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An Exploration of Sleep and Family Factors in Young Children at Familial Risk for ADHD
J Keating1, J Bramham1, F McNicholas2
1School of Psychology, University College Dublin, Dublin, Ireland.
Insights
Family and sleep issues in children with familial risk for ADHD impact early temperament. Poor family functioning predicts effortful control, while sleep quality affects negative affect in young children.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Sleep Medicine
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) has a significant genetic component.
- Early identification of ADHD risk factors is crucial for timely intervention.
- Sleep problems and family dynamics are potential contributing factors in early childhood development.
Purpose of the Study:
- To investigate the relationship between sleep problems, family functioning, and early ADHD temperament markers.
- To compare these factors in young children with and without a familial risk for ADHD.
- To explore the predictive influence of family and sleep factors on ADHD-related temperament traits.
Main Methods:
- Cross-sectional study comparing children with (n=72) and without (n=139) familial ADHD risk.
- Parent/caregiver questionnaires assessed family functioning, child sleep behavior, and regulatory behaviors.
- Statistical analysis explored the influence of family and sleep factors on effortful control and negative affect.
Main Results:
- Significant differences in family functioning were found between high-risk and low-risk groups across age cohorts.
- Infants/toddlers in the high-risk group had poorer reported sleep quality.
- Family functioning predicted effortful control, and sleep quality predicted negative affect in young children.
Conclusions:
- Family and sleep issues may be relevant for young children with a familial history of ADHD.
- These factors show potential influence on early temperament markers associated with ADHD.
- Further research is needed to determine if early interventions targeting sleep and family factors can reduce later ADHD symptoms.
Abstract:
Objective: The aim of the current study was to examine relations between sleep problems and family factors and early markers of ADHD in young children with and without a familial risk for ADHD.Methods: Differences in sleep behavior and family functioning in children under 6 years with (n = 72) and without (n = 139) a familial risk for ADHD were investigated. The influence of family and sleep factors on the development of early temperament markers of ADHD (effortful control and negative affect) was explored. Parents/caregivers completed questionnaires on family functioning, child sleep behavior, and general regulatory behaviors.Results: A significant difference was observed between high-risk and low-risk groups for family functioning in the infant/toddler (<3 years) and preschool (>3 years) cohorts. Parents of infants/toddlers in the high-risk group reported poorer infant sleep. However, there were no sleep differences reported for the preschool cohort. Family functioning was found to predict effortful control, while sleep quality predicted negative affect.Conclusion: The results of this study highlight potential family and sleep issues for young children with a familial history of ADHD and the potential influence of these factors on early temperament markers of ADHD. Future research should explore these relations further in order to better establish whether early sleep and family interventions could mitigate later ADHD symptomatology.
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