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Published on: October 2, 2019
Sleep patterns of 7-week-old infants at familial risk for attention deficit hyperactivity disorder
Rivka Landau1, Avi Sadeh2, Paz Vassoly1
1Ben Gurion University.
Insights
Infants at familial risk for attention deficit hyperactivity disorder (ADHD) show differences in sleep pattern stability by seven weeks of age. These variations in sleep and waking stability are observed only during daytime hours.
Area of Science:
- Developmental Psychology
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
Background:
- Attention deficit hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder.
- Early identification of risk factors for ADHD is crucial for timely intervention.
- Infant sleep patterns may offer early indicators of neurodevelopmental trajectories.
Purpose of the Study:
- To compare sleep patterns in infants with and without familial risk for ADHD at seven weeks of age.
- To investigate objective and subjective measures of sleep stability in at-risk infants.
- To explore potential early markers of ADHD risk in sleep behavior.
Main Methods:
- Objective sleep assessment using actigraphy over five consecutive 24-hour periods.
- Subjective sleep assessment via maternal sleep diaries.
- Comparison of sleep and waking stability (SD) and average sleep/wake durations between groups.
Main Results:
- Actigraphy revealed group differences in the stability of quiet sleep during daytime hours only.
- Maternal reports indicated group differences in the stability of waking and sleep duration during daytime only.
- No significant differences were found in average sleep/wake scores between groups across 24-hour periods, nights, or days.
- Mothers in the ADHD risk group reported lower paternal involvement in infant care.
Conclusions:
- Infants at familial risk for ADHD exhibit altered sleep pattern stability during daytime by seven weeks of age.
- Daytime sleep stability differences may be influenced by environmental regulatory factors.
- Sleep pattern stability, particularly during the day, may serve as an early indicator for ADHD risk.
Abstract:
Sleep patterns of 26 seven-week-old boys at familial risk for attention deficit hyperactivity disorder (ADHD) and 18 control infants were compared by objective (actigraph) and subjective (maternal sleep diary) measures, over five consecutive 24-hr periods. Actigraph findings indicated that the groups differed on stability (SD) of quiet sleep only during the day. Reports in maternal sleep diaries indicated that they also differed on stability of waking and stability of sleep duration, again only during the day. No group differences were found in terms of average scores, whether calculated for the entire 24-hr periods, for nights, or for days. Mothers in the risk group reported that fathers were less involved in infant care than did those in the control group. These findings suggest that as early as 7 weeks of age, infants at risk for ADHD differ from controls only on stability of their sleep patterns during the day, when environmental regulatory factors are more intensive.
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