Cited by 382Sleep and related disordersAttention Deficit Hyperactivity DisorderCircadian rhythm and melatonin

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Instability of Sleep Patterns in Children With Attention-Deficit/Hyperactivity Disorder

GRUBER, REUT, SADEH, AVI, RAVIV, AMIRAM·2000·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-200004000-00019

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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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Authors: GRUBER, R., SADEH, A., & RAVIV, A.
Affiliations: Tel Aviv University (IL)
Corresponding author: GRUBER, REUT
ORCID: GRUBER, REUT
SADEH, AVI
RAVIV, AMIRAM
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)
DOI: 10.1097/00004583-200004000-00019
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Instability of Sleep Patterns in Children With Attention-Deficit/Hyperactivity Disorder

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