Attention deficit hyperactivity disorder and sleep disturbances: consideration of parental influence
Gretchen Stuckert Noble1, Liz O'Laughlin, Brad Brubaker
1Center for Pediatric Psychiatry, Children's Medical Center Dallas, USA. gretchen.noble@childrens.com
Insights
Consistent daily routines, particularly at bedtime, may improve sleep for children with attention deficit hyperactivity disorder (ADHD). Parental influence on routines showed a link to bedtime resistance, but not overall sleep issues.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Neurodevelopmental Disorders
Background:
- Sleep problems are frequently reported in children diagnosed with attention deficit hyperactivity disorder (ADHD).
- Multiple factors, including parental influence, may contribute to these sleep disturbances.
Purpose of the Study:
- To investigate the predictive relationship between parental factors and sleep problems in children with ADHD.
- To determine if parental implementation of routines and parenting stress predict sleep difficulties in this population.
Main Methods:
- Study included 67 children (ages 5-12) with a research diagnosis of ADHD.
- Parental reports were used to assess child sleep problems, bedtime resistance, daily routine implementation, and parenting stress.
- Statistical analyses controlled for child age, ADHD medication use, and family income.
Main Results:
- 73% of parents reported significant sleep difficulties for their children.
- Parental routine implementation significantly predicted bedtime resistance, but not overall sleep problems.
- Parenting stress was not found to be a significant predictor of child sleep problems.
Conclusions:
- Implementing consistent daily routines, especially bedtime routines, may be crucial for improving sleep in children with ADHD.
- While parental routines impact bedtime resistance, they do not fully explain overall sleep problems in this group.
- Further research into specific parental strategies for sleep hygiene in ADHD populations is warranted.
Abstract:
Parent report of sleep-related problems among children with attention deficit hyperactivity disorder (ADHD) is common and may stem from several different factors. This study examined the extent to which parental influence predicted sleep problems among 67 children, ages 5 to 12, meeting a research diagnosis of ADHD. The majority of parents/caregivers (73%) reported significant child sleep difficulties. Parental implementation of daily routines added to the explained variance in bedtime resistance after considering child and family characteristics (e.g., age, medication, and family income) but was not a significant predictor of sleep problems overall. Parenting stress was not a significant predictor of child sleep problems. Results suggest that implementation of consistent routines, especially those related to bedtime, may be a key factor in facilitating improved sleep among children who display behaviors consistent with ADHD.
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