Sleep and quality of life in children with traumatic brain injury and ADHD
Ozalp Ekinci1, Çetin Okuyaz2, Serkan Günes1
11 Department of Child and Adolescent Psychiatry, Medical Faculty, Mersin University, Mersin, Turkey.
Insights
Children with traumatic brain injury (TBI) and ADHD symptoms experience worse sleep and quality of life than those with primary ADHD. Early diagnosis and treatment of ADHD in TBI are crucial for better outcomes.
Area of Science:
- Pediatric Neurology
- Neurodevelopmental Disorders
- Child Psychology
Background:
- Attention problems are prevalent in children post-traumatic brain injury (TBI).
- Distinguishing TBI-related Attention Deficit Hyperactivity Disorder (ADHD) from primary ADHD is challenging.
- Understanding the impact of TBI on ADHD symptoms is vital for effective management.
Purpose of the Study:
- To compare sleep disturbances and quality of life in children with TBI and ADHD versus those with primary ADHD.
- To identify specific sleep issues and quality of life domains affected by TBI in children with ADHD.
Main Methods:
- A comparative study involving 20 children with TBI and ADHD symptoms and 20 children with primary ADHD.
- Utilized the Children's Sleep Habits Questionnaire (CSHQ) and the KINDL-R quality of life scale.
- Reviewed neurology clinic charts for TBI-specific data.
Main Results:
- Children with TBI and ADHD exhibited higher CSHQ scores, indicating more sleep problems (e.g., sleep onset delay, daytime sleepiness, parasomnias, sleep-disordered breathing).
- Poorer quality of life, particularly in emotional well-being and self-esteem, was reported in children with TBI and ADHD.
- Significant sleep problems (CSHQ > 56) in TBI patients correlated with lower KINDL-R scores.
Conclusions:
- Children with TBI and ADHD experience significantly poorer sleep quality and diminished quality of life compared to peers with primary ADHD.
- ADHD in the context of TBI represents a highly impairing condition.
- Emphasizes the need for early diagnosis and targeted treatment for ADHD in children with TBI.
Abstract:
Objective Attention problems are common in children who sustain a traumatic brain injury (TBI). The differential features of TBI-related Attention Deficit Hyperactivity Disorder (ADHD) and primary ADHD are largely unknown. This study aimed to compare sleep problems and quality of life between children with TBI and ADHD and children with primary ADHD. Methods Twenty children with TBI (mean age = 12.7 ± 3.1 years) who had clinically significant ADHD symptoms according to the structured diagnostic interview and rating scales and a control group with primary ADHD (n = 20) were included. Parents completed Children's Sleep Habits Questionnaire (CSHQ) and Kinder Lebensqualitätsfragebogen: Children's Quality of Life Questionnaire-revised (KINDL-R). Neurology clinic charts were reviewed for TBI-related variables. Results When compared to children with primary ADHD, the Total Score and Sleep Onset Delay, Daytime Sleepiness, Parasomnias, and Sleep Disordered Breathing subscores of CSHQ were found to be higher in children with TBI and ADHD. The Total Score and Emotional Well-Being and Self-Esteem subscores of the KINDL-R were found to be low (poorer) in children with TBI and ADHD. The Total Score and certain subscores of KINDL-R were found to be lower in TBI patients with a CSHQ > 56 (corresponds to significant sleep problems) when compared to those with a CSHQ < 56. CSHQ Total Score was negatively correlated with age. Conclusion Children with TBI and ADHD symptoms were found to have a poorer sleep quality and quality of life than children with primary ADHD. ADHD in TBI may be considered as a highly impairing condition which must be early diagnosed and treated.
More Related Videos
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
13:09Using Brain Activation nir-HEG/Q-EEG and Execution Measures CPTs in a ADHD Assessment Protocol
Published on: April 1, 2018
Related Concept Videos
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Nightmares and Night Terrors
Nightmares...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
