Sleep microstructure is not altered in children with attention-deficit/hyperactivity disorder (ADHD)
I Příhodová1, I Paclt, D Kemlink
1Department of Neurology, Charles University in Prague, First Faculty of Medicine and General Teaching Hospital, Prague, Czech Republic. iva.prihodova@lf1.cuni.cz
Insights
Children with attention-deficit/hyperactivity disorder (ADHD) show no specific sleep microstructure alterations. This study found no significant differences in cyclic alternating pattern (CAP) during sleep between ADHD patients and controls.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Sleep disturbances are common in children with attention-deficit/hyperactivity disorder (ADHD).
- Potential structural and neurotransmitter changes may underlie specific sleep abnormalities in ADHD.
- This study investigates sleep microstructure in children with ADHD without diagnosed sleep disorders or comorbidities.
Purpose of the Study:
- To evaluate sleep microstructure using cyclic alternating pattern (CAP) in children with ADHD.
- To compare sleep microstructure in ADHD patients with age- and sex-matched controls.
- To determine if ADHD is associated with specific alterations in sleep microstructure.
Main Methods:
- Utilized overnight video-polysomnographic (PSG) recordings for 14 children diagnosed with ADHD (DSM-IV criteria).
- Scored sleep microstructure using the cyclic alternating pattern (CAP) during the second night of PSG.
- Compared CAP parameters between the ADHD group and healthy controls.
Main Results:
- No significant differences were observed in any sleep microstructure parameters between children with ADHD and the control group.
- Cyclic alternating pattern (CAP) analysis did not reveal ADHD-specific alterations.
- The findings suggest sleep microstructure is not significantly affected in children with ADHD under these conditions.
Conclusions:
- This study found no evidence of ADHD-specific alterations in sleep microstructure.
- Sleep microstructure, as assessed by CAP, appears similar in children with ADHD and controls.
- Further research may explore other sleep parameters or different ADHD populations.
Abstract:
The high rate of occurrence of sleep disturbances in children with attention-deficit/hyperactivity disorder (ADHD) prompted the idea that structural and neurotransmitter changes might give rise to specific sleep pattern abnormalities. The aim of this study was to evaluate the microstructure of sleep in children with ADHD who had no polysomnographically diagnosed sleep disorder, had never been treated for ADHD, and were free from any psychiatric comorbidity. Participants were 14 patients with ADHD (12 boys and 2 girls aged 7-12 years, mean age 9.6+/-1.6). ADHD was diagnosed according to DSM-IV criteria (Diagnostic and statistical manual of mental disorders). Psychiatric comorbidities were ruled out by detailed psychiatric examination. The patients underwent two consecutive overnight video-polysomnographic (PSG) recordings, with the sleep microstructure (cyclic alternating pattern - CAP) scoring during the second night. The data were compared with age- and sex-matched controls. Sleep microstructure analysis using CAP revealed no significant differences between the ADHD group and the controls in any of the parameters under study. In conclusions, no ADHD-specific alterations were found in the sleep microstructure.
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