ABSTRACT

Background

Children with ADHD are reported to have sleep problems and neuropsychological deficits, but studies examining a potential association between the two are scarce and the use of varying methodology can complicate conclusions.

Participants

A clinical sample of 59 medication-naïve children with ADHD between the ages of 6 and 14 years (71% male).

Methods

Children underwent polysomnography and multiple sleep latency test, and parent rated sleep habits on the Children’s Sleep Habits Questionnaire. Children also completed an extensive neuropsychological battery of executive function and delay aversion tasks, and parents and teachers rated executive function behavior on the Behavior Rating Inventory of Executive Function. Linear regression analyses were conducted with each of the neuropsychological outcomes included as the outcome variable and the sleep parameters as the predictor variables.

Results

The correlations between sleep and neuropsychological outcomes were generally modest, but some sleep parameters (primarily sleep stages and sleep latencies) were associated with objectively and subjectively measured executive function and delay aversion.

Conclusions

Using objective and subjective gold standard assessment procedures this study supports a (modest) association between sleep and neuropsychological function in children with ADHD.

中文翻译：

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未接受药物治疗的 ADHD 儿童睡眠问题与神经心理缺陷之间的关联

摘要

背景

据报道，患有多动症的儿童存在睡眠问题和神经心理缺陷，但研究两者之间潜在关联的研究很少，并且使用不同的方法可能会使结论复杂化。

参与者

59 名 6 至 14 岁的 ADHD 未用药儿童的临床样本（71% 为男性）。

方法

儿童接受了多导睡眠图和多次睡眠潜伏期测试，父母在儿童睡眠习惯问卷中对睡眠习惯进行评分。孩子们还完成了广泛的执行功能和延迟厌恶任务的神经心理学电池，父母和老师在执行功能行为评级清单中对执行功能行为进行了评级。进行线性回归分析，将每个神经心理学结果作为结果变量，将睡眠参数作为预测变量。

结果

睡眠和神经心理结果之间的相关性通常不大，但一些睡眠参数（主要是睡眠阶段和睡眠潜伏期）与客观和主观测量的执行功能和延迟厌恶相关。

结论

本研究使用客观和主观的金标准评估程序支持 ADHD 儿童睡眠与神经心理功能之间的（适度）关联。