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Sleep disturbance in children with attention-deficit hyperactivity disorder: A systematic review

Renata Martins1, Janaina Cristina Scalco1, Geraldo Jose Ferrari Junior2

  • 1MSc. In Physiotherapy at Santa Catarina State University, Florianópolis/SC/Brazil.

Sleep Science (Sao Paulo, Brazil)
|April 23, 2020
PubMed

Insights

Children with attention-deficit/hyperactivity disorder (ADHD) experience more sleep disturbances than their peers. However, objective measures show inconsistent differences, highlighting the need for further research into ADHD and childhood sleep issues.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Neurodevelopmental Disorders

Background:

  • Sleep disorders are prevalent in children.
  • Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
  • The relationship between ADHD and sleep disturbances requires further investigation.

Purpose of the Study:

  • To systematically review and compare sleep disorders in children aged 7–12 with and without an ADHD diagnosis.
  • To synthesize current evidence on sleep patterns in pediatric ADHD.

Main Methods:

  • Systematic literature search of major scientific databases (PubMed, LILACS, Scopus, Web of Science, Cochrane Library) conducted in September 2017.
  • Inclusion of cross-sectional observational studies comparing sleep in children (7–12 years) with and without ADHD (DSM criteria).
  • Exclusion of studies with other designs, involving adolescents/adults, or children with comorbidities.

Main Results:

  • Eight studies met the inclusion criteria from 1911 identified articles.
  • Most studies utilized both objective and subjective sleep measures.
  • While children with ADHD showed more sleep disturbances, objective measures yielded inconsistent findings across studies.

Conclusions:

  • Children diagnosed with ADHD exhibit a higher prevalence of diverse sleep disturbances compared to non-ADHD peers.
  • Objective sleep assessments provided inconsistent results, indicating a need for more research.
  • Further studies are required to establish robust conclusions regarding sleep disorders in pediatric ADHD.

Keywords:
Attention Deficit Disorder with HyperactivityChildSleep Wake Disorders

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