Tomás Vila M, Miralles Torres A, Beseler Soto B, Revert Gomar M, Sala Langa M J, Uribelarrea Sierra A I
Servicio de Pediatría, Hospital Francesc de Borja, Gandía. Valencia, España.
An Pediatr (Barc). 2008 Sep;69(3):251-7. doi: 10.1157/13125820.
The evaluation of comorbidity is an important factor in the treatment of children with attention-deficit/hyperactivity disorder. Sleep disturbances are one of the most common features of this disorder.
To find out the frequency of sleep disturbances among children with attention-deficit/hyperactivity disorder.
We used the Spanish version of the Paediatric Sleep Questionnaire, which was given out to a representative sample in Gandia (Spain).
The questionnaire was answered by 887 (68 % of the sample). The sleep disturbances that showed a clear relationship with the three ADHD variables studied are: snoring, enuresis, rhythmic movement disturbances, night awakenings, and bedtime resistance. Sleep-disorder breathing, bruxism, somniloquy, day sleepiness, early awakenings and difficulty falling sleep are associated with only one of the three variables studied.
Our study demonstrates that the population with attention-deficit/hyperactivity disorder has more sleep disturbances. The association with the enuresis is of particular interest due to the possible clinical implications.
共病评估是治疗注意力缺陷多动障碍儿童的一个重要因素。睡眠障碍是该疾病最常见的特征之一。
了解注意力缺陷多动障碍儿童中睡眠障碍的发生率。
我们使用了《儿童睡眠问卷》的西班牙语版本，将其分发给西班牙甘迪亚的一个代表性样本。
887人（占样本的68%）回答了问卷。与所研究的三个注意力缺陷多动障碍变量有明确关联的睡眠障碍有：打鼾、遗尿、节律性运动障碍、夜间觉醒和就寝时间抗拒。睡眠呼吸障碍、磨牙症、说梦话、白天嗜睡、早醒和入睡困难仅与所研究的三个变量之一相关。
我们的研究表明，注意力缺陷多动障碍人群有更多的睡眠障碍。由于可能的临床意义，与遗尿的关联尤其值得关注。
