Domínguez-Ortega Luis, de Vicente-Colomina Aida
Clínica Ruber, Madrid, Spain.
Med Clin (Barc). 2006 Apr 8;126(13):500-6. doi: 10.1157/13086847.
The attention deficit hyperactivity disorder (ADHD) is an heterogeneous, complex and common childhood disorder that causes significant impairment of child's functioning. This paper reviews the epidemiology, etiology, diagnosis, comorbidity, course and treatment of ADHD. Special attention is paid to sleep problems both because these 2 conditions frequently co-exist and because there is substantial evidence that ADHD psychopathology and sleep-wake regulation share common neurobiologic mechanisms. Moreover, there could be an overlap between symptoms of ADHD and certain sleep problems such as obstructive sleep apnea syndrome, restless leg syndrome and periodic limb movements of sleep. Children undergoing evaluation for ADHD should be systematically assessed for sleep disturbances because treatment of sleep disorders is often associated with improved symptomatology and decreased need for stimulants.
注意力缺陷多动障碍(ADHD)是一种异质性、复杂且常见的儿童疾病,会对儿童的功能造成严重损害。本文综述了ADHD的流行病学、病因、诊断、共病、病程及治疗。特别关注睡眠问题,这是因为这两种情况经常同时存在,而且有大量证据表明ADHD的精神病理学与睡眠-觉醒调节共享共同的神经生物学机制。此外,ADHD的症状与某些睡眠问题(如阻塞性睡眠呼吸暂停综合征、不宁腿综合征和睡眠周期性肢体运动)之间可能存在重叠。对ADHD进行评估的儿童应系统地评估睡眠障碍,因为睡眠障碍的治疗通常与症状改善及对兴奋剂需求的减少有关。