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Moderating Effect of Motor Proficiency on the Relationship Between ADHD Symptoms and Sleep Problems in Children With
Nicole Papadopoulos1, Vasileios Stavropoulos2, Jennifer McGinley3
1a Deakin University, Geelong, Australia, Deakin Child Study Centre, School of Psychology, Faculty of Health , Geelong , Australia.
Insights
Children with Attention Deficit Hyperactivity Disorder-Combined type (ADHD-CT) and lower motor skills report more sleep issues. Motor proficiency is a key factor in ADHD-related sleep problems, especially for those diagnosed with ADHD-CT.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Pediatric Sleep Medicine
Background:
- Attention Deficit Hyperactivity Disorder-Combined type (ADHD-CT) is frequently associated with sleep and motor challenges in children.
- Understanding the interplay between ADHD symptoms, motor proficiency, and sleep disturbances is crucial for effective intervention.
Purpose of the Study:
- To investigate if motor proficiency moderates the relationship between ADHD symptoms and sleep problems in children.
- To determine if this moderation effect differs between children with and without an ADHD-CT diagnosis.
Main Methods:
- A sample of 70 male primary school children (8-15 years) including those with ADHD-CT (n=38) and typically developing (TD) children (n=32) participated.
- Motor proficiency was assessed using the Movement Assessment Battery for Children-2nd Edition (MABC-2).
- ADHD symptoms and sleep problems were measured via the Conners' Parent Rating Scale (CPRS) and Children's Sleep Habits Questionnaire (CSHQ), respectively.
Main Results:
- Children with higher ADHD symptoms and lower motor proficiency reported increased sleep problems.
- A significant moderation effect of motor proficiency on the ADHD-sleep problem relationship was observed exclusively in the ADHD-CT group, not in the TD group.
Conclusions:
- Children with ADHD-CT experiencing more severe ADHD symptoms and poorer motor skills face a heightened risk of sleep problems.
- Motor proficiency is an important factor to consider when identifying risk factors and developing sleep interventions for children with ADHD-CT.
Objectives/Background:
A high proportion of children with Attention Deficit Hyperactivity Disorder- Combined type (ADHD-CT) experience sleep and motor problems. This study investigated (a) whether motor proficiency moderated the relationship between ADHD symptoms and sleep problems in children with and without ADHD-CT and (b) whether this moderation differed as a function of ADHD diagnosis.
Participants:
A sample of 70 primary school male children between 8-15 years were recruited; children with ADHD-CT (n = 38; mean age 10 years, 2 months [SD = 1 year, 6 months]) and a typically developing (TD) (n = 32; mean age 9 years, 6 months [SD = 1 year, 5 months]) group.
Methods:
Motor proficiency was measured using the Movement Assessment Battery for Children-2nd Edition (MABC-2), ADHD symptoms were measured using the Conners' Parent Rating Scale (CPRS) and parent reported sleep problems were measured using the Children's Sleep Habits Questionnaire (CSHQ).
Results:
Children who reported higher ADHD symptoms and lower motor proficiency scores reported more sleep problems. The moderation effect only held in children with a diagnosis of ADHD-CT and not in the typically developing group.
Conclusions:
These findings indicate that children who experience greater severity of ADHD symptoms who also have lower motor proficiency may be at increased risk of experiencing sleep problems. These findings also illustrate the importance of considering motor proficiency when exploring risk factors for sleep problems in children with ADHD-CT as well as sleep interventions.
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