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Published on: December 7, 2018
Effects of Sleep Extension on Inhibitory Control in Children With ADHD: A Pilot Study
Amanda Cremone-Caira1, Helen Root1, Elizabeth A Harvey1
1University of Massachusetts Amherst, USA.
Insights
Sleep extension significantly improved inhibitory control in children with Attention Deficit Hyperactivity Disorder (ADHD). This intervention offers a promising approach to address cognitive deficits associated with ADHD.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Children with Attention Deficit Hyperactivity Disorder (ADHD) frequently experience sleep disturbances and cognitive impairments.
- Inhibitory control is a key cognitive function often deficient in children with ADHD.
Purpose of the Study:
- To investigate if extending sleep duration can enhance inhibitory control in children with ADHD.
- This pilot study aimed to assess the impact of sleep extension on cognitive deficits.
Main Methods:
- A within-subject design was employed, involving children with (n=11) and without (n=15) ADHD.
- Sleep duration was manipulated through a sleep extension intervention and monitored using actigraphy and polysomnography.
- Inhibitory control was measured using the Go/No-Go task.
Main Results:
- For children with ADHD, sleep extension led to a 13% overall improvement in inhibitory control.
- In contrast, sleep extension did not significantly alter inhibitory control in children without ADHD.
- While children without ADHD showed diurnal variations in inhibitory control, this pattern was not observed in the ADHD group.
Conclusions:
- Sleep extension interventions show potential for improving inhibitory control in children diagnosed with ADHD.
- Targeting sleep duration may be a viable strategy to mitigate cognitive deficits in pediatric ADHD.
- Further research is warranted to confirm these findings in larger cohorts.
Abstract:
Objective: Children with ADHD often have sleep complaints and cognitive deficits. The aim of this pilot study was to determine whether sleep extension improves inhibitory control, a primary cognitive deficit in ADHD. Method: Children with (n = 11) and without (n = 15) ADHD participated in a within-subject sleep extension intervention that targeted nocturnal sleep duration. Sleep was assessed with actigraphy and polysomnography. Inhibitory control was assessed with a Go/No-Go task. Results: For children without ADHD, there was a significant main effect of time, such that morning inhibitory control was 10% greater than evening inhibitory control. However, inhibitory control did not differ between the baseline and extension conditions in this group. For children with ADHD, although morning inhibitory control did not differ from evening inhibitory control, sleep extension improved inhibitory control by 13% overall. Conclusion: These results suggest that a sleep extension intervention improves inhibitory control in children with ADHD.
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