Obstructive Sleep Apnea and Sleep Disorders in Children with Attention Deficit Hyperactivity Disorder

Mai Nguyen-Thi-Phuong1, Mai Nguyen-Thi-Thanh1, Robert Joel Goldberg2

  • 1Pediatric Department, Hanoi Medical University, Hanoi, Vietnam.

Pulmonary Therapy
|July 7, 2025
PubMed

Insights

Sleep disorders are highly prevalent in children with attention deficit/hyperactivity disorder (ADHD), affecting 70%. Early screening for conditions like obstructive sleep apnea (OSA) and insomnia is crucial for better ADHD outcomes.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Child Psychiatry

Background:

  • Sleep disorders are common and underdiagnosed in children with ADHD.
  • Sleep disturbances worsen ADHD symptoms and impair cognitive, emotional, and behavioral functions.

Purpose of the Study:

  • Determine the prevalence of obstructive sleep apnea (OSA) and other sleep disorders in children with ADHD.
  • Identify clinical and behavioral factors associated with sleep disturbances in this population.

Main Methods:

  • Cross-sectional study of 629 children (6-12 years) diagnosed with ADHD.
  • Utilized Children's Sleep Habits Questionnaire (CSHQ), Pediatric Sleep Questionnaire (PSQ), and respiratory polygraphy for assessment.
  • Classified sleep disorders using the International Classification of Sleep Disorders, Third Edition (ICSD-3).

Main Results:

  • 70% of children with ADHD were diagnosed with sleep disorders.
  • Most common: insomnia (40.2%), parasomnias (27.8%), obstructive sleep apnea (OSA) (23.4%).
  • Associated factors included inattentive ADHD subtype, comorbidities, tonsil/adenoid hypertrophy, and iron-deficiency anemia.

Conclusions:

  • Sleep disorders are highly prevalent and varied in children with ADHD.
  • Early identification and management of OSA and insomnia are vital for improving sleep and ADHD outcomes.
  • Recommend integrating routine sleep screening into ADHD clinical evaluations.
Abstract

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