We examined perceived stress and sleep problems in adolescent ADHD and whether this varies as a function of ADHD presentation and sex. Further, we mapped structural associations between ADHD symptoms, comorbid symptoms, perceived stress, and sleep problems. Participants were 306 adolescents aged 13–19 years (66.8% females, 193 had an ADHD diagnosis, 113 were controls). Parents rated ADHD symptoms, all other constructs were self-rated. Adolescents with ADHD had elevated levels of perceived stress and sleep problems. Girls with ADHD reported the highest levels of perceived stress. Emotional symptoms mediated the effect of inattention whereas conduct problems mediated the effect of hyperactivity/impulsivity on stress and sleep. Perceived stress and sleep problems should be considered when mapping ADHD-related problems. Comorbid symptoms are potential intervention targets that may increase treatment response.

我们检查了青少年多动症的感知压力和睡眠问题，以及这是否随多动症表现和性别而变化。此外，我们绘制了 ADHD 症状、合并症、感知压力和睡眠问题之间的结构关联。参与者是 306 名 13-19 岁的青少年（66.8% 为女性，193 人诊断为 ADHD，113 人为对照组）。父母对多动症症状进行评分，所有其他结构都是自评的。患有多动症的青少年感知到的压力和睡眠问题水平升高。患有多动症的女孩报告的感知压力水平最高。情绪症状介导了注意力不集中的影响，而行为问题则介导了多动/冲动对压力和睡眠的影响。在绘制与 ADHD 相关的问题时，应考虑感知到的压力和睡眠问题。