Türkmen Noyan Gaye, Direk Gizem Berna, Örengül Abdurrahman Cahid
Department of Child and Adolescent Psychiatry, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Department of Child and Adolescent Psychiatry, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Sleep Med. 2024 May;117:169-176. doi: 10.1016/j.sleep.2024.03.001. Epub 2024 Mar 14.
Sleep problems often accompany ADHD and negatively affect ADHD symptoms, however, there are not enough intervention studies on sleep interventions in children with ADHD. The present study investigated the effects of sleep hygiene training (SH) and progressive muscle relaxation exercises (PMR) in children with ADHD.
57 children aged 6-12 years with ADHD were randomly assigned to the SH and SH + PMR groups and completed the intervention consisting of group training and eight weeks of telephone interviews. The effects of both intervenitons were evaluated via parent, child and clinician report scales and neuropsychological tests.
Both interventions resulted in significant positive changes in child sleep, ADHD symptoms, functioning, neuropsychological tests and parental sleep quality. Significant differences were found between the interventions in selective attention, peer problems and anxiety scores in favor of the SH + PMR group.
SH may have positive effects on various clinical parameters as well as sleep problems in children with ADHD. Addition of PMR to SH may lead to further improvements in anxiety, peer problems and selective attention. SH and PMR may be a useful tool in the clinical management of children with ADHD with sleep problems.
睡眠问题常伴随注意缺陷多动障碍（ADHD），并对ADHD症状产生负面影响，然而，针对ADHD儿童睡眠干预的研究并不充分。本研究调查了睡眠卫生训练（SH）和渐进性肌肉松弛练习（PMR）对ADHD儿童的影响。
57名6至12岁的ADHD儿童被随机分配到SH组和SH + PMR组，并完成了包括团体训练和为期八周电话访谈的干预。通过家长、儿童和临床医生报告量表以及神经心理学测试评估两种干预的效果。
两种干预均使儿童睡眠、ADHD症状、功能、神经心理学测试及家长睡眠质量产生显著的积极变化。在选择性注意力、同伴问题和焦虑评分方面，两种干预存在显著差异，SH + PMR组更具优势。
SH可能对ADHD儿童的各种临床参数以及睡眠问题产生积极影响。在SH基础上增加PMR可能会进一步改善焦虑、同伴问题和选择性注意力。SH和PMR可能是临床管理有睡眠问题的ADHD儿童的有用工具。
