注意缺陷多动障碍儿童睡眠与昼夜节律的系统评价
A Systematic Review of Sleep and Circadian Rhythms in Children with Attention Deficit Hyperactivity Disorder.
作者信息
Bondopadhyay Upasana, Diaz-Orueta Unai, Coogan Andrew N
机构信息
Department of Psychology, Maynooth University, National University of Ireland, Maynooth.
出版信息
J Atten Disord. 2022 Jan;26(2):149-224. doi: 10.1177/1087054720978556. Epub 2021 Jan 5.
OBJECTIVE
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.
METHODS
Systematic review with narrative synthesis assessing sleep and circadian function in children aged 5 to 13 years old with a diagnosis of ADHD.
RESULTS
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.
CONCLUSION
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.
目的
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。
方法
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。
结果
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。
结论
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。
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