Association between sleep parameters and cognitive function in drug-naïve children with attention-deficit hyperactivity disorder: a polysomnographic study
Yoo Hyun Um1, Jong-Hyun Jeong1, Seung-Chul Hong1
1Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Insights
Sleep problems significantly impact cognitive function in children with attention-deficit hyperactivity disorder (ADHD). Specific sleep stages and limb movements with arousals predict cognitive performance in these patients.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Sleep disturbances are prevalent in children with attention-deficit hyperactivity disorder (ADHD).
- These sleep issues are linked to significant behavioral and cognitive impairments in ADHD patients.
Purpose of the Study:
- To investigate the relationship between sleep parameters and cognitive function in drug-naïve children diagnosed with ADHD.
- To identify specific sleep metrics that predict cognitive performance in this population.
Main Methods:
- Polysomnography was employed to measure sleep parameters in 28 drug-naïve children with ADHD.
- Cognitive function was assessed using the Wechsler Intelligence Scale for Children-III (WISC-III) and the Matching Familiar Figure Test for Korean Children (MFFT-KC).
- Behavioral characteristics were evaluated using Conners' Global Index-Parent version (CGI-P), with Spearman's correlation and multiple regression analyses performed.
Main Results:
- Regression analyses identified slow wave sleep, stage 2 sleep, REM sleep, and limb movement index with arousals (LMAs) as significant predictors of cognitive function.
- These findings indicate a direct correlation between specific sleep characteristics and cognitive abilities in children with ADHD.
Conclusions:
- Sleep parameters and cognitive function are closely intertwined in children with ADHD.
- Further research is warranted to elucidate the complex relationship between sleep and cognition in pediatric ADHD.
Objective:
Sleep problems are common among patients with attention-deficit hyperactivity disorder (ADHD), and are considered major causes of behavioral and cognitive dysfunction in ADHD patients. In the present study, we investigated the relationship between sleep parameters and cognitive function in drug-naïve children with ADHD.
Methods:
Twenty-eight patients were recruited to participate in the study, and a polysomnography was used to measure sleep parameters of the subjects. Cognitive measurements were collected, utilizing the Wechsler Intelligence Scale for Children-III (WISC-III), and the Matching Familiar Figure Test for Korean Children (MFFT-KC), while behavioral characteristics of the subjects were assessed using Conners' Global Index-Parent version (CGI-P). Descriptive statistics were calculated for demographic data, sleep parameters, and neurocognitive characteristics of ADHD patients. Spearman's correlation analyses were performed to determine the association between sleep parameters and neurocognitive measures. Moreover, multiple regression analyses were used to identify the best predictors of cognitive function among the various sleep parameters.
Results:
The regression analyses revealed several meaningful correlations, suggesting that slow wave sleep, stage 2 sleep, REM sleep, and limb movement index with arousals (LMAs) as predictors of cognitive function in ADHD patients.
Conclusion:
Based on our study results, sleep parameters and cognitive function were closely associated in ADHD patients; further research should be directed at clarifying this crucial link.
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