REM theta activity enhances inhibitory control in typically developing children but not children with ADHD symptoms
Amanda Cremone1,2, Claudia I Lugo-Candelas2, Elizabeth A Harvey2
1Neuroscience and Behavior Program, University of Massachusetts, Amherst, 01003, USA.
Insights
Children with ADHD experience sleep disturbances that impact cognitive functions. Overnight sleep did not improve inhibitory control or attention in children with ADHD, unlike in typically developing children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Sleep Medicine
Background:
- Sleep disturbances are common in children with attention-deficit/hyperactivity disorder (ADHD).
- Cognitive functions, particularly inhibitory control and attention, are often impaired in ADHD.
- The relationship between sleep deficits and inhibitory impairments in ADHD is not well understood.
Purpose of the Study:
- To investigate the impact of overnight sleep on inhibitory control and sustained attention in children with ADHD.
- To explore the association between sleep-related brain activity (REM theta) and cognitive performance in children with and without ADHD.
Main Methods:
- A Go/No-Go task was used to assess inhibitory control and sustained attention.
- Participants included children with ADHD (n=18) and typically developing controls (n=15).
- Cognitive tasks were administered before and after polysomnography-monitored overnight sleep.
Main Results:
- Overnight sleep improved inhibitory control and sustained attention in typically developing children.
- Inhibitory control in typically developing children correlated positively with REM theta activity.
- Children with ADHD showed no improvement in these cognitive functions after sleep, and REM theta activity was not associated with their performance.
Conclusions:
- Elevated REM theta activity in children with ADHD may be functionally linked to ADHD symptoms.
- This finding suggests potential delayed cortical maturation in children with ADHD.
- Sleep does not benefit cognitive functions like inhibitory control and attention in children with ADHD as it does in typically developing children.
Abstract:
Sleep disturbances impair cognitive functioning in typically developing populations. Children with attention-deficit/hyperactivity disorder (ADHD), a disorder characterized by impaired inhibitory control and attention, commonly experience sleep disturbances. Whether inhibitory impairments are related to sleep deficits in children with ADHD is unknown. Children with ADHD (n = 18; M age = 6.70 years) and typically developing controls (n = 15; M age = 6.73 years) completed a Go/No-Go task to measure inhibitory control and sustained attention before and after polysomnography-monitored overnight sleep. Inhibitory control and sustained attention were improved following overnight sleep in typically developing children. Moreover, morning inhibitory control was positively correlated with rapid eye movement (REM) theta activity in this group. Although REM theta activity was greater in children with ADHD compared to typically developing children, it was functionally insignificant. Neither inhibitory control nor sustained attention was improved following overnight sleep in children with ADHD symptoms, and neither of these behaviors was associated with REM theta activity in this group. Taken together, these results indicate that elevated REM theta activity may be functionally related to ADHD symptomology, possibly reflecting delayed cortical maturation.
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