儿童注意缺陷多动障碍与睡眠障碍共病及混杂因素。
Comorbidity and confounding factors in attention-deficit/hyperactivity disorder and sleep disorders in children.
机构信息
Department of Psychology, National Cheng-Chi University, Taipei.
出版信息
Psychol Res Behav Manag. 2011;4:139-50. doi: 10.2147/PRBM.S14055. Epub 2011 Sep 27.
Abstract
Sleep problems are commonly reported in children with attention-deficit/hyperactivity disorder (ADHD) symptoms. Research data regarding the complex and reciprocal relationship between ADHD and sleep disturbances has now accumulated. This paper is focused on the types of sleep problems that are associated with ADHD symptomatology, and attempts to untangle confounding factors and overlapping symptoms. The goal is also to present an updated overview of the pathophysiology of and treatment strategies for sleep problems in children with ADHD. The review also points out that future research will be needed to clarify further the other psychiatric comorbidities and side effects of medication in order to improve treatment outcomes and prevent misdiagnosis in clinical practice.
摘要
睡眠问题在患有注意缺陷多动障碍（ADHD）症状的儿童中很常见。关于 ADHD 和睡眠障碍之间复杂且相互影响的关系的研究数据现在已经积累起来。本文主要关注与 ADHD 症状相关的睡眠问题类型，并试图理清混杂因素和重叠症状。本文的目的还在于提供 ADHD 儿童睡眠问题的病理生理学和治疗策略的最新概述。本文还指出，未来需要进一步研究以阐明其他精神共病和药物的副作用，以改善治疗结果并防止临床实践中的误诊。
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Sleep Med. 2011 May;12(5):471-7. doi: 10.1016/j.sleep.2011.01.008. Epub 2011 Apr 3.
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