Sleep disorders and attention-deficit/hyperactivity disorder

被引:60
作者
Owens J.A. [1 ]
机构
[1] Academic General Pediatrics, Rhode Island Hospital, Providence, RI 02903
关键词
Melatonin; Obstructive Sleep Apnea; Sleep Disorder; ADHD Symptom; Sleep Problem;
D O I
10.1007/s11920-008-0070-x
中图分类号
学科分类号
摘要
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 behavioral dysregulation. Recent research has shed further light on the prevalence, type, risk factors for, and impact of sleep disturbances on children with ADHD. The following discussion of the multilevel and bidirectional relationships among sleep, neurobehavioral functioning, and the clinical syndrome of ADHD synthesizes current knowledge about the interaction of sleep and attention/arousal in these children. Guidelines are provided to outline a clinical approach to evaluating and managing children with ADHD and sleep problems. © Current Medicine Group LLC 2008.
引用
收藏
页码:439 / 444
页数:5
相关论文
共 45 条
  • [1] Owens J.A., The ADHD and sleep conundrum: A review, J Dev Behav Pediatr, 26, pp. 312-322, (2005)
  • [2] Fallone G., Owens J.A., Deane J., Sleepiness in children and adolescents: Clinical implications, Sleep Med Rev, 6, pp. 287-306, (2002)
  • [3] Dahl R.E., The regulation of sleep and arousal: Development and psychopathology, Dev Psychopathol, 8, pp. 3-27, (1996)
  • [4] Biederman J., Spencer T., Attention-deficit/hyperactivity disorder (ADHD) as a noradrenergic disorder, Biol Psychiatry, 46, pp. 1234-1242, (1999)
  • [5] Horne J.A., Human sleep, sleep loss and behaviour. Implications for the prefrontal cortex and psychiatric disorder, Br J Psychiatry, 162, pp. 413-419, (1993)
  • [6] van der Heijden K.B., Smits M.G., van Someren E.J., Boudewijn Gunning W., Prediction of melatonin efficacy by pretreatment dim light melatonin onset in children with idiopathic chronic sleep onset insomnia, J Sleep Res, 14, pp. 187-194, (2005)
  • [7] Golan N., Shahar E., Ravid S., Pillar G., Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactive disorder, Sleep, 27, pp. 261-266, (2004)
  • [8] Lecendreux M., Konofal E., Bouvard M., Et al., Sleep and alertness in children with ADHD, J Child Psychol Psychiatry, 41, pp. 803-812, (2000)
  • [9] Corkum P., Tannock R., Moldofsky H., Sleep disturbances in children with attention-deficit/hyperactivity disorder, J Am Acad Child Adolesc Psychiatry, 37, pp. 637-646, (1998)
  • [10] Cohen-Zion M., Ancoli-Israel S., Sleep in children with attention-deficit hyperactivity disorder (ADHD): A review of naturalistic and stimulant intervention studies, Sleep Med Rev, 8, pp. 379-402, (2004)