UQCCR - Centre for Clinical Research, The University of Queensland, Brisbane, Australia.
Discipline of General Practice, School of Clinical Medicine, The University of Queensland, Brisbane, Australia.
Psychol Health Med. 2020 Apr;25(4):497-518. doi: 10.1080/13548506.2020.1732431. Epub 2020 Mar 24.
Attention deficit/hyperactivity disorder (ADHD) is often accompanied by sleep problems in children. Sleep hygiene is defined as a set of behavioural, environmental, or cognitive modifications to improve sleep, and is routinely clinically utilised as first-line treatment for insomnia in ADHD. The objective of this systematic review of the literature is to evaluate the effectiveness of sleep hygiene interventions for sleep difficulties in children with ADHD. Sixteen relevant articles met the inclusion criteria, involving 1,469 participants, with a mean age of 9.6 years, across 6 countries. Fifteen studies found that sleep hygiene interventions were effective in improving sleep, while one did not show any significant improvement. Definite conclusions on the effectiveness of the interventions are difficult to draw due to the limited number of studies and a high risk of bias. There is growing evidence to support the use of sleep hygiene interventions to improve sleep quality in children with ADHD and sleep disturbance. However, well-conducted clinical trials are required to strengthen the evidence.
注意缺陷多动障碍（ADHD）在儿童中常伴有睡眠问题。睡眠卫生被定义为一套行为、环境或认知的调整，以改善睡眠，并且通常作为 ADHD 患者失眠的一线治疗方法在临床上得到应用。本系统文献综述的目的是评估睡眠卫生干预措施对 ADHD 儿童睡眠困难的有效性。符合纳入标准的 16 篇相关文章涉及 6 个国家的 1469 名参与者，平均年龄为 9.6 岁。15 项研究发现，睡眠卫生干预措施在改善睡眠方面是有效的，而一项研究没有显示出任何显著的改善。由于研究数量有限且存在较高的偏倚风险，因此很难得出干预措施有效性的明确结论。越来越多的证据支持使用睡眠卫生干预措施来改善 ADHD 儿童和睡眠障碍儿童的睡眠质量。然而，需要进行精心设计的临床试验来加强证据。
