Department of Psychology, Maynooth University, National University of Ireland, Maynooth, Ireland.
Dublin and Department of Psychiatry, Linn Dara Child and Adolescent Mental Health Service, Trinity College, Dublin, Ireland.
PLoS One. 2024 May 21;19(5):e0298377. doi: 10.1371/journal.pone.0298377. eCollection 2024.
Sleep problems are common in children with attention deficit hyperactivity disorder (ADHD). Children's sleep problem may influence, and be influenced by, parents' sleep problems as well as parents' ADHD symptoms. In the current study we examined the associations of parent-rated sleep quality and sleep timing of pre-adolescent children with parental insomnia symptoms, parental ADHD symptoms and dysfunctional attitudes and beliefs about sleep in a convenience sample recruited by advertisement (N = 120). Childhood sleep problems were common in the sample, with 82% of children exceeding the threshold for the presence of a paediatric sleep disorder. Children's sleep quality showed minimal association with their sleep timing and chronotype. Parental insomnia symptoms, ADHD symptoms and dysfunctional beliefs and attitudes about sleep all associated with their children's sleep quality, and with the sleep subdomains of sleep anxiety and parasomnias. In multiple regression analysis only parental insomnia score was a significant predictor of children's sleep quality. Children's bedtimes, wake times, sleep duration, chronotype or social jetlag did not associate with parents' ADHD or insomnia symptoms. Sleep quality was significantly poorer in children whose parents scored as both consistent for adult ADHD and probable for insomnia disorder compared to parents who scored as either ADHD consistent or insomnia probable, or those who parents scored as neither. We discuss the putative nature of the relationships between sleep quality of children with ADHD and parental ADHD and insomnia symptoms, and suggest that clinicians consider parental sleep when attending to children with ADHD.
儿童注意缺陷多动障碍（ADHD）常伴有睡眠问题。儿童睡眠问题可能会影响父母的睡眠问题以及父母的 ADHD 症状，反之亦然。在目前的研究中，我们通过广告招募了一个方便样本（N = 120），调查了青少年前儿童父母报告的睡眠质量和睡眠时间与父母失眠症状、父母 ADHD 症状以及对睡眠的不良态度和信念之间的关联。该样本中儿童睡眠问题较为常见，82%的儿童存在小儿睡眠障碍。儿童睡眠质量与睡眠时间和睡眠类型的关联最小。父母的失眠症状、ADHD 症状以及对睡眠的不良信念和态度均与儿童的睡眠质量以及睡眠焦虑和睡眠障碍等睡眠亚领域相关。在多元回归分析中，只有父母的失眠评分是儿童睡眠质量的显著预测因子。儿童的就寝时间、醒来时间、睡眠时间、睡眠类型或社会时差与父母的 ADHD 或失眠症状均无关。与父母 ADHD 一致且失眠可能或父母 ADHD 一致或失眠可能或父母 ADHD 均不一致的儿童相比，父母 ADHD 和失眠障碍一致评分的儿童睡眠质量明显更差。我们讨论了 ADHD 儿童的睡眠质量与父母的 ADHD 和失眠症状之间关系的潜在性质，并建议临床医生在治疗 ADHD 儿童时考虑父母的睡眠问题。
