Dyssomnia in children diagnosed with attention deficit hyperactivity disorder: a critical review

Gabrielle L Bullock1, Ulrich Schall

  • 1Centre for Mental Health Studies and Hunter Medical Research Institute, The University of Newcastle, Callaghan, New South Wales 2308, Australia.

Insights

Children with attention deficit hyperactivity disorder (ADHD) exhibit altered sleep patterns, specifically increased REM sleep latency and reduced REM sleep. Further research is needed to understand the causes and effects of stimulant medication on sleep in ADHD.

Area of Science:

  • Neuroscience
  • Pediatrics
  • Sleep Medicine

Background:

  • Previous studies (pre-1999) suggested sleep disturbances in children with attention deficit hyperactivity disorder (ADHD) but were inconclusive.
  • A need existed for a review of more recent, consistent findings on ADHD and sleep.

Purpose of the Study:

  • To review and synthesize findings on sleep disturbances in children diagnosed with attention deficit hyperactivity disorder (ADHD) from studies published after 1999.
  • To investigate objective measures of sleep characteristics and their relationship with ADHD.

Main Methods:

  • Conducted an online literature search of the National Library of Medicine and Cochrane Library.
  • Utilized search terms: 'attention deficit hyperactivity disorder', 'sleep', 'human', and 'English language'.
  • Focused on 16 articles meeting criteria, with 10 employing objective sleep measures (polysomnography, actigraphy, video recording).

Main Results:

  • Confirmed increased Rapid Eye Movement (REM) sleep latency in children with ADHD.
  • Observed a proportional decrease in REM sleep among children with ADHD.
  • Found stimulant treatment had minimal impact on objective sleep quality; parental reports of poor sleep often contradicted objective findings.

Conclusions:

  • Established a link between disrupted sleep architecture and ADHD.
  • Debated whether the cause is intrinsic (physiological differences) or extrinsic (behavioral factors).
  • Highlighted the need for further research into the effects of stimulant medication on sleep due to limited current evidence.
Abstract

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