Developmental changes of parental-reported sleep disturbance symptoms in children with attention deficit disorder

J A Hoeppner1, B L Trommer, K J Armstrong

  • 1Department of Pediatrics, Northwestern University, Evanston, Illinois.

Insights

Attention deficit disorder (ADD) children experience more sleep problems, starting in infancy. These include difficulty falling asleep, fatigue, and nightmares, suggesting a need for clinical attention to sleep issues.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Child Psychology

Background:

  • Sleep disorders are common in children.
  • Attention Deficit Disorder (ADD) is a neurodevelopmental condition affecting school-aged children.
  • Parental recall of early childhood sleep patterns is crucial for understanding long-term effects.

Purpose of the Study:

  • To evaluate current and recalled sleep disorders in school-aged children with ADD.
  • To compare sleep problems in ADD children with a control group.
  • To identify specific sleep issues prevalent in ADD children from infancy through toddlerhood.

Main Methods:

  • Retrospective study design.
  • Utilized a sleep questionnaire completed by mothers of 48 ADD children and 30 children with school problems.
  • Assessed current sleep disorders and recalled sleep problems from infancy (0-12 months) and toddlerhood (1-3 years).

Main Results:

  • Children with ADD reported significantly more sleep problems compared to the control group.
  • Sleep problems in ADD children were noted to have onset during infancy.
  • Increased issues included prolonged sleep latency (>30 min), fatigue upon waking, and nightmares.

Conclusions:

  • Pediatricians should screen for sleep disorders in children with suspected attention disorders.
  • Sleep hygiene interventions should be considered as part of the treatment plan for ADD.
  • Early identification and management of sleep problems may improve outcomes for children with ADD.

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