Sleep disorders and attention-deficit/hyperactivity disorder
Abstract
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.
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Sleep and circadian rhythm abnormalities in children and adolescents may be risk factors for the development of psychiatric disorders.
“Sleep and circadian rhythm abnormalities in children and adolescents may be risk factors for the development of psychiatric disorders, and have been implicated in depression and bipolar disorder (Harvey et al 2006), attention-deficit disorder (Owens 2008) and autism (Bourgeron 2007).”
From Biological rhythms, higher brain function, and behavior: Gaps, opportunities, and challenges (2009) · cites this paper as Owens 2008
Sleep and circadian rhythm abnormalities have been implicated in depression and bipolar disorder, attention-deficit disorder, and autism.
“Sleep and circadian rhythm abnormalities in children and adolescents may be risk factors for the development of psychiatric disorders, and have been implicated in depression and bipolar disorder (Harvey et al 2006), attention-deficit disorder (Owens 2008) and autism (Bourgeron 2007).”
From Biological rhythms, higher brain function, and behavior: Gaps, opportunities, and challenges (2009) · cites this paper as Owens 2008
Problems with sleep can lead to the development of ADHD or ADHD-like symptoms, potentially resulting in misdiagnosis.
“Problems with sleep can, however, also lead to the development of ADHD or ADHD-like symptoms, potentially resulting in misdiagnosis (Cortese et al. 2006b; Owens 2008).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Owens 2008
Polysomnography is considered the gold standard for the objective measurement of sleep.
“Polysomnography is considered the ‘gold standard’ for the objective measurement of sleep (Cortese et al. 2009; Owens 2008)”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Owens 2008
The reciprocal nature of the relationships between ADHD and sleep may reflect the functional and neuroanatomical overlap between brain regions involved in attention, arousal and sleep regulation.
“The reciprocal nature of the relationships between ADHD and sleep may reflect the functional and neuroanatomical overlap between brain regions involved in attention, arousal and sleep regulation (Owens et al. 2013; Owens 2008).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Owens 2008
Up to 44% of children with ADHD have symptoms of restless legs syndrome (RLS), and 26% of children with RLS have symptoms of ADHD.
“up to 44 % of children with ADHD have symptoms of RLS, and 26 % of children with RLS have symptoms of ADHD (Cortese et al. 2005; Owens 2008).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Owens 2008
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- Authors
- Owens, J. A.
- Affiliations
- Rhode Island Hospital (US)
- Corresponding author
- Owens, Judith A.
- ORCID
- Owens, Judith A.
- Venue
- Current Psychiatry Reports
- Published
- 2008-10
- Volume
- 10
- Issue
- 5
- Pages
- 439-444
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- OpenAlex
- W2092528674
- Cited by
- 95
- References
- 44
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 6 · 2023: 7 · 2022: 1 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 5 · 2017: 1 · 2016: 5 · 2015: 6 · 2014: 7 · 2013: 3 · 2012: 2
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- attention deficit hyperactivity disorder, sleep disorders, sleepiness, arousal, attention, inattention, behavioral dysregulation, children, neuromodulators, risk factors, clinical evaluation, sleep management
- MeSH terms
- Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior Disorders, Cross-Sectional Studies, Humans, Mass Screening, Sleep Wake Disorders, Comorbidity
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