ADHD 与焦虑障碍共病在学龄儿童中的表现：对睡眠的影响及对认知行为治疗的反应。
Comorbidity of ADHD and Anxiety Disorders in School-Age Children: Impact on Sleep and Response to a Cognitive-Behavioral Treatment.
机构信息
1 Hôpital Rivière-des-Prairies, Montreal, Quebec, Canada.
2 Université de Montréal, Montreal, Quebec, Canada.
出版信息
J Atten Disord. 2018 Mar;22(5):414-424. doi: 10.1177/1087054715605914. Epub 2015 Sep 22.
OBJECTIVE
This exploratory study measured the impact of comorbid anxiety disorders on sleep in children with ADHD and tested the effect of cognitive-behavioral therapy (CBT) on these measures.
METHOD
Fifty-seven children (8-12 years old) were assessed with the Child Sleep Habits Questionnaire. Four groups were formed: ADHD ( n = 20), ADHD + Anxiety ( n = 20), Anxiety ( n = 8), and Healthy Controls ( n = 9). A subgroup of 10 children with ADHD + Anxiety underwent CBT for anxiety.
RESULTS
The results showed that sleep difficulties were better associated with anxiety than with ADHD. CBT reduced sleep onset latency and marginally decreased the total amount of sleep problems.
CONCLUSION
The present study demonstrates that comorbid anxiety in ADHD children is linked with specific sleep disturbances and is sensitive to CBT aimed at reducing anxiety.
目的
本探索性研究旨在测量合并焦虑障碍对 ADHD 儿童睡眠的影响，并检验认知行为疗法（CBT）对这些指标的作用。
方法
对 57 名（8-12 岁）儿童采用儿童睡眠习惯问卷进行评估。共分为 4 组：ADHD（n=20）、ADHD+焦虑（n=20）、焦虑（n=8）和健康对照组（n=9）。ADHD+焦虑的 10 名儿童接受了焦虑症的 CBT。
结果
结果表明，睡眠困难与焦虑的相关性强于与 ADHD 的相关性。CBT 降低了入睡潜伏期，轻度减少了睡眠问题的总数量。
结论
本研究表明，ADHD 儿童的合并焦虑与特定的睡眠障碍有关，且对旨在减轻焦虑的 CBT 敏感。
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