Contributions of circadian tendencies and behavioral problems to sleep onset problems of children with ADHD

BMC Psychiatry

Julie Carrier¹  Sonia Frenette¹  Rhonda Amsel²  Sabrina T Wiebe³  Lana Bergmame³  Laura Fontil³  Reut Gruber⁴ 

[1] Département de Psychologie, Université de Montréal, Montreal, QC, Canada;McGill University, Montreal, QC, Canada;Attention, Behavior and Sleep Lab, Douglas Mental Health University Institute, Montreal, QC, Canada;Department of Psychiatry, McGill, University, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Verdun, QC, H4H 1R3, Canada

关键词: Behavioral problems;    Circadian tendencies;    ADHD;    Sleep problems;    Externalizing problems;    Sleep onset insomnia;   

Others  :  1124220
DOI  :  10.1186/1471-244X-12-212

 received in 2012-04-11, accepted in 2012-11-21,  发布年份 2012

【 摘 要 】

Background

Children with attention-deficit/hyperactivity disorder (ADHD) are two to three times more likely to experience sleep problems. The purpose of this study is to determine the relative contributions of circadian preferences and behavioral problems to sleep onset problems experienced by children with ADHD and to test for a moderation effect of ADHD diagnosis on the impact of circadian preferences and externalizing problems on sleep onset problems.

Methods

After initial screening, parents of children meeting inclusion criteria documented child bedtime over 4 nights, using a sleep log, and completed questionnaires regarding sleep, ADHD and demographics to assess bedtime routine prior to PSG. On the fifth night of the study, sleep was recorded via ambulatory assessment of sleep architecture in the child’s natural sleep environment employing portable polysomnography equipment. Seventy-five children (26 with ADHD and 49 controls) aged 7–11 years (mean age 8.61 years, SD 1.27 years) participated in the present study.

Results

In both groups of children, externalizing problems yielded significant independent contributions to the explained variance in parental reports of bedtime resistance, whereas an evening circadian tendency contributed both to parental reports of sleep onset delay and to PSG-measured sleep-onset latency. No significant interaction effect of behavioral/circadian tendency with ADHD status was evident.

Conclusions

Sleep onset problems in ADHD are related to different etiologies that might require different interventional strategies and can be distinguished using the parental reports on the CSHQ.

【 授权许可】

   
2012 Gruber et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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