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VOLUME 32, ISSUE 03

SLEEP IN PEDIATRIC ADHD
Sleep Disturbances in Prepubertal Children with Attention Deficit Hyperactivity Disorder: A Home Polysomnography Study

Reut Gruber, PhD1; Tong Xi, BSc1; Sonia Frenette2; Manon Robert, MSc3; Phetsamone Vannasinh4; Julie Carrier, PhD2,3

1Douglas Mental Health University Institute and McGill University, Montreal, Canada; 2Centre du Sommeil et des Rythmes Biologiques, Hôpital du Sacré-Coeur de Montréal, Québec, Canada; 3Département de Psychologie, Université de Montréal, Province of Québec, Canada; 4Centre de Recherche de l’Hôpital Sainte-Justine, Montréal, Québec, Canada



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Study Objective: To examine sleep architecture and reported sleep problems in children with ADHD and normal controls, while considering the roles of pertinent moderating factors.
Design: Overnight sleep recordings were conducted in 15 children diagnosed with ADHD (DSM-IV) without comorbid psychiatric problems and in 23 healthy controls aged 7 to 11 years. Children were on no medication, in good health and did not consume products containing caffeine ≥ 7 days prior to the polysomnography (PSG) study. PSG evaluation was performed at each child’s home; children slept in their regular beds and went to bed at their habitual bedtimes.
Measurements: Standard overnight multichannel PSG evaluation was performed using a portable polysomnography device. In addition, parents were asked to complete a sleep questionnaire.
Results: Compared to controls, children in the ADHD group had significantly shorter duration of REM sleep, smaller percentage of total sleep time spent in REM sleep, and shorter sleep duration. In addition, the ADHD group had higher scores on the insufficient sleep and sleep anxiety factors than children in the control group.
Conclusion: The present findings support the hypothesis that children with ADHD present sleep disturbances.
Keywords: ADHD, Polysomnography, sleep architecture
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