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Excessive Daytime Sleepiness Measurements in Children With Attention Deficit Hyperactivity Disorder
Stéphanie Bioulac1,2,3, Jacques Taillard2,3, Pierre Philip1,2,3
1CHU Pellegrin, Clinique du Sommeil, Bordeaux, France.
Insights
Children with attention deficit hyperactivity disorder (ADHD) often experience excessive daytime sleepiness (EDS). This review explores assessment tools and novel evaluation methods for EDS in ADHD, including EEG markers and neurofeedback.
Area of Science:
- Neurodevelopmental disorders
- Pediatric sleep medicine
- Clinical psychology
Background:
- Attention deficit hyperactivity disorder (ADHD) is a prevalent childhood neurodevelopmental disorder.
- ADHD often presents with heterogeneity due to comorbidities, including sleep disorders like delayed sleep phase syndrome and excessive daytime sleepiness (EDS).
- Children with ADHD report higher incidences of sleep disturbances and EDS compared to neurotypical children.
Purpose of the Study:
- To provide a narrative review on the assessment of excessive daytime sleepiness (EDS) in children with ADHD.
- To summarize current subjective and objective tools for measuring EDS in the context of ADHD.
- To explore emerging assessment perspectives and specific clinical contexts of EDS in ADHD.
Main Methods:
- Literature review of subjective and objective measures for EDS assessment.
- Exploration of electroencephalogram (EEG) markers and neurofeedback as potential assessment and intervention tools.
- Discussion of novel evaluation methods such as virtual reality and ecological momentary assessment.
- Analysis of clinical scenarios linking EDS with ADHD, narcolepsy, psychiatric comorbidities, and sluggish cognitive tempo.
Main Results:
- Current assessment of EDS in ADHD relies on various subjective and objective tools.
- Electroencephalogram (EEG) markers and neurofeedback offer promising avenues for understanding and managing EDS in ADHD.
- Emerging technologies like virtual reality and ecological momentary assessment present new possibilities for evaluating EDS.
- EDS in ADHD is intricately linked with other conditions, including narcolepsy and psychiatric comorbidities, and the sluggish cognitive tempo phenotype.
Conclusions:
- Comprehensive assessment of EDS is crucial for managing children with ADHD.
- Integrating advanced tools like EEG, neurofeedback, and novel technologies can improve EDS evaluation in ADHD.
- Understanding the complex interplay between EDS, ADHD, and comorbidities is essential for effective clinical practice.
Abstract:
Attention deficit hyperactivity disorder (ADHD) is the most commonly diagnosed neurodevelopmental disorder in childhood. It is a heterogeneous disorder in terms of clinical presentation that is probably due to the frequent occurrence of comorbidity. Children with ADHD more frequently report sleep disorders (notably delayed sleep phase syndrome) and excessive daytime sleepiness (EDS) than typically developing children. The aim of this article is to propose a narrative review of the assessment of EDS in the context of ADHD with first a summary of the subjective and objective tools used to measure it. Secondly, perspectives in terms of electroencephalogram (EEG) markers and neurofeedback are proposed. Then, possibilities for new kinds of evaluation are discussed (virtual reality, ecological momentary assessment, etc.). Lastly, we discuss specific clinical situations with EDS in the context of ADHD as links with narcolepsy, the comorbidity with other psychiatric disorders, and the context of sluggish cognitive tempo.
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