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Sleep Disturbances in Children with Attention - Deficit/Hyperactivity Disorder (ADHD): Comparative Study with Healthy

Sreelakshmi Vaidyanathan1, Henal Shah2, Tejas Gayal3

  • 1Assistant Professor, Department of Psychiatry, Topiwala National Medical College and B. Y. L Nair Charitable Hospital, Mumbai, India.

Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal De L'Academie Canadienne De Psychiatrie De L'Enfant Et De L'Adolescent
|December 8, 2016
PubMed

Insights

Children with Attention Deficit Hyperactivity Disorder (ADHD) experience more sleep disturbances than their siblings, particularly those on medication. Sleep issues decrease with age and are more common in the hyperactive presentation of ADHD.

Area of Science:

  • Pediatric Psychiatry
  • Sleep Medicine
  • Neurodevelopmental Disorders

Background:

  • Sleep disturbances are common in children with Attention Deficit Hyperactivity Disorder (ADHD), significantly impacting their daily functioning and quality of life.
  • Understanding the prevalence and characteristics of these sleep issues is crucial for effective ADHD management.

Purpose of the Study:

  • To investigate the occurrence of sleep disturbances in children diagnosed with ADHD compared to their healthy siblings.
  • To explore correlations between sleep disturbances and factors such as age, ADHD symptom severity, ADHD presentation, and illness parameters within the ADHD group.

Main Methods:

  • A study involving 120 children aged 5-16 years (60 with ADHD, 60 healthy siblings) recruited from a Child Psychiatry Outpatient service.
  • Parental interviews using the Child Sleep Habits Questionnaire (CSHQ) and ADHD symptom severity assessment via ADHD Rating Scale (ADHD-RS).

Main Results:

  • Children with ADHD, especially those undergoing pharmacological treatment, exhibit a higher prevalence of sleep disturbances compared to their healthy siblings.
  • Sleep disturbances were found to decrease with increasing age in children with ADHD.
  • The Predominantly Hyperactive/impulsive presentation of ADHD was associated with a greater frequency of sleep disturbances.

Conclusions:

  • Sleep disturbances are a significant concern in pharmacologically treated children with ADHD.
  • Addressing sleep disturbances should be an integral part of comprehensive ADHD management strategies.
Abstract

Keywords:
ADHDhealthy siblingssleep disturbances

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