Association between sleep pattern and pharmacological treatment in children with attention deficit disorder with

Nathalia Sena Rocha1, Rogério do Espírito Santo Amorim Correa1, Adria Carolina de Melo Dias1

  • 1Universidade do Estado do Pará, Marabá, PA, Brasil.

Insights

Pharmacological treatments for attention deficit hyperactivity disorder (ADHD) can improve symptoms but may negatively impact children's sleep. Atomoxetine appears to have fewer sleep-related side effects compared to other ADHD medications.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Pharmacology

Background:

  • Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
  • Sleep disturbances are frequently observed in children with ADHD, impacting their daily functioning and treatment outcomes.

Approach:

  • A comprehensive literature search was conducted across major scientific databases (Cochrane Library, PubMed, LILACS, Embase, Scopus, CINAHL, Web of Science).
  • The search focused on studies evaluating the effects of various pharmacological treatments on the sleep patterns of children diagnosed with ADHD.

Key Points:

  • Several ADHD medications, including guanfacine, methylphenidate, dasotraline, L-theanine, and lisdexamfetamine, were found to reduce ADHD symptoms.
  • However, all these medications, with the exception of atomoxetine, were associated with adverse effects on sleep quality.
  • Observed sleep disturbances included reduced rapid eye movement (REM) and non-REM sleep, decreased slow-wave sleep, and prolonged sleep onset latency.

Conclusions:

  • Pharmacological interventions for ADHD can negatively affect sleep quality in pediatric populations.
  • Atomoxetine demonstrated a comparatively lower impact on sleep variables among the studied ADHD medications.
Abstract

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