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Chronotypes and trauma reactions in children with ADHD in home confinement of COVID-19: full mediation effect of sleep problems.
Chronobiology International ( IF 2.2 ) Pub Date : 2020-08-28 , DOI: 10.1080/07420528.2020.1785487
Fatih Hilmi Çetin 1 , Halit Necmi Uçar 1 , Serhat Türkoğlu 1 , Ece Merve Kahraman 1 , Merve Kuz 1 , Ahmet Güleç 1
Affiliation  

ABSTRACT

This study aimed to investigate the relationship between chronotype preference/sleep problems and symptom severity of children with Attention Deficit Hyperactivity Disorder (ADHD) during the COVID-19 outbreak and to assess the chronotype preference/sleep problems that may play a mediating role in the relationship between the reactions to trauma and severity of ADHD symptoms. The sample of this single-center cross-sectional study consisted of 76 children with ADHD and their parents. Trauma symptoms were evaluated with the Children’s Impact of Event Scale (CRIES-8); sleep habits were assessed using the Children’s Sleep Habits Questionnaire (CSHQ); and chronotype was assessed using the Children’s Chronotype Questionnaire (CCQ). There were significant differences in CRIES-8 and CSHQ scores between the eveningness type group and the non-eveningness type group. The CRIES-8 scores of children with ADHD were related to the CCQ and CSHQ scores and severity of ADHD symptoms. In mediation analyses, sleep problems were found to be the full mediating factor in the relationship between CRIES-8 scores and severity of ADHD symptoms and the relationship between CCQ scores and the severity of ADHD symptoms. Our findings indicate that chronotype plays an important role on the negative effects of home confinement of ADHD children during the COVID-19 outbreak. The role of the full mediator of sleep problems in the path from cognition to the behavior of young ADHD and non-ADHD children confined to the home environment during the pandemic period requires further assessment.



中文翻译:

在家中限制COVID-19的儿童多动症的表型和创伤反应:睡眠问题的完全中介作用。

摘要

这项研究旨在调查在COVID-19爆发期间,表型偏好/睡眠问题与注意力缺陷多动障碍(ADHD)儿童症状严重程度之间的关系,并评估可能在这种关系中起中介作用的表型偏好/睡眠问题创伤反应与ADHD症状严重程度之间的关系。这项单中心横断面研究的样本包括76名多动症儿童及其父母。用儿童事件影响量表(CRIES-8)评估创伤症状。使用儿童睡眠习惯问卷(CSHQ)评估睡眠习惯;并使用儿童时效问卷(CCQ)评估时效。晚上型和非晚上型组的CRIES-8和CSHQ得分存在显着差异。ADHD患儿的CRIES-8评分与CCQ和CSHQ评分以及ADHD症状的严重程度有关。在调解分析中,发现睡眠问题是CRIES-8评分与ADHD症状严重程度之间关系以及CCQ评分与ADHD症状严重程度之间关系的完全中介因素。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。流行病期间,睡眠问题的完全调节者在认知,多动症和非多动症儿童的行为到家庭环境的行为的路径中的作用。ADHD患儿的CRIES-8评分与CCQ和CSHQ评分以及ADHD症状的严重程度有关。在调解分析中,发现睡眠问题是CRIES-8评分与ADHD症状严重程度之间关系以及CCQ评分与ADHD症状严重程度之间关系的完全中介因素。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。流行病期间,睡眠问题的完全调节者在认知,多动症和非多动症儿童的行为到家庭环境的行为的路径中的作用。ADHD患儿的CRIES-8评分与CCQ和CSHQ评分以及ADHD症状的严重程度有关。在调解分析中,发现睡眠问题是CRIES-8评分与ADHD症状严重程度之间关系以及CCQ评分与ADHD症状严重程度之间关系的完全中介因素。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。流行病期间,睡眠问题的完全调节者在认知,多动症和非多动症儿童的行为到家庭环境的行为的路径中的作用。发现睡眠问题是影响CRIES-8评分与ADHD症状严重程度之间关系以及CCQ评分与ADHD症状严重程度之间关系的完全中介因素。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。在大流行期间,睡眠问题的全面调节者在认知,多动症和非多动症儿童行为受限于家庭环境的行为中的作用。发现睡眠问题是影响CRIES-8评分与ADHD症状严重程度之间关系以及CCQ评分与ADHD症状严重程度之间关系的完全中介因素。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。流行病期间,睡眠问题的完全调节者在认知,多动症和非多动症儿童的行为到家庭环境的行为的路径中的作用。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。流行病期间,睡眠问题的完全调节者在认知,多动症和非多动症儿童的行为到家庭环境的行为的路径中的作用。我们的研究结果表明,在COVID-19爆发期间,表型在ADHD儿童在家中的负面影响中起着重要作用。流行病期间,睡眠问题的完全调节者在认知,多动症和非多动症儿童的行为到家庭环境的行为的路径中的作用。

更新日期:2020-09-28
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