Objective sleep measurement in typically and atypically developing preschool children with ADHD-like profiles
Beth L Goodlin-Jones1, Sara Waters, Thomas F Anders
1Department of Psychiatry, MIND Institute, Sacramento, CA, USA. beth.goodlinjones@ucdmc.ucdavis.edu
Insights
Parent-reported attention-deficit/hyperactivity disorder (ADHD) symptoms in preschoolers were linked to sleep problems. However, objective sleep measurements did not show differences in children with ADHD profiles.
Area of Science:
- Pediatric Sleep Research
- Child Psychology
- Neurodevelopmental Disorders
Background:
- Sleep disturbances are frequently reported in children with attention deficit hyperactivity disorder (ADHD)-like symptoms.
- Understanding the relationship between objective sleep measures and behavioral symptoms in preschoolers is crucial.
Purpose of the Study:
- To investigate the association between actigraphy-measured sleep patterns and parent-reported hyperactivity symptoms in preschool children.
- To compare objective sleep data with parent perceptions of sleep problems in children with and without clinical ADHD profiles.
Main Methods:
- A cross-sectional study of 186 preschoolers (ages 2-5) across three groups: autism, developmental delay, and typically developing.
- Collected one week of actigraphic sleep data and parent reports of sleep problems and behavior (Child Behavior Checklist).
- Compared sleep behavior in children with and without clinical levels of attention-deficit/hyperactivity symptoms (T scores ≥ 65).
Main Results:
- 36.1% of the sample reported a parent-defined sleep problem.
- 34% of the sample had a parent-reported clinical ADHD composite.
- Children with clinical ADHD profiles were more likely to have parent-reported sleep problems, but no significant differences in actigraphic sleep patterns were found.
Conclusions:
- Parental reports of clinical ADHD profiles in preschoolers are associated with perceived sleep problems.
- Objective actigraphy data did not reveal significant differences in sleep patterns for children with clinical ADHD profiles in this sample.
- The findings highlight a discrepancy between subjective parental reports and objective sleep measures in preschool children with ADHD symptoms.
Objective:
This study investigated the association between preschool children's sleep patterns measured by actigraphy and parent-reported hyperactivity symptoms. Many previous studies have reported sleep problems in children with attention deficit hyperactivity disorder (ADHD)-like symptoms.
Methods:
This study examined a cross-sectional sample of 186 preschoolers age 2-5 years in three groups: children with autism, children with developmental delay without autism, and typically developing children recruited from the general population. One week of actigraphic sleep data plus a parent report of the presence or absence of a current sleep problem were collected. Parents completed the child behavior checklist; a subset of children in preschool had teachers who completed the caregiver-teacher report form. Sleep behavior was compared for those children with and without clinical levels of attention-deficit/hyperactivity symptoms (T scores > or = 65).
Results:
The prevalence of a parent-defined sleep problem across the entire sample was 36.1%. Thirty-four percent of the sample had a parent-reported ADHD composite in the clinical range. Those children with a clinical ADHD profile were more likely to be described by parents as having a sleep problem. However, no significant differences in actigraphic sleep patterns or night-to-night sleep-wake variability were found for children with an ADHD profile in the clinical range.
Conclusions:
In this non-clinical sample of preschool age children, parental reports of clinical ADHD profiles were significantly associated with parental reports of sleep problems but not with actigraphically recorded sleep-wake data.
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