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A Systematic Review of Sleep and Circadian Rhythms in Children with Attention Deficit Hyperactivity Disorder

Upasana Bondopadhyay1, Unai Diaz-Orueta1, Andrew N Coogan1

  • 1Department of Psychology, Maynooth University, National University of Ireland, Maynooth.

Journal of Attention Disorders
|January 6, 2021
PubMed

Insights

Sleep disturbances are common in children with Attention-Deficit/Hyperactivity Disorder (ADHD). Addressing these sleep issues may improve ADHD symptoms and behavioral outcomes, highlighting sleep as a potential therapeutic target.

Area of Science:

  • Pediatric neurology
  • Sleep medicine
  • Child psychology

Background:

  • Sleep disturbances are frequently reported in individuals with Attention-Deficit/Hyperactivity Disorder (ADHD).
  • These sleep issues may be integral to the underlying causes and/or observable symptoms of ADHD.

Purpose of the Study:

  • To review the existing evidence on sleep changes in children diagnosed with ADHD.
  • To synthesize findings on sleep and circadian function in this population.

Main Methods:

  • Systematic review and narrative synthesis.
  • Inclusion of 148 studies encompassing data from 42,353 children aged 5 to 13 years with ADHD.

Main Results:

  • Sleep disturbances are prevalent in children with ADHD.
  • These disturbances can exacerbate behavioral problems.
  • Interventions targeting sleep may alleviate ADHD symptoms, and ADHD pharmacotherapy can affect sleep patterns.

Conclusions:

  • Sleep disturbance is a significant clinical feature in pediatric ADHD.
  • Targeting sleep may offer a valuable therapeutic avenue.
  • Identified literature gaps necessitate future research on sleep, circadian rhythms, and ADHD.
Abstract

Keywords:
ADHDactigraphychildrencircadian rhythmscircadian: systematicsleep

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