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Published on: April 1, 2018
Sleep and neurobehavioral functioning in boys with attention-deficit/hyperactivity disorder and no reported breathing
1Department of Psychology, Tel-Aviv University, Israel. reutshir@yahoo.com
Insights
Boys with attention-deficit/hyperactivity disorder (ADHD) show different sleep-neurobehavior links than controls. Sleep instability is higher in ADHD, suggesting distinct clinical conditions needing targeted interventions.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is common in children.
- Sleep disturbances are frequently reported in children with ADHD.
- The relationship between sleep patterns and neurobehavioral functioning in ADHD requires objective investigation.
Purpose of the Study:
- To objectively examine the neurobehavioral correlates of sleep patterns in boys with ADHD (without breathing problems) compared to controls.
- To identify differences in the association between sleep and neurobehavioral measures between ADHD and control groups.
Main Methods:
- Participants included 24 boys with ADHD and 25 control boys (ages 7-11).
- Sleep was monitored for 5 consecutive nights using actigraphy.
- Neurobehavioral functioning was assessed using a computerized system.
Main Results:
- Canonical correlation analyses revealed distinct sleep-neurobehavior associations in ADHD versus controls.
- Significant sleep-performance links were found in controls but not in the ADHD group.
- Children with ADHD exhibited greater instability in sleep parameters compared to controls.
Conclusions:
- The study highlights unique associations between sleep and neurobehavioral functioning in boys with ADHD.
- Sleep fragmentation symptoms and ADHD symptoms appear to be distinct clinical conditions.
- Identifying the source of inattentiveness is crucial for effective clinical intervention planning in ADHD.
Study Objective:
To investigate by objective measures the neurobehavioral correlates of sleep patterns in boys with attention-deficit/hyperactivity disorder (ADHD) and no reported breathing problems and in control children.
Design:
Sleep assessment was conducted for 5 consecutive days and neurobehavioral assessment was conducted in the morning of the third day of measurement in children with ADHD and no breathing problems and control children.
Setting:
The neurobehavioral assessment was conducted in the school; sleep was assessed in the home.
Participants:
25 controls and 24 boys diagnosed with ADHD between 7 and 11 years of age.
Measurements:
Sleep was monitored using actigraphy for 5 consecutive nights. A computerized neurobehavioral evaluation system was used to assess children's neurobehavioral functioning.
Results:
Canonical correlation analyses revealed different patterns of associations between sleep and neurobehavioral functioning for the 2 groups. Significant relationships were found between measures of sleep and performance on complicated neurobehavioral tasks in the control group but not in the ADHD group. In addition, children with ADHD had increased instability of sleep parameters compared to the controls.
Conclusions:
The findings highlighted the distinct nature of associations between sleep and neurobehavioral functioning in boys with ADHD children and no reported breathing problems compared to controls. Despite the similarity between symptoms caused by sleep fragmentation and symptoms of ADHD, these appear to be different clinical conditions. The source of inattentiveness in children should be identified for best planning of clinical intervention.
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