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Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and
Valerie Sung1, Harriet Hiscock, Emma Sciberras
1Centre for Community Child Health, Royal Children's Hospital, Flemington Road, Parkville, Victoria, Australia 3052. valerie.sung@rch.org.au
Insights
Sleep problems are common in children with attention-deficit/hyperactivity disorder (ADHD), significantly impacting their quality of life and daily functioning. Addressing these sleep issues may improve outcomes for children with ADHD and their families.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Sleep Medicine
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children.
- Sleep problems are frequently reported in children with ADHD, but their full impact is not well understood.
- Understanding these associations is crucial for comprehensive ADHD care.
Purpose of the Study:
- To determine the prevalence of sleep problems in children with ADHD.
- To examine the associations between child sleep problems and child quality of life (QOL), daily functioning, and school attendance.
- To investigate the impact on caregiver mental health, work attendance, and family functioning.
Main Methods:
- A cross-sectional survey was conducted.
- Participants included schoolchildren diagnosed with ADHD in Victoria, Australia.
- Caregivers reported on child sleep problems, child QOL, daily functioning, school attendance, caregiver mental health, work attendance, and family functioning.
Main Results:
- Child sleep problems were highly prevalent (mild: 28.5%; moderate/severe: 44.8%).
- Moderate to severe sleep problems were linked to poorer child QOL, daily functioning, caregiver mental health, and family functioning.
- Children with sleep problems were more likely to be late or absent from school, and caregivers were more likely to be late for work.
Conclusions:
- Sleep problems are common in children with ADHD and negatively affect child, caregiver, and family well-being.
- The findings highlight the need for routine screening and management of sleep problems in pediatric ADHD care.
- Further research should explore whether managing sleep issues can mitigate adverse outcomes in this population.
Objectives:
To determine the prevalence of sleep problems in children with attention-deficit/hyperactivity disorder (ADHD) and their associations with child quality of life (QOL), daily functioning, and school attendance; caregiver mental health and work attendance; and family functioning.
Design:
Cross-sectional survey.
Setting:
Pediatric hospital outpatient clinic, private pediatricians' offices, and ADHD support groups in Victoria, Australia.
Participants:
Schoolchildren with ADHD. Main Exposure Attention-deficit/hyperactivity disorder.
Outcome Measures:
Primary measure was caregivers' reports of their children's sleep problems (none, mild, or moderate or severe). Secondary outcomes were (1) child QOL (Pediatric Quality of Life Inventory), daily functioning (Daily Parent Rating of Evening and Morning Behavior scale), and school attendance, (2) caregiver mental health (Depression Anxiety Stress Scale) and work attendance, and (3) family functioning (Child Health Questionnaire subscales). Caregivers also reported on how their pediatrician treated their children's sleep problems.
Results:
Two hundred thirty-nine of 330 (74%) eligible families completed the survey. Child sleep problems were common (mild, 28.5%; moderate or severe, 44.8%). Moderate or severe sleep problems were associated with poorer child psychosocial QOL, child daily functioning, caregiver mental health, and family functioning. After adjusting for confounders, all associations held except for family impacts. Compared with children without sleep problems, those with sleep problems were more likely to miss or be late for school, and their caregivers were more likely to be late to work. Forty-five percent of caregivers reported that their pediatricians had asked about their children's sleep and, of these, 60% reported receiving treatment advice.
Conclusions:
Sleep problems in children with ADHD are common and associated with poorer child, caregiver, and family outcomes. Future research needs to determine whether management of sleep problems can reduce adverse outcomes.
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