Sleep, academic achievement, and cognitive performance in children with attention-deficit hyperactivity disorder: A
Noelia Ruiz-Herrera1, Alejandro Guillén-Riquelme2, Amparo Díaz-Román1
1Sleep and Health Promotion Laboratory, Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain.
Insights
Sleep disturbances significantly impact academic and cognitive abilities in children with attention-deficit hyperactivity disorder (ADHD). Addressing sleep issues can improve overall functioning in these children.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Attention-deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder affecting children.
- Sleep problems are frequently reported in children with ADHD, potentially impacting their daily functioning.
- Understanding the relationship between sleep patterns and performance is crucial for effective intervention.
Purpose of the Study:
- To investigate how parent-reported and polysomnography (PSG)-measured sleep patterns affect academic and cognitive performance in children with ADHD.
- To identify specific sleep variables that predict academic and cognitive outcomes in this population.
Main Methods:
- A cohort of 91 children (aged 7-11 years) diagnosed with ADHD participated.
- Subjective sleep quality was assessed using the Paediatric Sleep Questionnaire (PSQ) and Paediatric Daytime Sleepiness Scale (PDSS).
- Objective sleep data were collected via polysomnography (PSG). Cognitive performance was measured using the Wechsler Intelligence Scale for Children (WISC), and academic performance was based on school grades.
Main Results:
- Academic performance was associated with sleep duration, time in bed, night awakenings, and daytime sleepiness.
- Cognitive performance was best predicted by rapid eye movement (REM) latency, light sleep, periodic limb movements index (PLMs), awakenings, and daytime sleepiness.
- Both subjective and objective sleep measures revealed significant associations with performance outcomes.
Conclusions:
- Sleep parameters are closely linked to both academic and cognitive functioning in children with ADHD.
- Targeting sleep disturbances may offer a viable strategy to enhance the performance of children with ADHD.
- This study highlights the importance of comprehensive sleep assessment in managing ADHD.
Abstract:
The objective of this study was to examine the influence of parent-reported and polysomnography (PSG)-measured sleep patterns on the academic and cognitive performance of children with attention-deficit hyperactivity disorder (ADHD). We assessed 91 children (18 girls) diagnosed with ADHD aged 7-11 years (29 ADHD-Inattentive, 32 ADHD-Hyperactive/Impulsive, and 31 ADHD-Combined). The Paediatric Sleep Questionnaire (PSQ) and Paediatric Daytime Sleepiness Scale (PDSS) were used to assess subjective sleep quality, as perceived by parents, and objective sleep variables were assessed by PSG. Cognitive performance was evaluated using the Wechsler Intelligence Scale for Children (WISC), and the final average grade of the last school year was used as a measure of academic performance. Academic performance was predicted by the following sleep variables: Sleep time, time in bed, night awakenings, and daytime sleepiness. The best predictors of cognitive performance in children with ADHD were rapid eye movement latency, light sleep, periodic limb movements index (PLMs), awakenings, and daytime sleepiness. In conclusion, sleep parameters are closely associated with the academic and cognitive functioning of children with ADHD.
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