Sleep disorders and attention-deficit/hyperactivity disorder

  title={Sleep disorders and attention-deficit/hyperactivity disorder},
  author={Judith A. Owens},
  journal={Current Psychiatry Reports},
  • J. Owens
  • Published 17 October 2008
  • Psychology, Medicine
  • Current Psychiatry Reports
The relationship between attention-deficit/hyperactivity disorder (ADHD) and sleep is complex and poses many challenges in clinical practice. Recent studies have helped to elucidate the nature of the neuromodulator systems underlying the associations among sleepiness, arousal, and attention. Studies of sleep disturbances in children with academic and behavioral problems have also underscored the role that primary sleep disorders play in the clinical presentation of symptoms of inattention and… 

Comorbidity and confounding factors in attention-deficit/hyperactivity disorder and sleep disorders in children

It is pointed out that future research will be needed to clarify further the other psychiatric comorbidities and side effects of medication in order to improve treatment outcomes and prevent misdiagnosis in clinical practice.

Sleep problems and their effect in ADHD

There is a need for a better understanding of sleep alterations in youths with ADHD and their impact on neurobehavioral functions including learning, memory and emotional regulation, and links between brain activation patterns during sleep and wake.

Autism spectrum disorders, attention deficit/hyperactivity disorder, and sleep disorders

This review is focused on the latest reports of research on sleep disorders in these two developmental disorders, including autism spectrum disorders (ASD) and attention deficit hyperactivity disorder (ADHD).

Evaluating Sleep Disorders amongst Children with Attention Deficit/ Hyperactivity Disorder (ADHD)

A significant number of children with ADHD showed sleep disorder that can accounts for some degree of their behavioral dysregulation, and the sleep quality in such children is of great importance; in the treatment of such children their sleep problems should be considered particularly.

Behavioural sleep problems in previously untreated children with attention deficit hyperactivity disorder

The presence of sleep problems was associated with impairment in functionality and increase in ADHD intensity and the effects of these problems in functionality were investigated.

Excessive Daytime Sleepiness in Patients With ADHD—Diagnostic and Management Strategies

Clinicians should routinely assess, monitor, and manage the sleep problems of patients with ADHD who have both comorbidities and should search for the presence of ADHD symptoms in subjects with sleep disorders, including central disorders of hypersomnolence.

Behavioural sleep problems in previously untreated children with attention deficit hyperactivity disorder

It was demonstrated that children with ADHD experienced more sleep problems and slept less than the children in the healthy control group, and functional impairments increased due to these problems.

[Diagnosing the hyperactive child who snores].

Associations of sleep disturbance with ADHD: implications for treatment

  • A. Hvolby
  • Psychology, Medicine
    ADHD Attention Deficit and Hyperactivity Disorders
  • 2014
A comprehensive overview of the relationships between ADHD and sleep is provided, and a conceptual model of the modes of interaction is presented: ADHD may cause sleep problems as an intrinsic feature of the disorder; sleep problems may cause or mimic ADHD; ADHD andSleep problems may interact, with reciprocal causation and possible involvement of comorbidity.



The ADHD and Sleep Conundrum: A Review

  • J. Owens
  • Psychology, Medicine
    Journal of developmental and behavioral pediatrics : JDBP
  • 2005
A discussion of the multilevel relationships among sleep quality and quantity, neurobehavioral functioning, and the clinical syndrome of ADHD expands on previous reviews of the literature and synthesizes what is currently known about the interaction of sleep and attention/arousal in children to propose possible underlying mechanisms.

Sleep Disturbances in Children with Attention-Deficit/Hyperactivity Disorder

The sleep profiles of children with attention-deficit/hyperactivity disorder who were treated with a fixed dose of methylphenidate for at least 1 month were compared with those of 16 healthy siblings and no correlation was found between the severity of ADHD and disturbed sleep.

Sleep disturbances in children with attention-deficit/hyperactivity disorder.

Empirical research published since 1970 on sleep disturbances in children with ADHD was systematically reviewed and a "box-score" approach was used to examine consistency of findings across the studies, which used different outcome measures.

Sleep disturbances associated with attention deficit hyperactivity disorder: the impact of psychiatric comorbidity and pharmacotherapy.

Although subjective sleep difficulties are common in ADHD youths, they are frequently accounted for by comorbidity and pharmacotherapy, and the lack of an association between a positive family history of ADHD and sleep difficulties suggests that ADHD is not a mis diagnosis of the consequences of disruption of normal sleep.

Instability of sleep patterns in children with attention-deficit/hyperactivity disorder.

The findings support the hypothesis that instability of the sleep-wake system is a characteristic of children with ADHD.

Sleep and alertness in children with attention-deficit/hyperactivity disorder: a systematic review of the literature.

Results from the systematic review suggest that children with ADHD have higher daytime sleepiness, more movements in sleep, and higher apnea-hypopnea indexes compared with controls.

Symptoms of sleep disorders, inattention, and hyperactivity in children.

The data suggest that 81% of habitually snoring children who have ADHD--25% of all children with ADHD--could have their ADHD eliminated if their habitual snoring and any associated SRBD were effectively treated.

Sleep Disturbances in Children with Attention Deficit Hyperactivity Disorder

It is postulate that ADHDcl may represent a subset of children with ADHD at high risk for hyperactivity during sleep, and ADHDcl are more likely to have an elevated PLMa than ADHDcom.