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.

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