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SAGE Publications, Australian and New Zealand Journal of Psychiatry, 5(39), p. 373-377, 2005

DOI: 10.1080/j.1440-1614.2005.01584.x

SAGE Publications, Australian and New Zealand Journal of Psychiatry, 5(39), p. 373-377

DOI: 10.1111/j.1440-1614.2005.01584.x

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Dyssomnia in children diagnosed with attention deficit hyperactivity disorder: a critical review

Journal article published in 2005 by Gabrielle L. Bullock, Ulrich Schall ORCID
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Objective: Studies prior to 1999 reported prevalent sleep disturbances in children diagnosed with attention deficit hyperactivity disorder (ADHD). However, these reports were largely inconclusive and inconsistent in their findings, hence the current review based on studies published thereafter. Method: An online research of the National Library of Medicine and the Cochrane Library was conducted using the terms ‘attention deficit hyperactivity disorder’, ‘sleep’, ‘human’, and ‘English language’. Results: Sixteen articles met the search criteria with 10 reporting objective measures of sleep characteristics (i.e. polysomnography, actigraphy, and/or video recording). These studies confirm an increase of rapid eye movement (REM) sleep latency and a proportional decrease of REM sleep in children diagnosed with ADHD. Stimulant treatment appears to have little effect on sleep quality while parent's reports of poor sleep in their ADHD-diagnosed offspring was largely inconsistent with the objective measures. Conclusions: The review demonstrated a link between disturbances in sleep architecture and ADHD. Whether this is of an intrinsic or extrinsic cause remains debateable, as both behavioural (parental reporting) and physiological (objective differences in sleep architecture) factors are indicated. The effect of stimulant medication on sleep also requires further research, as current evidence is limited by study design.