Simon Fraser University, Burnaby, British Columbia, Canada.
University of Arkansas for Medical Sciences, Little Rock, USA.
J Atten Disord. 2020 Feb;24(4):499-508. doi: 10.1177/1087054716685840. Epub 2017 Jan 16.
Children with ADHD display higher rates of sleep problems, and both sleep disorders and ADHD have been shown to affect functioning in childhood. The current study examines the frequency and relationship between sleep problems and ADHD, and their impact on quality of life (QoL) and functional impairment. Parents of 192 children with ADHD ( = 10.23 years) completed measures regarding their child's ADHD symptoms (Swanson, Nolan and Pelham [SNAP]), sleep disorders (Pediatric Sleep Questionnaire [PSQ]), QoL (Child Health Illness Profile [CHIP-PE]), and functioning (Weiss Functional Impairment Rating Scale-Parent Report [WFIRS-P]). Common sleep complaints in participants were insomnia, excessive daytime sleepiness (EDS), and variability in sleep schedule. Regression analysis indicated that sleep problems and ADHD symptoms independently predicted lower levels of QoL (Δ = .12, < .001) and social functioning (Δ = .12, < .001). The results suggest that ADHD may coexist with somnolence and that both conditions have a significant impact on a child's functioning and QoL.
患有注意缺陷多动障碍（ADHD）的儿童睡眠问题发生率较高，睡眠障碍和 ADHD 均已被证明会影响儿童的功能。本研究检查了睡眠问题与 ADHD 之间的频率和关系，以及它们对生活质量（QoL）和功能障碍的影响。 ADHD 儿童的 192 名父母（ = 10.23 岁）完成了有关孩子 ADHD 症状（斯旺森、诺兰和佩勒姆 [SNAP]）、睡眠障碍（儿科睡眠问卷 [PSQ]）、QoL（儿童健康疾病概况 [CHIP-PE]）和功能障碍（韦斯功能障碍评定量表-家长报告 [WFIRS-P]）的测量。参与者常见的睡眠问题包括失眠、白天过度嗜睡（EDS）和睡眠时间表的变化。回归分析表明，睡眠问题和 ADHD 症状独立预测 QoL（Δ =.12，<.001）和社会功能（Δ =.12，<.001）水平降低。结果表明，ADHD 可能与嗜睡共存，这两种情况都会对孩子的功能和 QoL 产生重大影响。
