Bioulac Stéphanie, Taillard Jacques, Philip Pierre, Sagaspe Patricia
CHU Pellegrin, Clinique du Sommeil, Bordeaux, France.
Université de Bordeaux, Sommeil, Attention et Neuropsychiatrie, USR 3413, Bordeaux, France.
Front Psychiatry. 2020 Feb 26;11:3. doi: 10.3389/fpsyt.2020.00003. eCollection 2020.
Attention deficit hyperactivity disorder (ADHD) is the most commonly diagnosed neurodevelopmental disorder in childhood. It is a heterogeneous disorder in terms of clinical presentation that is probably due to the frequent occurrence of comorbidity. Children with ADHD more frequently report sleep disorders (notably delayed sleep phase syndrome) and excessive daytime sleepiness (EDS) than typically developing children. The aim of this article is to propose a narrative review of the assessment of EDS in the context of ADHD with first a summary of the subjective and objective tools used to measure it. Secondly, perspectives in terms of electroencephalogram (EEG) markers and neurofeedback are proposed. Then, possibilities for new kinds of evaluation are discussed (virtual reality, ecological momentary assessment, etc.). Lastly, we discuss specific clinical situations with EDS in the context of ADHD as links with narcolepsy, the comorbidity with other psychiatric disorders, and the context of sluggish cognitive tempo.
注意缺陷多动障碍(ADHD)是儿童期最常被诊断出的神经发育障碍。就临床表现而言,它是一种异质性疾病,这可能是由于共病的频繁发生所致。与发育正常的儿童相比,ADHD儿童更常报告睡眠障碍(尤其是睡眠相位延迟综合征)和日间过度嗜睡(EDS)。本文的目的是对ADHD背景下的EDS评估进行叙述性综述,首先总结用于测量它的主观和客观工具。其次,提出脑电图(EEG)标记物和神经反馈方面的观点。然后,讨论新型评估的可能性(虚拟现实、生态瞬时评估等)。最后,我们讨论ADHD背景下伴有EDS的特定临床情况,如与发作性睡病的联系、与其他精神障碍的共病以及认知节奏迟缓的情况。