Herman John H
University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Sleep Med Clin. 2015 Jun;10(2):143-9. doi: 10.1016/j.jsmc.2015.02.003. Epub 2015 Mar 18.
Basic assumptions about ADHD in children and sleep are not supported by research. It is unclear that children with hyperactivity or inattention have disrupted sleep. Parents of children with ADHD consistently report more bedtime resistance, but there is no objective evidence that sleep is subsequently disrupted. Treatment of ADHD with stimulants may disrupt sleep. Studies of comorbid sleep or psychiatric disorders consistently show that they disrupt sleep. Melatonin is an effective treatment of sleep problems in children with ADHD. Before any child is placed on stimulants, the pediatrician or other health care professional should insure that the child is obtaining adequate sleep.
关于儿童多动症与睡眠的基本假设未得到研究支持。尚不清楚患有多动或注意力不集中的儿童睡眠是否受到干扰。多动症患儿的父母一直报告说孩子就寝时更抗拒，但没有客观证据表明随后睡眠会受到干扰。用兴奋剂治疗多动症可能会干扰睡眠。对合并睡眠或精神疾病的研究一直表明这些疾病会干扰睡眠。褪黑素是治疗多动症患儿睡眠问题的有效方法。在任何儿童开始使用兴奋剂之前，儿科医生或其他医疗保健专业人员应确保该儿童获得充足的睡眠。
