and Self-report of Sleep in Children With Attention-Deficit/Hyperactivity Disorder

Cited by 336 publications

References 32 publications

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Sleepless in America: Inadequate Sleep and Relationships to Health and Well-being of Our Nation's Children

Behavioural sleep problems in previously untreated children with attention deficit hyperactivity disorder

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