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Fifteen-minute consultation: Managing sleep problems in children and young people with ADHD

Sally Hobson1, Max Davie1, Michael Farquhar2

  • 1Community Paediatrics, Mary Sheridan Centre, Evelina London Children's Hospital, London, UK.

Archives of Disease in Childhood. Education and Practice Edition
|June 7, 2019
PubMed

Insights

Sleep difficulties are common in children with attention-deficit/hyperactivity disorder (ADHD). Routine sleep assessment and management are crucial for addressing ADHD symptoms and improving overall well-being.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Child Psychiatry

Background:

  • Sleep difficulties frequently co-occur with attention-deficit/hyperactivity disorder (ADHD) in children and adolescents.
  • Sleep problems can exacerbate ADHD symptoms and negatively impact daily functioning for both the child and family.
  • Complex, interacting factors often underlie these co-occurring issues.

Purpose of the Study:

  • To highlight the importance of assessing sleep in children with suspected or diagnosed ADHD.
  • To outline a structured approach for managing sleep difficulties in this population.
  • To emphasize the bidirectional relationship between sleep and ADHD.

Main Methods:

  • Review of current literature on sleep disturbances in ADHD.
  • Discussion of assessment strategies, including routine screening and specialized investigations.
  • Presentation of a management framework for addressing sleep issues in pediatric ADHD.

Main Results:

  • Sleep problems are prevalent in children with ADHD and significantly affect their well-being.
  • Assessment of sleep should be an integral part of ADHD evaluation and ongoing care.
  • A structured management approach is necessary when sleep difficulties are identified.

Conclusions:

  • Clinicians should routinely inquire about sleep in children presenting with ADHD symptoms.
  • Regular reassessment of sleep is vital for children diagnosed with ADHD.
  • Addressing sleep problems is a key component of comprehensive ADHD management.

Keywords:
adhdadolescent healthcomm child healthgeneral paediatricssleep

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