Use of sleep medication in children with ADHD
Daryl Efron1, Kate Lycett2, Emma Sciberras3
1Community Child Health, Murdoch Childrens Research Institute, Parkville, VIC, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia; The Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, Australia.
Insights
Sleep medication use is common in children with attention-deficit/hyperactivity disorder (ADHD), affecting 22% of participants. Use was linked to combined-type ADHD and ADHD medication, highlighting a need for further research.
Area of Science:
- Pediatric Neurology
- Child Psychiatry
- Sleep Medicine
Background:
- Sleep problems are prevalent in children with attention-deficit/hyperactivity disorder (ADHD).
- Limited data exists on sleep medication usage patterns within this pediatric population.
- Understanding associated factors is crucial for effective management.
Purpose of the Study:
- To characterize sleep medication use in school-aged children diagnosed with ADHD.
- To identify child and family characteristics associated with sleep medication prescription.
Main Methods:
- Prospective study utilizing parent-completed sleep and medication logs over seven nights.
- Assessed variables included demographics, sleep problem severity, ADHD characteristics, ADHD medication use, comorbidities, and parental mental health.
- Children's Sleep Habits Questionnaire, ADHD Rating Scale IV, Anxiety Disorders Interview Schedule, and Depression Anxiety Stress Scale were employed.
Main Results:
- Out of 257 children with ADHD, 22% reported using sleep medication (14% melatonin, 9% clonidine).
- Sleep medication use correlated with combined-type ADHD and concurrent ADHD medication use.
- Co-occurring internalizing and externalizing comorbidities were also associated with sleep medication use.
Conclusions:
- Sleep medication is frequently used by children with ADHD.
- Associations found with combined-type ADHD and ADHD medication suggest specific treatment considerations.
- Further investigation into the functional benefits and long-term safety of these medications is warranted.
Objective:
Sleep problems are common in children with attention-deficit/hyperactivity disorder (ADHD), yet little is known about sleep medication use in this population. The aim of this study was to describe sleep medication use, as well as associated child and family characteristics in school-aged children with ADHD.
Method:
Sleep medication use was ascertained using a prospective parent-completed seven-night sleep and medication log. Exposure variables included socio-demographic characteristics, total sleep problem severity (Children's Sleep Habits Questionnaire), ADHD severity and subtype (ADHD Rating Scale IV), ADHD medication use, internalising and externalising co-morbidities (Anxiety Disorders Interview Schedule for Children/Parent version IV) and parent mental health (Depression Anxiety Stress Scale).
Results:
Two hundred and fifty-seven children with ADHD participated and of these 57 (22%) were taking sleep medication (melatonin 14% and clonidine 9%). Sleep medication use was associated with combined-type ADHD and ADHD medication use. The presence of co-occurring internalising and externalising co-morbidities was also associated with sleep medication use in ad hoc analyses.
Conclusion:
Sleep medication use is common in children with ADHD and is associated with combined-type ADHD and use of ADHD medication. Further research is needed on the broad functional benefits and long-term safety of sleep medication in this population.
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