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Published on: June 12, 2020
Assessment and treatment of disturbed sleep in attention deficit hyperactivity disorder
1The Michael S Aldrich Sleep Disorders Laboratory, University of Michigan, Ann Arbor, MI, USA. thoban@umich.edu
Insights
Attention deficit hyperactivity disorder (ADHD) in children often involves sleep problems like insomnia. Sleep disorders can also mimic ADHD symptoms, highlighting the importance of proper clinical evaluation for accurate diagnosis and treatment.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Psychiatry
Background:
- Attention deficit hyperactivity disorder (ADHD) impacts 3-5% of US children, frequently co-occurring with sleep disturbances.
- Sleep disorders, such as obstructive sleep apnea and periodic limb movement disorder, can present symptoms similar to ADHD.
Purpose of the Study:
- To review current research on the relationship between ADHD and sleep.
- To outline general principles of clinical assessment and management for these conditions.
Main Methods:
- Literature review of studies investigating ADHD and sleep.
- Analysis of clinical assessment and treatment strategies.
Main Results:
- ADHD commonly presents with insomnia, restless sleep, or daytime sleepiness.
- Intrinsic sleep disorders can manifest with symptoms mimicking ADHD, necessitating differential diagnosis.
Conclusions:
- Accurate clinical evaluation is crucial for diagnosing and managing ADHD and sleep-related disorders.
- Understanding the interplay between ADHD and sleep is essential for effective patient care.
Abstract:
Attention deficit hyperactivity disorder affects 3-5% of children in the USA, and is commonly accompanied by disrupted sleep in the form of insomnia, restless sleep or excessive daytime tiredness. In addition, daytime inattention and hyperactivity which mimicks attention deficit hyperactivity disorder can result from intrinsic sleep disorders such as obstructive sleep apnea or periodic limb movement disorder. In most cases, the correct clinical evaluation permits appropriate diagnosis and management. Current research investigating the relationship between attention deficit hyperactivity disorder and sleep, as well as general precepts of clinical assessment and treatment are reviewed.
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