A framework for the assessment and treatment of sleep problems in children with attention-deficit/hyperactivity

Penny Corkum1, Fiona Davidson, Marilyn Macpherson

  • 1Department of Psychology, Dalhousie University, Halifax, Nova Scotia, Canada. penny.corkum@dal.ca

Insights

Children with attention-deficit/hyperactivity disorder (ADHD) experience frequent sleep issues. Pediatricians should screen for sleep problems during ADHD evaluations and treatment, prioritizing behavioral interventions for insomnia over medication.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) is frequently associated with sleep disturbances in children.
  • Sleep problems are common in children diagnosed with ADHD, impacting their overall health and development.

Purpose of the Study:

  • To highlight the critical need for pediatricians to assess sleep issues in children with ADHD.
  • To emphasize sleep as a factor in ADHD diagnosis, comorbidity, and treatment, particularly concerning stimulant medication.

Main Methods:

  • Literature review and clinical guideline synthesis on ADHD and sleep disorders in pediatrics.
  • Analysis of common sleep problems, including insomnia, in pediatric ADHD populations.

Main Results:

  • Insomnia is the most prevalent sleep problem among children with ADHD.
  • Behavioral interventions are recommended as the primary treatment for insomnia in this population, preceding medication.

Conclusions:

  • Pediatricians must integrate sleep assessments into ADHD evaluations and management.
  • Further research is required to confirm the efficacy of behavioral interventions for sleep problems in children with ADHD compared to neurotypical children.

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