Department of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, Cluj-Napoca, Romania.
J Neural Transm (Vienna). 2012 Oct;119(10):1195-204. doi: 10.1007/s00702-012-0862-3. Epub 2012 Jul 20.
Inattention is a core symptom of attention deficit hyperactivity disorder (ADHD) and one of the main impairments resulting from insomnia disorders. These disorders have also been reported to be linked with disturbances in circadian rhythms and with increased eveningness. To explore these associations, more than 550 adults were surveyed across Romania. Using self-reported questionnaires, the presence and severity of ADHD and insomnia symptoms were determined, together with sleep and circadian typology parameters. ADHD symptoms were more frequent and severe among younger individuals. Subjects with probable ADHD complained more frequently of sleep disturbance of the insomnia type (more than 50 %) and reported shorter sleep durations and longer sleep latencies and more frequent unwanted awakenings. Individuals likely to suffer from ADHD and/or insomnia disorder were significantly more evening oriented than controls. Inattention was associated with both insomnia and eveningness, while impulsivity was associated with poor sleep. Hyperactivity and sleep timing were associated with poor sleep only in probable insomnia group. These findings highlight the reciprocal links between ADHD symptoms, sleep and diurnal preference.
注意力不集中是注意力缺陷多动障碍（ADHD）的核心症状之一，也是失眠障碍导致的主要损害之一。这些障碍也与昼夜节律紊乱和傍晚倾向增加有关。为了探索这些关联，在罗马尼亚对 550 多名成年人进行了调查。使用自我报告问卷，确定了 ADHD 和失眠症状的存在和严重程度，以及睡眠和昼夜节律类型参数。ADHD 症状在年轻人中更为常见且严重。可能患有 ADHD 的受试者更频繁地抱怨失眠类型的睡眠障碍（超过 50%），并报告睡眠时间更短、入睡潜伏期更长且更频繁地出现不必要的觉醒。可能患有 ADHD 和/或失眠障碍的个体明显比对照组更倾向于傍晚。注意力不集中与失眠和傍晚倾向均有关，而冲动与睡眠质量差有关。多动和睡眠时间仅与可能的失眠组的睡眠质量差有关。这些发现强调了 ADHD 症状、睡眠和昼夜偏好之间的相互联系。
