Instability of Sleep Patterns in Children With Attention-Deficit/Hyperactivity Disorder
Abstract
Objective To compare the stability of the sleep-wake system of children with attention-deficit/hyperactivity disorder (ADHD) and controls by objective and subjective measures.Method Thirty-eight school-age boys with diagnosed ADHD and 64 control school-age boys were examined using actigraphic monitoring and sleep diaries, over 5 consecutive nights.Results Increased instability in sleep onset, sleep duration, and true sleep were found in the ADHD group compared with the control group. Discriminant analysis revealed that children's classification (ADHD versus control) could be significantly predicted on the basis of their sleep measures.Conclusions The findings support the hypothesis that instability of the sleep-wake system is a characteristic of children with ADHD. Given the potential negative effects of disturbed or unstable sleep on daytime functioning, it is recommended that a thorough sleep assessment be conducted when a sleep disturbance is suspected or when symptoms associated with daytime sleepiness or decreased arousal level are present.
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Sleep onset times are unstable in children with ADHD.
“in an actigraphic study of 32 children with ADHD that sleep onset times are unstable”
From A systematic review of circadian function, chronotype and chronotherapy in attention deficit hyperactivity disorder (2017) · cites this paper as Gruber et al. (2000)
A similar picture of volatility and unpredictability is observed in sleep patterns in children with ADHD.
“and a similar picture of volatility and unpredictability is observed in sleep patterns in children with ADHD (Gruber and Sadeh 2004; Gruber et al. 2000; Lecendreux and Cortese 2007; Tsai and Huang 2010).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Gruber et al. 2000
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- Authors
- GRUBER, R., SADEH, A., & RAVIV, A.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- GRUBER, REUT
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-04
- Volume
- 39
- Issue
- 4
- Pages
- 495-501
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2073645804
- Cited by
- 381
- References
- 54
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 2 · 2019: 9 · 2018: 17 · 2017: 12 · 2016: 18 · 2015: 18 · 2014: 24 · 2013: 16 · 2012: 21
- FWCI
- 20.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (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
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- attention deficit hyperactivity disorder, sleep instability, sleep onset, sleep duration, actigraphy, sleep diary, sleep disorders, daytime sleepiness, children
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Humans, Male, Psychiatric Status Rating Scales, Biomarkers, Case-Control Studies, Polysomnography, Sleep Disorders, Circadian Rhythm
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