Subjective and objective measures of sleep in children with attention-deficit/hyperactivity disorder
Subjective and objective measures of sleep in children with attention-deficit/hyperactivity disorder
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DOI：
10.1016/j.sleep.2008.03.013
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发表时间：
2009-04-01
期刊：
影响因子：
4.8
通讯作者：
Kelsey, Douglas
中科院分区：
文献类型：
--
作者：
Owens, Judith;Sangal, R. Bart;Kelsey, Douglas
目的：比较客观和主观的措施，睡眠在儿童注意缺陷多动障碍（ADHD）和健康对照subjects.Methods：包括107未用药儿童ADHD和46名健康对照组，年龄均为6-14。用体动记录仪监测睡眠-觉醒模式至少连续5天。受试者和父母完成了评估睡眠和白天行为的每日电子日记。结果：来自80名ADHD患者和45名对照受试者的活动图数据显示，与健康对照组相比，ADHD组经历了较短的实际睡眠时间（定义为所有睡眠时期的时间（以分钟为单位）[从睡眠开始到最终早晨醒来][即，不包括被评分为“清醒”的所有时期的总持续时间]）（489.39对460.30分钟，p = 0.001），显著更少的睡眠中断（44.45对35.33，p <0.001），但更多的总中断睡眠时间（44.49对56.70分钟，p = 0.002）。儿童日记显示，ADHD儿童白天嗜睡和起床困难明显增加，睡眠不足。父母日记表明ADHD儿童有显着更多的行为困难比control group.Conclusions：结果表明ADHD儿童有减少的睡眠量和更多的睡眠不安的活动测量，睡眠质量降低的自我报告，和更多的问题行为的父母报告。对存在睡眠问题的ADHD儿童的临床干预措施应包括筛查病因和加重因素，制定行为管理策略，并考虑针对夜间ADHD症状的药物治疗。(C)2008 Elsevier B. V.保留所有权利。
Objective: To compare objective and subjective measures of sleep in children with attention-deficit/hyperactivity disorder (ADHD) and healthy control subjects.Methods: Included were 107 unmedicated children with ADHD and 46 healthy control subjects, all aged 6-14. Sleep-wake patterns were monitored with actigraphy for at least five consecutive days. Subjects and parents completed daily electronic diaries assessing sleep and daytime behavior.Results: Actigraphy data from 80 ADHD patients and 45 control subjects showed that, compared to the healthy control group, the ADHD group experienced shorter actual sleep time (defined as time in minutes [from sleep onset to final morning awakening] of all epochs scored as sleep [i.e., excluding total duration of all epochs scored as "wake"]) (489.39 vs. 460.30 min, p = .001), significantly fewer sleep interruptions (44.45 vs. 35.33, p < .001), but more total interrupted sleep time (44.49 vs. 56.70 min, p = .002). Child diaries indicated children with ADHD had significantly more daytime sleepiness and difficulty getting up and less refreshing sleep. Parent diaries indicated children with ADHD had significantly more behavioral difficulties than the control group.Conclusions: Results suggest children with ADHD have reduced sleep quantity and more disturbed sleep on actigraphic measures, reduced sleep quality on the self report, and more problematic behaviors on the parent report. Clinical interventions for children with ADHD who present with sleep problems should include screening for etiologic and exacerbating factors, institution of behavioral-management strategies, and consideration of pharmacologic treatment targeted toward evening ADHD symptoms. (C) 2008 Elsevier B.V. All rights reserved.