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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.
Abstract:
The primary goal of this retrospective study was to assess parental report of current sleep disorders in school-aged attention deficit disorder (ADD) children, as well as recalled sleep problems from when the children were infants (0-12 months) and toddlers (1-3 years). Results of a sleep questionnaire completed by mothers of 48 ADD children and a comparison group of 30 patients with school problems indicate that ADD children were perceived to have significantly more sleep problems and that these problems had onset in infancy. Specific items in the questionnaire which were increased included latency to sleep onset of more than 30 min at least 3 nights per week, fatigue upon awakening, and recall of nightmares. Pediatric clinicians should be alert to possible sleep disorders in children suspected of attention disorders and should consider "sleep hygiene" measures as a component of treatment.
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