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Sleep problems in children with attention-deficit hyperactivity disorder: associations with parenting style and sleep

Emma Sciberras1,2,3, Jie Cheng Song2, Melissa Mulraney2,3

  • 1Deakin University, Geelong, VIC, Australia.

European Child & Adolescent Psychiatry
|May 17, 2017
PubMed

Insights

Parenting consistency and sleep hygiene significantly impact sleep problems in children with attention-deficit/hyperactivity disorder (ADHD). Addressing these factors can improve sleep quality for affected children.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Neurodevelopmental Disorders

Background:

  • Sleep problems are prevalent in children with attention-deficit/hyperactivity disorder (ADHD).
  • Understanding factors influencing sleep in this population is crucial for effective management.
  • Parenting practices and sleep hygiene are potential modifiable contributors to sleep disturbances.

Purpose of the Study:

  • To investigate the association between parenting (consistency and warmth) and sleep hygiene with sleep problems in children diagnosed with ADHD.
  • To identify specific parenting behaviors and sleep hygiene practices that predict various sleep issues.

Main Methods:

  • A cross-sectional study involving 361 children aged 5-13 with DSM-5 defined ADHD and moderate-to-severe sleep problems.
  • Sleep was assessed using the parent-reported Children's Sleep Habits Questionnaire.
  • Parental factors (sleep hygiene, parenting consistency, warmth) were measured via checklists, with analyses controlling for covariates.

Main Results:

  • More consistent parenting correlated with reduced bedtime resistance and sleep anxiety.
  • Greater parental warmth was linked to increased parasomnias and sleep anxiety.
  • Poorer sleep hygiene was associated with increased bedtime resistance, daytime sleepiness, and sleep duration problems.

Conclusions:

  • Sleep hygiene and parenting consistency/warmth are independently associated with sleep problems in children with ADHD.
  • These modifiable factors represent key targets for interventions aimed at improving sleep in this population.
  • Clinical management of sleep issues in ADHD should consider the roles of sleep hygiene and parenting strategies.

Keywords:
ADHDChildrenComorbidityParentingSleepSleep hygiene

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