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Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms
Upasana Bondopandhyay1, Jane McGrath2, Andrew N Coogan1
1Department of Psychology, Maynooth University, National University of Ireland, Maynooth, Ireland.
Insights
Parental insomnia significantly impacts children's sleep quality, especially in families with attention deficit hyperactivity disorder (ADHD). Addressing parental sleep issues is crucial for improving sleep in children with ADHD.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
- Family Health
Background:
- Sleep problems are prevalent in children with attention deficit hyperactivity disorder (ADHD).
- Parental sleep issues and ADHD symptoms may influence children's sleep patterns.
- Bidirectional relationships between parent and child sleep are suspected.
Purpose of the Study:
- To investigate associations between children's sleep quality and timing with parental insomnia, ADHD symptoms, and dysfunctional sleep beliefs.
- To identify predictors of sleep problems in pre-adolescent children diagnosed with ADHD.
Main Methods:
- Cross-sectional study of 120 pre-adolescent children with ADHD and their parents.
- Parent-reported questionnaires assessed children's sleep quality/timing, parental insomnia, parental ADHD symptoms, and sleep-related beliefs.
- Multiple regression analysis identified significant predictors of children's sleep quality.
Main Results:
- 82% of children exhibited signs of a pediatric sleep disorder.
- Parental insomnia, ADHD symptoms, and dysfunctional beliefs correlated with poorer child sleep quality, anxiety, and parasomnias.
- Parental insomnia score was the sole significant predictor of children's sleep quality.
Conclusions:
- Parental insomnia is a key factor affecting sleep quality in children with ADHD.
- Combined parental ADHD and insomnia symptoms were associated with the poorest child sleep quality.
- Clinicians should evaluate and address parental sleep problems when treating children with ADHD.
Abstract:
Sleep problems are common in children with attention deficit hyperactivity disorder (ADHD). Children's sleep problem may influence, and be influenced by, parents' sleep problems as well as parents' ADHD symptoms. In the current study we examined the associations of parent-rated sleep quality and sleep timing of pre-adolescent children with parental insomnia symptoms, parental ADHD symptoms and dysfunctional attitudes and beliefs about sleep in a convenience sample recruited by advertisement (N = 120). Childhood sleep problems were common in the sample, with 82% of children exceeding the threshold for the presence of a paediatric sleep disorder. Children's sleep quality showed minimal association with their sleep timing and chronotype. Parental insomnia symptoms, ADHD symptoms and dysfunctional beliefs and attitudes about sleep all associated with their children's sleep quality, and with the sleep subdomains of sleep anxiety and parasomnias. In multiple regression analysis only parental insomnia score was a significant predictor of children's sleep quality. Children's bedtimes, wake times, sleep duration, chronotype or social jetlag did not associate with parents' ADHD or insomnia symptoms. Sleep quality was significantly poorer in children whose parents scored as both consistent for adult ADHD and probable for insomnia disorder compared to parents who scored as either ADHD consistent or insomnia probable, or those who parents scored as neither. We discuss the putative nature of the relationships between sleep quality of children with ADHD and parental ADHD and insomnia symptoms, and suggest that clinicians consider parental sleep when attending to children with ADHD.
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