Bondopadhyay Upasana, Diaz-Orueta Unai, Coogan Andrew N
Department of Psychology, Maynooth University, National University of Ireland, Maynooth.
J Atten Disord. 2022 Jan;26(2):149-224. doi: 10.1177/1087054720978556. Epub 2021 Jan 5.
Children and adults with ADHD often report sleep disturbances that may form part of the etiology and/or symptomatology of ADHD. We review the evidence for sleep changes in children with ADHD.
Systematic review with narrative synthesis assessing sleep and circadian function in children aged 5 to 13 years old with a diagnosis of ADHD.
148 studies were included for review, incorporating data from 42,353 children. We found that sleep disturbances in ADHD are common and that they may worsen behavioral outcomes; moreover, sleep interventions may improve ADHD symptoms, and pharmacotherapy for ADHD may impact sleep.
Sleep disturbance may represent a clinically important feature of ADHD in children, which might be therapeutically targeted in a useful way. There are a number of important gaps in the literature. We set out a manifesto for future research in the area of sleep, circadian rhythms, and ADHD.
患有注意力缺陷多动障碍（ADHD）的儿童和成人常报告存在睡眠障碍，这些睡眠障碍可能是ADHD病因和/或症状学的一部分。我们综述了ADHD儿童睡眠变化的相关证据。
采用叙述性综合的系统评价方法，评估5至13岁被诊断为ADHD的儿童的睡眠和昼夜节律功能。
纳入148项研究进行综述，涵盖42353名儿童的数据。我们发现ADHD中的睡眠障碍很常见，且可能使行为结果恶化；此外，睡眠干预可能改善ADHD症状，ADHD的药物治疗可能影响睡眠。
睡眠障碍可能是儿童ADHD的一个重要临床特征，或许可以通过有效的方式进行治疗。文献中存在一些重要空白。我们提出了一份关于睡眠、昼夜节律和ADHD领域未来研究的宣言。
