Ribeiro-Lages Mariana Batista, Dos Santos Emily Corrêa, Bendo Cristiane Baccin, Fonseca-Gonçalves Andréa, Serra-Negra Júnia Maria, Maia Lucianne Cople
Dr. Ribeiro-Lages is a graduate student, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Ms. Santos is an undergraduate student, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
J Dent Child (Chic). 2023 Jan 15;90(1):22-30.
To evaluate the association between attention-deficit/hyperactivity disorder (ADHD) symptoms reported by parents and the variables sleep problems, possible sleep bruxism, possible awake bruxism and dental trauma (DT), and its mode of occurrence in children and adolescents.
A cross-sectional study was conducted with the parents of 144 four- to 16-year-old subjects through a questionnaire on demographics, subjects' sleep, self-reported bruxism and DT mode of occurrence. The Swanson, Nolan and Pelham scale IV was used to assess ADHD signs and subtypes. Bivariate and multivariate analysis were performed ( <0.05).
The subjects' mean age was 7.9 years (±2.8 years) and 50.7 percent were boys. DT was reported in 80 percent of those with the hyperactive/impulsive subtype (ADHD-HI) and 72.7 percent of those with the combined subtype (ADHD-C). DT was caused solely by falls in the ADHD-C and inattention subtypes (ADHD-I). ADHD-C was associated with somniloquy (prevalence ratio [PR]=1.075; =0.010). ADHD-HI was associated with bad sleep quality (PR=1.194; =0.005), possible sleep bruxism (PR=1.088, 95% confidence interval=1.006 to 1.176; =0.034), possible awake bruxism (PR=1.146; =0.024) and sleep duration (PR=0.88; =0.02).
ADHD-C and -HI subtypes were associated with sleep characteristics. Possible sleep and awake bruxism were associated with symptoms of ADHD-HI. Despite no significant association, DT was present in most ADHD subjects, mostly due to falls.
评估父母报告的注意力缺陷/多动障碍（ADHD）症状与睡眠问题、可能的睡眠磨牙症、可能的清醒磨牙症和牙齿外伤（DT）等变量之间的关联，以及其在儿童和青少年中的发生方式。
对144名4至16岁受试者的父母进行了一项横断面研究，通过一份关于人口统计学、受试者睡眠、自我报告的磨牙症和DT发生方式的问卷进行调查。使用斯旺森、诺兰和佩勒姆量表IV评估ADHD体征和亚型。进行了双变量和多变量分析（<0.05）。
受试者的平均年龄为7.9岁（±2.8岁），50.7%为男孩。80%的多动/冲动亚型（ADHD-HI）患者和72.7%的混合型（ADHD-C）患者报告有DT。DT仅由ADHD-C和注意力不集中亚型（ADHD-I）中的跌倒引起。ADHD-C与说梦话有关（患病率比[PR]=1.075；=0.010）。ADHD-HI与睡眠质量差（PR=1.194；=0.005）、可能的睡眠磨牙症（PR=1.088，95%置信区间=1.006至1.176；=0.034）、可能的清醒磨牙症（PR=1.146；=0.024）和睡眠时间（PR=0.88；=0.02）有关。
ADHD-C和-HI亚型与睡眠特征有关。可能的睡眠和清醒磨牙症与ADHD-HI的症状有关。尽管没有显著关联，但大多数ADHD受试者存在DT，主要是由于跌倒。
