The Functional Impact of Sleep Disorders in Children With ADHD
Stephanie G Craig1, Margaret D Weiss2, Kristen L Hudec3
1Simon Fraser University, Burnaby, British Columbia, Canada.
Insights
Children with Attention-Deficit/Hyperactivity Disorder (ADHD) often experience sleep problems, which significantly impact their quality of life and daily functioning. Addressing these sleep issues alongside ADHD is crucial for improving overall well-being.
Area of Science:
- Pediatric Psychology
- Sleep Medicine
- Neurodevelopmental Disorders
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is frequently associated with sleep disturbances in children.
- Both ADHD and sleep disorders can negatively affect a child's overall functioning and quality of life.
Purpose of the Study:
- To investigate the prevalence and relationship between sleep problems and ADHD in children.
- To determine the impact of sleep problems and ADHD symptoms on children's quality of life and functional impairment.
Main Methods:
- Parents of 192 children diagnosed with ADHD (mean age 10.23 years) completed validated questionnaires.
- Measures included ADHD symptoms (SNAP), sleep disorders (PSQ), quality of life (CHIP-PE), and functional impairment (WFIRS-P).
Main Results:
- Insomnia, excessive daytime sleepiness (EDS), and sleep schedule variability were common complaints.
- Sleep problems and ADHD symptoms independently predicted lower quality of life and social functioning.
Conclusions:
- ADHD frequently co-occurs with sleep disorders, such as somnolence.
- Both ADHD and associated sleep problems significantly impair a child's functioning and quality of life.
Abstract:
Objective: Children with ADHD display higher rates of sleep problems, and both sleep disorders and ADHD have been shown to affect functioning in childhood. The current study examines the frequency and relationship between sleep problems and ADHD, and their impact on quality of life (QoL) and functional impairment. Method: Parents of 192 children with ADHD (M = 10.23 years) completed measures regarding their child's ADHD symptoms (Swanson, Nolan and Pelham [SNAP]), sleep disorders (Pediatric Sleep Questionnaire [PSQ]), QoL (Child Health Illness Profile [CHIP-PE]), and functioning (Weiss Functional Impairment Rating Scale-Parent Report [WFIRS-P]). Results: Common sleep complaints in participants were insomnia, excessive daytime sleepiness (EDS), and variability in sleep schedule. Regression analysis indicated that sleep problems and ADHD symptoms independently predicted lower levels of QoL (ΔR2 = .12, p < .001) and social functioning (ΔR2 = .12, p < .001). Conclusion: The results suggest that ADHD may coexist with somnolence and that both conditions have a significant impact on a child's functioning and QoL.
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