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Correlation between sleep disorder screening and executive dysfunction in children with attention
Elizabeth Zambrano-Sánchez1, José A Martínez-Cortés2, Minerva Dehesa-Moreno3
1Laboratory of Cognitive Neurophysiology, National Institute of Rehabilitation, Mexico City, Mexico.
Children with attention deficit-hyperactivity disorder (ADHD) did not show more sleep disorders (SD), but did exhibit executive dysfunction (ED). Correlations were found between ADHD types, SD, ED, and cognitive measures.
Area of Science:
- Child psychology
- Neurodevelopmental disorders
- Sleep medicine
Background:
- Attention deficit-hyperactivity disorder (ADHD) is a common neurodevelopmental disorder.
- Sleep disorders (SD) and executive dysfunction (ED) are frequently observed in children.
- The relationship between SD, ED, and ADHD requires further investigation.
Purpose of the Study:
- To compare the frequency of sleep disorders (SD) and executive dysfunction (ED) in children diagnosed with ADHD versus a control group.
- To explore correlations between ADHD subtypes, SD, ED, and cognitive assessments.
Main Methods:
- A cohort of 156 children with ADHD and 111 controls (mean age ~8.4 years) were assessed.
- Sleep disorders were screened using the Pediatric Sleep Questionnaire (PSQ).
- Executive dysfunction was evaluated via working memory measures from the Wechsler intelligence scale for children (WISC-IV).
Main Results:
- No significant difference in the frequency of sleep disorders was found between children with ADHD and controls.
- Executive dysfunction was identified more frequently in children with ADHD.
- Significant correlations were observed between ADHD type and SD, and between ED, WISC-IV scores, and SD type.
Conclusions:
- The study did not find an increased prevalence of sleep disorders in children with ADHD.
- Executive dysfunction is present in children with ADHD.
- A complex interplay exists among ADHD subtypes, sleep disorders, executive dysfunction, and cognitive performance in children with ADHD.
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