Demirkan Arda Kazim, Semiz Umit Basar
Department of Psychiatry, Samsun LIV Hospital, Samsun, Turkey.
Department of Psychiatry, Agri Training and Research Hospital, Agri, Turkey.
Nat Sci Sleep. 2025 Jul 12;17:1615-1627. doi: 10.2147/NSS.S537569. eCollection 2025.
Attention-deficit/hyperactivity disorder (ADHD), a prevalent condition affecting 2.5-5% of adults, impacting daily functioning. Sleep quality is essential for cognitive and socio-emotional well-being, and the association between ADHD symptoms and sleep disturbances necessitates identifying populations at risk. This study aimed to assess the associations between ADHD symptoms and sleep disorders by conducting a thorough assessment of sleep measures in a cross-sectional group of university students.
Recruiting participants from a Turkish university (n=503; mean age=21.3 ± 1.8 years), subgroups were formed based on ADHD scores from the Adult ADHD Self-report Scale. Sleep was assessed using the Van Dream Anxiety Scale, Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS). Beck Depression Inventory (BDI) was employed to evaluate depressive symptoms.
ADHD symptoms group exhibited higher dream-related anxiety, PSQI, ESS, and BDI scores. Nightmares were more prevalent in the ADHD symptoms group. Subjective sleep measures showed differences in various domains, emphasizing poorer sleep quality in the ADHD symptoms group. Correlation analyses revealed intricate relationships between socio-economic factors, psychiatric health, family history, ADHD symptoms, nightmares, and sleep aspects.
University students with ADHD symptoms face increased susceptibility to insufficient sleep, impacting daytime functioning and academic performance. Findings underscore the need for increased attention to sleep health in this population.
注意缺陷多动障碍（ADHD）是一种普遍存在的疾病，影响着2.5%-5%的成年人，对日常功能产生影响。睡眠质量对于认知和社会情感幸福感至关重要，ADHD症状与睡眠障碍之间的关联使得有必要识别出有风险的人群。本研究旨在通过对一组大学生进行全面的睡眠测量评估，来评估ADHD症状与睡眠障碍之间的关联。
从一所土耳其大学招募参与者（n=503；平均年龄=21.3±1.8岁），根据成人ADHD自陈量表的ADHD得分形成亚组。使用范德梦焦虑量表、匹兹堡睡眠质量指数（PSQI）和爱泼沃斯思睡量表（ESS）评估睡眠情况。采用贝克抑郁量表（BDI）评估抑郁症状。
ADHD症状组表现出更高的与梦相关的焦虑、PSQI、ESS和BDI得分。噩梦在ADHD症状组中更为普遍。主观睡眠测量在各个领域都显示出差异，强调了ADHD症状组睡眠质量较差。相关性分析揭示了社会经济因素、精神健康、家族史、ADHD症状、噩梦和睡眠方面之间的复杂关系。
有ADHD症状的大学生面临睡眠不足的易感性增加，这会影响白天的功能和学业表现。研究结果强调了需要更多关注这一人群的睡眠健康。
