Sleep among presentations of Attention-Deficit/Hyperactivity Disorder: Analysis of objective and subjective measures
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Ruiz Herrera, Noelia; Guillén Riquelme, Alejandro; Díaz Román, Amparo; Cellini, Nicola; Buela Casal, GualbertoEditorial
Elsevier BV
Materia
Polysomnography ADHD Sleep Children Ex post facto study
Date
2019-10-19Referencia bibliográfica
Ruiz-Herrera, N., Guillén-Riquelme, A., Díaz-Román, A., Cellini, N., & Buela-Casal, G. Sleep among presentations of Attention-Deficit/Hyperactivity Disorder: Analysis of objective and subjective measures. International Journal of Clinical and Health Psychology. (2019) 20, 54-61
Sponsorship
This work was supported by the Spanish Ministry of Economyand Competitiveness [PSI2014-58046-P].Abstract
Background/Objective: To examine subjective and objective sleep patterns in children with different
Attention-Deficit/Hyperactivity Disorder (ADHD) presentations. Method: We assessed 92
children diagnosed with ADHD (29 ADHD-Inattentive [ADHD-I], 31 ADHD-Hyperactive/Impulsive
[ADHD-H/I], and 32 ADHD-Combined [ADHD-C)]) aged 7-11 years. The Pediatric Sleep Questionnaire
(PSQ), Pediatric Daytime Sleepiness Scale (PDSS), and a sleep diary were used as
subjective sleep measures, and polysomnography was used to objectively assess sleep quantity,
quality, and fragmentation. Results: Subjective data showed impaired sleep in 12.7% of the sample.
No significant differences were found between ADHD presentations in any objective and
subjective sleep variable. Nevertheless, data on sleep fragmentation suggested a worse sleep
continuity for the ADHD-H/I group, and correlation analyses confirmed that sleep is affected by
age. Conclusions: Children with ADHD may suffer from sleep breathing problems and daytime
sleepiness, as reported by their parents, even when their total sleep time and sleep efficiency
are not affected. It seems that sleep in this population does not largely vary as a function of
the ADHD presentation. Sleep in children with ADHD evolves with age.