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Sleep Disturbances in Children with Attentional Deficit Hyperactivity Disorder and Specific Learning Disorders
Maria Silvia Saccani1,2, Luciana Ursumando1, Silvia Di Vara1
1Child and Adolescent Neuropsychiatry Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
Insights
Children with both Attention Deficit Hyperactivity Disorder (ADHD) and Specific Learning Disorder (SLD) experience more sleep difficulties than those with only one condition. Addressing sleep issues is crucial for managing comorbid ADHD and SLD.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Sleep Medicine
Background:
- Sleep disturbances are common in children with neurodevelopmental disorders, causing significant distress to children and families.
- Comorbidity, particularly the co-occurrence of Attention Deficit Hyperactivity Disorder (ADHD) and Specific Learning Disorder (SLD), can influence sleep patterns.
- Understanding sleep issues in children with comorbid ADHD and SLD is essential for effective management.
Purpose of the Study:
- To investigate and compare sleep difficulties in children with ADHD, SLD, and comorbid ADHD and SLD.
- To determine if sleep disturbances are more pronounced in children with the combined conditions.
Main Methods:
- Utilized the Sleep Disturbances Scale for Children (SDSC) to assess sleep problems.
- Compared sleep difficulties across three groups: children with ADHD (n=74), children with SLD (n=78), and children with comorbid ADHD and SLD (n=76).
Main Results:
- Children with comorbid ADHD and SLD exhibited significantly more pronounced sleep difficulties compared to children with ADHD or SLD alone.
- These findings were independent of age and the presence of behavioral or emotional problems.
Conclusions:
- Sleep disturbances are a critical concern for children with ADHD, SLD, and especially those with both conditions.
- Comprehensive assessment and tailored interventions for sleep problems are vital for children with comorbid ADHD and SLD.
Abstract:
Sleep disturbances may be a significant source of distress for children with neurodevelopmental disorders, and consequently also for their families. Crucially, sleep disturbances might be influenced by comorbidity. Attention deficit hyperactivity disorder (ADHD) and specific learning disorder (SLD) often co-occur, and consequently, investigating sleep disturbances in children with comorbidity of ADHD and SLD is essential. Our study aimed at detecting sleep difficulties in a group of 74 children with ADHD, 78 children with SLD, and 76 children with ADHD and SLD by using the Sleep Disturbances Scale for Children. The results showed that sleep difficulties emerge more clearly in children with comorbid ADHD and SLD compared to children with only ADHD or SLD. These sleep difficulties were not due to differences in ages and behavioral/emotional problems. In conclusion, evaluating sleep disturbances is important when assessing and managing children with ADHD, SLD, and particularly with the two comorbid conditions, to better understand their difficulties and develop tailored interventions.
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