Sleep patterns in children with ADHD: a population-based cohort study from birth to 11years

TY - JOUR

T1 - Sleep patterns in children with ADHD

T2 - a population-based cohort study from birth to 11years

AU - Scott, Nicola

AU - Blair, Peter S.

AU - Emond, Alan M.

AU - Fleming, Peter J.

AU - Humphreys, Joanna S.

AU - Henderson, John

AU - Gringras, Paul

PY - 2013/4

Y1 - 2013/4

N2 - Associations between sleep duration and disturbance in infancy and early childhood and attention deficit hyperactivity disorder diagnoses were investigated. Data from the Avon Longitudinal Study of Parents and Children, a population-based prospective longitudinal birth-cohort study of children born in 19911992 in South-West England, were employed. Eight thousand, one hundred and ninety-five children were assessed using the Development and Well-Being Assessment. One hundred and seventy-three cases (2.1%) met criteria for attention deficit hyperactivity disorder. Parental report at eight time points showed children with attention deficit hyperactivity disorder slept less than peers. Absolute differences were small and mainly restricted to night-time sleep, with no strong evidence of differences from controls, except at 69months [5years 9months; 12min (95% CI: 519), P=0.001], at 81months [6years 9months; 15min (95% CI: 822), P1SD in sleep duration across adjacent time points was a significant predictor of attention deficit hyperactivity disorder at 35years (P=0.047). In children with attention deficit hyperactivity disorder, shorter sleep duration and sleep disturbances appear early and predate the usual age of clinical diagnosis. The rate of change of sleep duration relative to an individual, rather than absolute sleep duration at any stage, may prove beneficial in identifying increased risk of attention deficit hyperactivity disorder.

AB - Associations between sleep duration and disturbance in infancy and early childhood and attention deficit hyperactivity disorder diagnoses were investigated. Data from the Avon Longitudinal Study of Parents and Children, a population-based prospective longitudinal birth-cohort study of children born in 19911992 in South-West England, were employed. Eight thousand, one hundred and ninety-five children were assessed using the Development and Well-Being Assessment. One hundred and seventy-three cases (2.1%) met criteria for attention deficit hyperactivity disorder. Parental report at eight time points showed children with attention deficit hyperactivity disorder slept less than peers. Absolute differences were small and mainly restricted to night-time sleep, with no strong evidence of differences from controls, except at 69months [5years 9months; 12min (95% CI: 519), P=0.001], at 81months [6years 9months; 15min (95% CI: 822), P1SD in sleep duration across adjacent time points was a significant predictor of attention deficit hyperactivity disorder at 35years (P=0.047). In children with attention deficit hyperactivity disorder, shorter sleep duration and sleep disturbances appear early and predate the usual age of clinical diagnosis. The rate of change of sleep duration relative to an individual, rather than absolute sleep duration at any stage, may prove beneficial in identifying increased risk of attention deficit hyperactivity disorder.

KW - attention deficit hyperactivity disorder

KW - Avon Longitudinal Study of Parents and Children

KW - sleep

KW - ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

KW - DEFICIT HYPERACTIVITY DISORDER

KW - RESTLESS LEGS SYNDROME

KW - OF-THE-LITERATURE

KW - METAANALYSIS

KW - ASSOCIATIONS

KW - COMORBIDITY

KW - CHILDHOOD

KW - DURATION

KW - SUBTYPES

U2 - 10.1111/j.1365-2869.2012.01054.x

DO - 10.1111/j.1365-2869.2012.01054.x

M3 - Article

SN - 0962-1105

VL - 22

SP - 121

EP - 128

JO - Journal of Sleep Research

JF - Journal of Sleep Research

IS - 2

ER -