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Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family.
Arch Pediatr Adolesc Med 2008; 162(4):336-42AP

Abstract

OBJECTIVES

To determine the prevalence of sleep problems in children with attention-deficit/hyperactivity disorder (ADHD) and their associations with child quality of life (QOL), daily functioning, and school attendance; caregiver mental health and work attendance; and family functioning.

DESIGN

Cross-sectional survey.

SETTING

Pediatric hospital outpatient clinic, private pediatricians' offices, and ADHD support groups in Victoria, Australia.

PARTICIPANTS

Schoolchildren with ADHD. Main Exposure Attention-deficit/hyperactivity disorder.

OUTCOME MEASURES

Primary measure was caregivers' reports of their children's sleep problems (none, mild, or moderate or severe). Secondary outcomes were (1) child QOL (Pediatric Quality of Life Inventory), daily functioning (Daily Parent Rating of Evening and Morning Behavior scale), and school attendance, (2) caregiver mental health (Depression Anxiety Stress Scale) and work attendance, and (3) family functioning (Child Health Questionnaire subscales). Caregivers also reported on how their pediatrician treated their children's sleep problems.

RESULTS

Two hundred thirty-nine of 330 (74%) eligible families completed the survey. Child sleep problems were common (mild, 28.5%; moderate or severe, 44.8%). Moderate or severe sleep problems were associated with poorer child psychosocial QOL, child daily functioning, caregiver mental health, and family functioning. After adjusting for confounders, all associations held except for family impacts. Compared with children without sleep problems, those with sleep problems were more likely to miss or be late for school, and their caregivers were more likely to be late to work. Forty-five percent of caregivers reported that their pediatricians had asked about their children's sleep and, of these, 60% reported receiving treatment advice.

CONCLUSIONS

Sleep problems in children with ADHD are common and associated with poorer child, caregiver, and family outcomes. Future research needs to determine whether management of sleep problems can reduce adverse outcomes.

Authors+Show Affiliations

Centre for Community Child Health, Royal Children's Hospital, Flemington Road, Parkville, Victoria, Australia 3052. valerie.sung@rch.org.auNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

18391142

Citation

Sung, Valerie, et al. "Sleep Problems in Children With Attention-deficit/hyperactivity Disorder: Prevalence and the Effect On the Child and Family." Archives of Pediatrics & Adolescent Medicine, vol. 162, no. 4, 2008, pp. 336-42.
Sung V, Hiscock H, Sciberras E, et al. Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. Arch Pediatr Adolesc Med. 2008;162(4):336-42.
Sung, V., Hiscock, H., Sciberras, E., & Efron, D. (2008). Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. Archives of Pediatrics & Adolescent Medicine, 162(4), pp. 336-42. doi:10.1001/archpedi.162.4.336.
Sung V, et al. Sleep Problems in Children With Attention-deficit/hyperactivity Disorder: Prevalence and the Effect On the Child and Family. Arch Pediatr Adolesc Med. 2008;162(4):336-42. PubMed PMID: 18391142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. AU - Sung,Valerie, AU - Hiscock,Harriet, AU - Sciberras,Emma, AU - Efron,Daryl, PY - 2008/4/9/pubmed PY - 2008/4/18/medline PY - 2008/4/9/entrez SP - 336 EP - 42 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 162 IS - 4 N2 - OBJECTIVES: To determine the prevalence of sleep problems in children with attention-deficit/hyperactivity disorder (ADHD) and their associations with child quality of life (QOL), daily functioning, and school attendance; caregiver mental health and work attendance; and family functioning. DESIGN: Cross-sectional survey. SETTING: Pediatric hospital outpatient clinic, private pediatricians' offices, and ADHD support groups in Victoria, Australia. PARTICIPANTS: Schoolchildren with ADHD. Main Exposure Attention-deficit/hyperactivity disorder. OUTCOME MEASURES: Primary measure was caregivers' reports of their children's sleep problems (none, mild, or moderate or severe). Secondary outcomes were (1) child QOL (Pediatric Quality of Life Inventory), daily functioning (Daily Parent Rating of Evening and Morning Behavior scale), and school attendance, (2) caregiver mental health (Depression Anxiety Stress Scale) and work attendance, and (3) family functioning (Child Health Questionnaire subscales). Caregivers also reported on how their pediatrician treated their children's sleep problems. RESULTS: Two hundred thirty-nine of 330 (74%) eligible families completed the survey. Child sleep problems were common (mild, 28.5%; moderate or severe, 44.8%). Moderate or severe sleep problems were associated with poorer child psychosocial QOL, child daily functioning, caregiver mental health, and family functioning. After adjusting for confounders, all associations held except for family impacts. Compared with children without sleep problems, those with sleep problems were more likely to miss or be late for school, and their caregivers were more likely to be late to work. Forty-five percent of caregivers reported that their pediatricians had asked about their children's sleep and, of these, 60% reported receiving treatment advice. CONCLUSIONS: Sleep problems in children with ADHD are common and associated with poorer child, caregiver, and family outcomes. Future research needs to determine whether management of sleep problems can reduce adverse outcomes. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/18391142/Sleep_problems_in_children_with_attention_deficit/hyperactivity_disorder:_prevalence_and_the_effect_on_the_child_and_family_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.162.4.336 DB - PRIME DP - Unbound Medicine ER -