Institute of Mental Health Academic Unit of Mental Health and Clinical Neurosciences, School of Medicine & School of Psychology, University of Nottingham, United Kingdom.
Nottinghamshire Healthcare NHS Foundation Trust, Child and Adolescent Mental Health Services, Hopewood Hospital, Nottingham, United Kingdom.
J Clin Sleep Med. 2023 Oct 1;19(10):1735-1741. doi: 10.5664/jcsm.10662.
Attention deficit hyperactivity disorder is a complex but common neurodevelopmental condition characterized by symptoms of inattention, hyperactivity, and impulsivity associated with a significant level of academic, social, and functional impairment. Problems around sleep frequently co-occur with attention deficit hyperactivity disorder and are thought to affect 50% to 80% of children and adults with the condition. Sleep issues typically include trouble falling asleep, bedtime resistance, night-time waking, and early rising. The impact of these problems on families and parents is profound but poorly researched.
Semistructured interviews took place with 12 mothers of children with attention deficit hyperactivity disorder who struggle with sleep. Participants were asked about sleeping patterns and issues, methods used to improve sleep, the impact on parents' sleep and wider family life, and involvement with clinical services and support groups. Data were analyzed using thematic analysis.
Three themes were identified in the data: a constant battleground; the cumulative effect of lack of sleep: impact on functioning and the wider family; a mixed bag of strategies: the tried, tested, and needed. Long-term sleep issues and challenging behavior at bedtime had substantial negative effects on families. Parents experiencing sleep deprivation experienced functional impairments to daily life and well-being and strain on relationships with children and spouses.
Findings revealed parents were consistently and profoundly impacted by their children's sleep problems. Parents sought strategies and support in many different ways but were often unsuccessful.
French B, Quain E, Kilgariff J, Lockwood J, Daley D. The impact of sleep difficulties in children with attention deficit hyperactivity disorder on the family: a thematic analysis. . 2023;19(10):1735-1741.
注意力缺陷多动障碍是一种复杂但常见的神经发育障碍，其特征是存在注意力不集中、多动和冲动等症状，同时伴有显著的学业、社交和功能障碍。睡眠问题常与注意力缺陷多动障碍同时发生，据认为 50%至 80%的患儿和成人存在此类问题。睡眠问题通常包括入睡困难、抗拒睡觉、夜间醒来和早起。这些问题对家庭和父母的影响是深远的，但研究不足。
对 12 名患有注意力缺陷多动障碍且睡眠困难的儿童的母亲进行了半结构式访谈。受访者被问及睡眠模式和问题、改善睡眠的方法、对父母睡眠和更广泛家庭生活的影响，以及与临床服务和支持团体的参与情况。使用主题分析对数据进行分析。
数据中确定了三个主题：持久战；睡眠不足的累积效应：对功能和更广泛家庭的影响；尝试、测试和需要的混合策略。长期的睡眠问题和睡前的挑战性行为对家庭产生了实质性的负面影响。睡眠不足的父母在日常生活和幸福感方面存在功能障碍，并且与孩子和配偶的关系紧张。
研究结果表明，父母一直受到孩子睡眠问题的深刻影响。父母以多种不同的方式寻求策略和支持，但往往并不成功。
French B, Quain E, Kilgariff J, Lockwood J, Daley D. 儿童注意力缺陷多动障碍的睡眠困难对家庭的影响：主题分析。. 2023;19(10):1735-1741.
