Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers
[Display omitted] Sleep problems are frequent in children with attention-deficit/hyperactivity disorder (ADHD). Some authors have tried to characterize paediatric sleep habits in Portugal, but none has focused on preschool-age children nor attempted to establish their association with ADHD. We aimed...
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| Veröffentlicht in: | Anales de Pediatría 2023-04, Vol.98 (4), p.283-290 |
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| creator | Gomes, Rita Sousa, Bebiana Gonzaga, Diana Prior, Catarina Rios, Marta Vaz Matos, Inês |
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Sleep problems are frequent in children with attention-deficit/hyperactivity disorder (ADHD). Some authors have tried to characterize paediatric sleep habits in Portugal, but none has focused on preschool-age children nor attempted to establish their association with ADHD. We aimed to assess the prevalence of ADHD symptoms in preschool-age children and to study their association with sleep habits.
We conducted a cross-sectional study. We distributed questionnaires to a random sample of caregivers of children enrolled in early childhood education centres in Porto. We collected data on sociodemographic characteristics, television watching and outdoor activities. We assessed ADHD symptoms and sleep habits with the Portuguese versions of the Conners’ Parents Rating Scale, Revised and the Children’s Sleep Habits Questionnaire (CSHQ-PT), respectively.
The study included 381 preschoolers (50.90% male). We found high scores for ADHD symptoms in 13.10%, with a higher prevalence in girls (14.40% vs. 11.85%; P = 0.276). In the CSHQ-PT, 45.70% of participants had a mean total score greater than 48, which is the cut-off point applied in the screening of sleep disturbances in the Portuguese population. There was a significant association between high scores for ADHD symptoms and a lower maternal education level (P |
| doi_str_mv | 10.1016/j.anpede.2023.01.010 |
| format | Article |
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Sleep problems are frequent in children with attention-deficit/hyperactivity disorder (ADHD). Some authors have tried to characterize paediatric sleep habits in Portugal, but none has focused on preschool-age children nor attempted to establish their association with ADHD. We aimed to assess the prevalence of ADHD symptoms in preschool-age children and to study their association with sleep habits.
We conducted a cross-sectional study. We distributed questionnaires to a random sample of caregivers of children enrolled in early childhood education centres in Porto. We collected data on sociodemographic characteristics, television watching and outdoor activities. We assessed ADHD symptoms and sleep habits with the Portuguese versions of the Conners’ Parents Rating Scale, Revised and the Children’s Sleep Habits Questionnaire (CSHQ-PT), respectively.
The study included 381 preschoolers (50.90% male). We found high scores for ADHD symptoms in 13.10%, with a higher prevalence in girls (14.40% vs. 11.85%; P = 0.276). In the CSHQ-PT, 45.70% of participants had a mean total score greater than 48, which is the cut-off point applied in the screening of sleep disturbances in the Portuguese population. There was a significant association between high scores for ADHD symptoms and a lower maternal education level (P < 0.001), a shorter sleep duration (P = 0.049), and higher scores on parasomnias (P = 0.019) and sleep disordered breathing (P = 0.002) in CSHQ-PT subscales.
ADHD and sleep disorders are common in preschoolers, in Porto, and this study suggests some clinical correlations between them. Since these interactions are complex and far from being elucidated, further studies are paramount to provide guidance for prevention and managing strategies in younger children at risk for ADHD.
Los problemas de sueño son frecuentes en niños con trastorno por déficit de atención/hiperactividad (TDAH). Algunos autores han tratado de caracterizar los hábitos de sueño pediátricos en Portugal, pero ninguno se ha centrado en los niños en edad preescolar ni ha intentado correlacionarlos con el TDAH. El objetivo fue evaluar la prevalencia de los síntomas del TDAH en niños en edad preescolar y estudiar su asociación con los hábitos de sueño.
Estudio transversal mediante la administración de un cuestionario a una muestra aleatoria de cuidadores de niños matriculados en guarderías en Oporto. Se recogieron datos de características sociodemográficas, consumo de televisión y actividades al aire libre. Los síntomas del TDAH y los hábitos de sueño fueron evaluados mediante las versiones portuguesas del Conners’ Parents Rating Scale-Revised y el Children’s Sleep Habits Questionnaire (CSHQ-PT), respectivamente.
El estudio incluyó 381 preescolares (50,90% varones). Se encontraron niveles altos de síntomas de TDAH en el 13,10%, con una prevalencia mayor en las niñas (14,40% vs. 11,85%; p = 0,276). El 45,70% tenían una puntuación total en el CSQH-PT superior a 48, que es el punto de corte establecido para el cribado de los trastornos del sueño en la población portuguesa. Se encontró una asociación significativa entre niveles altos de síntomas de TDAH y un nivel educativo materno más bajo (p < 0,001), una menor duración del sueño (p = 0,049) y mayores puntuaciones en las subescalas de parasomnias (p = 0,019) y de trastornos respiratorios del sueño (p = 0,002).
El TDAH y los problemas de sueño son comunes en los preescolares de Oporto, y el presente estudio sugiere algunas correlaciones clínicas entre ambos. Dado que estas interacciones son complejas y están lejos de ser dilucidadas, es fundamental realizar más estudios para orientar las estrategias de prevención y de intervención temprana en los niños más pequeños con riesgo de TDAH.</description><identifier>ISSN: 2341-2879</identifier><identifier>EISSN: 2341-2879</identifier><identifier>DOI: 10.1016/j.anpede.2023.01.010</identifier><identifier>PMID: 36932019</identifier><language>eng</language><publisher>Spain: Elsevier España, S.L.U</publisher><subject>Attention deficit and hyperactivity disorder ; Attention Deficit Disorder with Hyperactivity - complications ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Male ; Niño ; Preescolar ; Preschool ; Sleep ; Sleep Apnea Syndromes ; Sleep disorders ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - epidemiology ; Television ; Televisión ; Trastorno por déficit de atención con hiperactividad ; Trastornos del sueño</subject><ispartof>Anales de Pediatría, 2023-04, Vol.98 (4), p.283-290</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier España, S.L.U.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2020-f806203fd74f71b9d87d2801e915d52d98995f6b9e63612ef0c4958287b6eb43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36932019$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gomes, Rita</creatorcontrib><creatorcontrib>Sousa, Bebiana</creatorcontrib><creatorcontrib>Gonzaga, Diana</creatorcontrib><creatorcontrib>Prior, Catarina</creatorcontrib><creatorcontrib>Rios, Marta</creatorcontrib><creatorcontrib>Vaz Matos, Inês</creatorcontrib><title>Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers</title><title>Anales de Pediatría</title><addtitle>An Pediatr (Engl Ed)</addtitle><description>[Display omitted]
Sleep problems are frequent in children with attention-deficit/hyperactivity disorder (ADHD). Some authors have tried to characterize paediatric sleep habits in Portugal, but none has focused on preschool-age children nor attempted to establish their association with ADHD. We aimed to assess the prevalence of ADHD symptoms in preschool-age children and to study their association with sleep habits.
We conducted a cross-sectional study. We distributed questionnaires to a random sample of caregivers of children enrolled in early childhood education centres in Porto. We collected data on sociodemographic characteristics, television watching and outdoor activities. We assessed ADHD symptoms and sleep habits with the Portuguese versions of the Conners’ Parents Rating Scale, Revised and the Children’s Sleep Habits Questionnaire (CSHQ-PT), respectively.
The study included 381 preschoolers (50.90% male). We found high scores for ADHD symptoms in 13.10%, with a higher prevalence in girls (14.40% vs. 11.85%; P = 0.276). In the CSHQ-PT, 45.70% of participants had a mean total score greater than 48, which is the cut-off point applied in the screening of sleep disturbances in the Portuguese population. There was a significant association between high scores for ADHD symptoms and a lower maternal education level (P < 0.001), a shorter sleep duration (P = 0.049), and higher scores on parasomnias (P = 0.019) and sleep disordered breathing (P = 0.002) in CSHQ-PT subscales.
ADHD and sleep disorders are common in preschoolers, in Porto, and this study suggests some clinical correlations between them. Since these interactions are complex and far from being elucidated, further studies are paramount to provide guidance for prevention and managing strategies in younger children at risk for ADHD.
Los problemas de sueño son frecuentes en niños con trastorno por déficit de atención/hiperactividad (TDAH). Algunos autores han tratado de caracterizar los hábitos de sueño pediátricos en Portugal, pero ninguno se ha centrado en los niños en edad preescolar ni ha intentado correlacionarlos con el TDAH. El objetivo fue evaluar la prevalencia de los síntomas del TDAH en niños en edad preescolar y estudiar su asociación con los hábitos de sueño.
Estudio transversal mediante la administración de un cuestionario a una muestra aleatoria de cuidadores de niños matriculados en guarderías en Oporto. Se recogieron datos de características sociodemográficas, consumo de televisión y actividades al aire libre. Los síntomas del TDAH y los hábitos de sueño fueron evaluados mediante las versiones portuguesas del Conners’ Parents Rating Scale-Revised y el Children’s Sleep Habits Questionnaire (CSHQ-PT), respectivamente.
El estudio incluyó 381 preescolares (50,90% varones). Se encontraron niveles altos de síntomas de TDAH en el 13,10%, con una prevalencia mayor en las niñas (14,40% vs. 11,85%; p = 0,276). El 45,70% tenían una puntuación total en el CSQH-PT superior a 48, que es el punto de corte establecido para el cribado de los trastornos del sueño en la población portuguesa. Se encontró una asociación significativa entre niveles altos de síntomas de TDAH y un nivel educativo materno más bajo (p < 0,001), una menor duración del sueño (p = 0,049) y mayores puntuaciones en las subescalas de parasomnias (p = 0,019) y de trastornos respiratorios del sueño (p = 0,002).
El TDAH y los problemas de sueño son comunes en los preescolares de Oporto, y el presente estudio sugiere algunas correlaciones clínicas entre ambos. Dado que estas interacciones son complejas y están lejos de ser dilucidadas, es fundamental realizar más estudios para orientar las estrategias de prevención y de intervención temprana en los niños más pequeños con riesgo de TDAH.</description><subject>Attention deficit and hyperactivity disorder</subject><subject>Attention Deficit Disorder with Hyperactivity - complications</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Niño</subject><subject>Preescolar</subject><subject>Preschool</subject><subject>Sleep</subject><subject>Sleep Apnea Syndromes</subject><subject>Sleep disorders</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Television</subject><subject>Televisión</subject><subject>Trastorno por déficit de atención con hiperactividad</subject><subject>Trastornos del sueño</subject><issn>2341-2879</issn><issn>2341-2879</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMlqwzAQhkVpaUKaNyjFx17savGmSyGEbhDoJfQqbGlMFGzLlZQUv30VnJaeCgMzDN8_y4_QLcEJwSR_2CdVP4CChGLKEkxC4As0pywlMS0LfvmnnqGlc3uMA0lYlubXaMZyzigmfI4-Vs4ZqSuvTR_V4L8A-qjyHvpTJ1bQaKn9w24cwFbS66P2Y-TGbvCmc1HVq8i1AEOk-2iw4OTOmBasu0FXTdU6WJ7zAm2fn7br13jz_vK2Xm1iGQ7HcVPinGLWqCJtClJzVRaKlpgAJ5nKqOIl51mT1xxylhMKDZYpz8rwVZ1DnbIFup_GDtZ8HsB50WknoW2rHszBCVrwjGU8SAOaTqi0xjkLjRis7io7CoLFyVOxF5On4uSpwCQEDrK784ZD3YH6Ff04GIDHCYDw5lGDFU5q6CUobUF6oYz-f8M3aZqJ-Q</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Gomes, Rita</creator><creator>Sousa, Bebiana</creator><creator>Gonzaga, Diana</creator><creator>Prior, Catarina</creator><creator>Rios, Marta</creator><creator>Vaz Matos, Inês</creator><general>Elsevier España, S.L.U</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202304</creationdate><title>Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers</title><author>Gomes, Rita ; Sousa, Bebiana ; Gonzaga, Diana ; Prior, Catarina ; Rios, Marta ; Vaz Matos, Inês</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2020-f806203fd74f71b9d87d2801e915d52d98995f6b9e63612ef0c4958287b6eb43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Attention deficit and hyperactivity disorder</topic><topic>Attention Deficit Disorder with Hyperactivity - complications</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Niño</topic><topic>Preescolar</topic><topic>Preschool</topic><topic>Sleep</topic><topic>Sleep Apnea Syndromes</topic><topic>Sleep disorders</topic><topic>Sleep Wake Disorders - diagnosis</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Television</topic><topic>Televisión</topic><topic>Trastorno por déficit de atención con hiperactividad</topic><topic>Trastornos del sueño</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gomes, Rita</creatorcontrib><creatorcontrib>Sousa, Bebiana</creatorcontrib><creatorcontrib>Gonzaga, Diana</creatorcontrib><creatorcontrib>Prior, Catarina</creatorcontrib><creatorcontrib>Rios, Marta</creatorcontrib><creatorcontrib>Vaz Matos, Inês</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anales de Pediatría</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gomes, Rita</au><au>Sousa, Bebiana</au><au>Gonzaga, Diana</au><au>Prior, Catarina</au><au>Rios, Marta</au><au>Vaz Matos, Inês</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers</atitle><jtitle>Anales de Pediatría</jtitle><addtitle>An Pediatr (Engl Ed)</addtitle><date>2023-04</date><risdate>2023</risdate><volume>98</volume><issue>4</issue><spage>283</spage><epage>290</epage><pages>283-290</pages><issn>2341-2879</issn><eissn>2341-2879</eissn><abstract>[Display omitted]
Sleep problems are frequent in children with attention-deficit/hyperactivity disorder (ADHD). Some authors have tried to characterize paediatric sleep habits in Portugal, but none has focused on preschool-age children nor attempted to establish their association with ADHD. We aimed to assess the prevalence of ADHD symptoms in preschool-age children and to study their association with sleep habits.
We conducted a cross-sectional study. We distributed questionnaires to a random sample of caregivers of children enrolled in early childhood education centres in Porto. We collected data on sociodemographic characteristics, television watching and outdoor activities. We assessed ADHD symptoms and sleep habits with the Portuguese versions of the Conners’ Parents Rating Scale, Revised and the Children’s Sleep Habits Questionnaire (CSHQ-PT), respectively.
The study included 381 preschoolers (50.90% male). We found high scores for ADHD symptoms in 13.10%, with a higher prevalence in girls (14.40% vs. 11.85%; P = 0.276). In the CSHQ-PT, 45.70% of participants had a mean total score greater than 48, which is the cut-off point applied in the screening of sleep disturbances in the Portuguese population. There was a significant association between high scores for ADHD symptoms and a lower maternal education level (P < 0.001), a shorter sleep duration (P = 0.049), and higher scores on parasomnias (P = 0.019) and sleep disordered breathing (P = 0.002) in CSHQ-PT subscales.
ADHD and sleep disorders are common in preschoolers, in Porto, and this study suggests some clinical correlations between them. Since these interactions are complex and far from being elucidated, further studies are paramount to provide guidance for prevention and managing strategies in younger children at risk for ADHD.
Los problemas de sueño son frecuentes en niños con trastorno por déficit de atención/hiperactividad (TDAH). Algunos autores han tratado de caracterizar los hábitos de sueño pediátricos en Portugal, pero ninguno se ha centrado en los niños en edad preescolar ni ha intentado correlacionarlos con el TDAH. El objetivo fue evaluar la prevalencia de los síntomas del TDAH en niños en edad preescolar y estudiar su asociación con los hábitos de sueño.
Estudio transversal mediante la administración de un cuestionario a una muestra aleatoria de cuidadores de niños matriculados en guarderías en Oporto. Se recogieron datos de características sociodemográficas, consumo de televisión y actividades al aire libre. Los síntomas del TDAH y los hábitos de sueño fueron evaluados mediante las versiones portuguesas del Conners’ Parents Rating Scale-Revised y el Children’s Sleep Habits Questionnaire (CSHQ-PT), respectivamente.
El estudio incluyó 381 preescolares (50,90% varones). Se encontraron niveles altos de síntomas de TDAH en el 13,10%, con una prevalencia mayor en las niñas (14,40% vs. 11,85%; p = 0,276). El 45,70% tenían una puntuación total en el CSQH-PT superior a 48, que es el punto de corte establecido para el cribado de los trastornos del sueño en la población portuguesa. Se encontró una asociación significativa entre niveles altos de síntomas de TDAH y un nivel educativo materno más bajo (p < 0,001), una menor duración del sueño (p = 0,049) y mayores puntuaciones en las subescalas de parasomnias (p = 0,019) y de trastornos respiratorios del sueño (p = 0,002).
El TDAH y los problemas de sueño son comunes en los preescolares de Oporto, y el presente estudio sugiere algunas correlaciones clínicas entre ambos. Dado que estas interacciones son complejas y están lejos de ser dilucidadas, es fundamental realizar más estudios para orientar las estrategias de prevención y de intervención temprana en los niños más pequeños con riesgo de TDAH.</abstract><cop>Spain</cop><pub>Elsevier España, S.L.U</pub><pmid>36932019</pmid><doi>10.1016/j.anpede.2023.01.010</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Attention deficit and hyperactivity disorder Attention Deficit Disorder with Hyperactivity - complications Child Child, Preschool Cross-Sectional Studies Female Humans Male Niño Preescolar Preschool Sleep Sleep Apnea Syndromes Sleep disorders Sleep Wake Disorders - diagnosis Sleep Wake Disorders - epidemiology Television Televisión Trastorno por déficit de atención con hiperactividad Trastornos del sueño |
| title | Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers |
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