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.
Abstract

Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
1.4K
Information Processing Approach01:30

Information Processing Approach

The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is...
839
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
1.3K
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
2.7K
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
3.5K
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
1.5K