Sleep and Attention in Children With ADHD and Typically Developing Peers
Jessica Waldon1,2, Jennifer Vriend1,3, Fiona Davidson1
11 Dalhousie University, Halifax, Nova Scotia, Canada.
Insights
Poor sleep impacts attention in children, especially those with ADHD. Good sleep quality is crucial for improving attention skills in all children.
Area of Science:
- Pediatric Psychology
- Neurodevelopmental Disorders
- Sleep Science
Background:
- Attention deficits are common in children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD).
- The intricate relationship between sleep quality and cognitive functions, particularly attention, warrants further investigation in pediatric populations.
- Understanding these links can inform targeted interventions for children with attention difficulties.
Purpose of the Study:
- To investigate the association between sleep patterns and attention capabilities.
- To compare these relationships in children with ADHD and typically developing (TD) children.
- To identify if sleep quality moderates attention performance based on ADHD diagnosis.
Main Methods:
- A cohort of 50 children (aged 6-12 years) including 25 with ADHD and 25 TD controls participated.
- Objective sleep assessment was conducted using actigraphy.
- Attention was evaluated through parent-reported scales (Conners' Parent Rating Scale-Revised) and an objective measure (Attention Network Test-Interaction) assessing alerting, orienting, and executive attention.
Main Results:
- Children with ADHD exhibited deficits in alerting and executive attention, alongside poorer parent-reported attention.
- Actigraphy-measured poor sleep significantly predicted lower alerting attention scores in both ADHD and TD children.
- A significant interaction between poor sleep and ADHD diagnosis emerged, predicting executive attention performance.
Conclusions:
- Sleep quality is a critical factor influencing attention in children.
- Optimizing sleep is recommended to enhance attention, with particular emphasis for children diagnosed with ADHD.
- These findings underscore the need for sleep health assessments in pediatric attention evaluations.
Objective:
The objective of this study was to examine the relationships between sleep and attention in both typically developing (TD) children and children with ADHD.
Method:
The current study examined sleep and attention in 50 children, from 6 to 12 years of age (25 ADHD, 25 TD). Attention was measured using the Conners' Parent Rating Scale-Revised: Long Version and the Attention Network Test-Interaction (ANT-I), which provided an objective measure of alerting, orienting, and executive attention. Sleep was objectively measured using actigraphy.
Results:
Children with ADHD had poorer alerting and executive attention on the ANT-I, as well as poorer parent-reported attention. In addition, poor sleep predicted performance on alerting attention for children with ADHD and TD children, whereas the interaction between poor sleep and ADHD diagnosis predicted executive attention scores.
Conclusion:
The findings of the current study highlight the importance of ensuring children are getting good quality sleep to optimize attention, particularly for children with ADHD.
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