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The efficacy of behavioral sleep intervention on sleep problems among children with attention-deficit hyperactivity

Ahmed Hashem El-Monshed1,2, Ahmed Loutfy3,4, Haitham El-Boraie5

  • 1Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain.

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|November 25, 2024
PubMed

Insights

Behavioral sleep interventions significantly improved sleep quality, life quality, and reduced ADHD symptoms in children. This approach offers a valuable strategy for enhancing well-being and emotional regulation in children with ADHD.

Area of Science:

  • Pediatric Psychology
  • Sleep Medicine
  • Neurodevelopmental Disorders

Background:

  • Attention-deficit hyperactivity disorder (ADHD) affects 5% of children globally, characterized by inattention, hyperactivity, and impulsivity.
  • Sleep problems are highly prevalent in 70% of children with ADHD, worsening psychosocial outcomes.
  • Effective interventions are crucial for managing ADHD and associated sleep disturbances.

Purpose of the Study:

  • To evaluate the effectiveness of a behavioral sleep intervention for children with ADHD.
  • To assess improvements in sleep quality, quality of life (QoL), and ADHD symptom severity.
  • To determine the impact of the intervention on psychosocial challenges in pediatric ADHD.

Main Methods:

  • A randomized controlled trial was conducted between June 2022 and April 2023.
  • The intervention group (n=47) received a hybrid face-to-face and Zoom behavioral sleep program.
  • The control group (n=45) received standard care. Standardized questionnaires (CSHQ, PedsQL, ADHD-RS-IV) were used for data collection.

Main Results:

  • The intervention group showed significant improvements in sleep quality (CSHQ, p ≤ 0.001, ES=1.913).
  • Quality of life (PedsQL, p ≤ 0.001, ES=1.862) significantly improved.
  • ADHD symptom severity (ADHD-RS-IV, p ≤ 0.001, ES=1.548) was notably reduced.

Conclusions:

  • Behavioral sleep interventions are effective in improving sleep, QoL, and reducing ADHD symptoms in children.
  • Individualized care is essential for optimizing outcomes in pediatric ADHD.
  • Integrating these interventions into nursing practices can enhance overall well-being and emotional regulation.
Abstract

Keywords:
attention‐deficit hyperactivity disorderbehavioral interventionspediatric quality of lifesleep difficulties

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