Dikkat Eksikliği Hiperaktivite Bozukluğu olan Çocuk ve Ergenlerde Uyku Bozuklukları ve Melatonin Tedavisi

Hatice Altun; Semiha Cömertoğlu Arslan

doi:10.17517/ksutfd.1412903

EN TR

Sleep Disorders and Melatonin Treatment in Children and Adolescents with Attention Deficit Hyperactivity Disorder

Abstract

Sleep disorders are common in attention deficit hyperactivity disorder (ADHD). Sleep problems can exacerbate ADHD symptoms and hurt the lives and mental health of children and their families. The etiology of sleep problems in children with ADHD is multifactorial and may be due to specific primary sleep disorders, biological factors, behavioral factors (such as boundary setting disorder), socio-environmental, and family factors, the effect of pharmacological treatment, or comorbid disorders. Early recognition and a timely approach may contribute to reducing the severity of ADHD symptoms. First-line therapy in the management of sleep disorders in children with ADHD should include good sleep hygiene, parental sleep education, and behavioral treatment approaches. If these strategies fail, pharmacological interventions may be necessary, but evidence for pharmacological treatment of sleep disorders in ADHD is limited. Melatonin is frequently used in sleep disorders due to its efficacy, good tolerability, and safety. It provides improvement in sleep onset, decrease in sleep latency, and increase in total sleep time. However, there is a need for studies evaluating the effectiveness, long-term results, and drug-drug interactions of melatonin in children with ADHD.

Keywords

Attention deficit hyperactivity disorder , sleep , insomnia , sleep disorder , pharmaological treatment , melatonin

Dikkat Eksikliği Hiperaktivite Bozukluğu olan Çocuk ve Ergenlerde Uyku Bozuklukları ve Melatonin Tedavisi

Öz

Dikkat eksikliği hiperaktivite bozukluğu (DEHB)’nda uyku bozuklukları çok yaygındır. Uyku sorunları DEHB semptomlarını tetikleyebilir veya şiddetlendirebilir, çocukların ve ailelerinin yaşamlarını ve ruhsal sağlığını olumsuz etkileyebilir. DEHB'li çocuklarda uyku sorunlarının etiyolojisi multifaktöriyel olup spesifik birincil uyku bozukluklarına, biyolojik faktörlere, davranışsal faktörlere (sınır belirleme bozukluğu gibi), sosyo-çevresel ve ailesel faktörlere, farmakolojik tedavilerin etkisine veya eşlik eden hastalıklara bağlı olabilir. Erken tanınması ve zamanında yaklaşım DEHB belirtilerinin şiddetinin azaltılmasına katkıda bulunabilir. DEHB'li çocuklarda uyku bozuklukları yönetiminde birinci basamak tedavi; iyi uyku hijyeni, ebeveynlerin uyku eğitimi ve davranışsal tedavi yaklaşımlarını içermelidir. Bu stratejiler başarısız olursa farmakolojik müdahaleler gerekli olabilir ancak DEHB’de uyku bozukluklarının farmakolojik tedavisine yönelik kanıtlar sınırlıdır. Melatonin, uyku bozukluklarında etkinliği, iyi tolere edilebilirliği ve güvenilirliği nedeniyle sıklıkla kullanılmakta olup, özellikle uyku başlangıcında ilerleme, uyku latansında azalma ve total uyku süresinde artma sağlamaktadır. Ancak DEHB’li çocuklarda melatoninin etkinliğini, uzun vadeli sonuçlarını, diğer ilaçlarla etkileşimini değerlendiren çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Dikkat eksikliği hiperaktivite bozuukluğu , uyku , insomnia , uyku bozuklukları , farmakolojik tedavi , melatonin

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Details

Primary Language

Turkish

Subjects

Health Services and Systems (Other)

Journal Section

Review

Authors

Hatice Altun ^*
0000-0002-6802-8216
Türkiye

Semiha Cömertoğlu Arslan
0000-0002-2296-5853
Türkiye

Early Pub Date

March 24, 2025

Publication Date

March 24, 2025

Submission Date

January 2, 2024

Acceptance Date

January 23, 2024

Published in Issue

Year 2025 Volume: 20 Number: 1

DOI

https://doi.org/10.17517/ksutfd.1412903

IZ

https://izlik.org/JA65HX79FG

AMA

1.Altun H, Cömertoğlu Arslan S. Dikkat Eksikliği Hiperaktivite Bozukluğu olan Çocuk ve Ergenlerde Uyku Bozuklukları ve Melatonin Tedavisi. KSU Medical Journal. 2025;20(1):78-87. doi:10.17517/ksutfd.1412903

Sleep Disorders and Melatonin Treatment in Children and Adolescents with Attention Deficit Hyperactivity Disorder

Abstract

Keywords

Dikkat Eksikliği Hiperaktivite Bozukluğu olan Çocuk ve Ergenlerde Uyku Bozuklukları ve Melatonin Tedavisi

Öz

Anahtar Kelimeler

References

Details

Primary Language

Subjects

Journal Section

Authors

Early Pub Date

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

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