Surman Craig B H, Thomas Robert J, Aleardi Megan, Pagano Christine, Biederman Joseph
Pediatric Psychopharmacology Unit, Massachusetts General Hospital and Harvard Medical School, Cambridge 02138, USA.
J Atten Disord. 2006 Feb;9(3):550-5. doi: 10.1177/1087054705282121.
ADHD and sleep-disordered breathing are both prevalent in adulthood. Because both conditions may be responsible for similar symptoms of cognitive impairment, the authors investigate whether their presentation may overlap in adults diagnosed with ADHD.
Data are collected from six adults with sleep complaints who were diagnosed with ADHD using rigorous clinical criteria. All participants undergo overnight polysomnography and complete questionnaires about sleep quality, circadian sleep pattern, and daytime fatigue.
On standardized measures, all participants report poor sleep quality, two report daytime fatigue, and none report distinct deviation from normal sleep and wake cycle pattern. Polysomnography reveals evidence of sleep-disordered breathing and sleep fragmentation in all participants.
Objective evidence of breathing-related sleep disorders can be found in some adults with carefully diagnosed ADHD who report sleep complaints. This report highlights the importance of identifying treatable sleep disorder comorbidity in adults with ADHD.
注意缺陷多动障碍（ADHD）和睡眠呼吸紊乱在成年人中都很常见。由于这两种情况都可能导致类似的认知障碍症状，作者调查了在被诊断为ADHD的成年人中，它们的表现是否会重叠。
收集了六名有睡眠问题且根据严格临床标准被诊断为ADHD的成年人的数据。所有参与者都接受了夜间多导睡眠监测，并完成了关于睡眠质量、昼夜睡眠模式和日间疲劳的问卷。
在标准化测量中，所有参与者都报告睡眠质量差，两人报告有日间疲劳，没有人报告与正常睡眠和觉醒周期模式有明显偏差。多导睡眠监测显示所有参与者都有睡眠呼吸紊乱和睡眠片段化的证据。
在一些经仔细诊断为ADHD且报告有睡眠问题的成年人中，可以发现与呼吸相关的睡眠障碍的客观证据。本报告强调了识别ADHD成年人中可治疗的睡眠障碍共病的重要性。
