Dikkat Eksikliği Hiperaktivite Bozukluğu Olan Çocuklarda Uyku Sorunları ve Klinik Değişkenlerle İlişkisi

P. Öner; Ö.ş. Üneri; B. Rezaki; Ş. Bodur

doi:10.1501/Kriz_0000000274

Sleep Problems and Their Clinical Correlations in Children with Attention Deficit Hyperactivity Disorder

Yıl 2008, Cilt: 16 Sayı: 2, 25 - 32, 01.06.2008

P. Öner Ö.ş. Üneri B. Rezaki Ş. Bodur

https://doi.org/10.1501/Kriz_0000000274

Öz

Purpose: Results from both subjective andobjective studies have reported that childrenwith Attention Deficit Hyperactivity Disorder (ADHD) had higher sleep-related problems than
controls. The aim of the study is to assess the
relationship between sleep problems and ADHD
subtypes and ADHD comorbidities. Method:
Subjects were 73 ADHD patients and 41 healthy
controls mean age of 8,9 ± 2,8 (SD) who diagnosed
with Kiddie –SADS-Present and Lifetime
version (KSADS-PL), a semi-structured clinical
schedule. Parents completed Pediatric Sleep
Questionnaire (PSQ) to assess sleep-related
problems. Findings: Subjects with ADHD had
higher PSQ Behavior, Sleepiness and Other
Problems scores when compared with control
subjects. ADHD subjects also had higher
Breathing score, which showed a statistical
trend to significance (p=0.08). PSQ Sleepiness,
Breathing and Other problems scores were not
different between subjects with combined type
or inattnetive types of ADHD. Comorbidity did
not significantly effect PSQ scores. Results:
The results are compatible with the previous literature
and showed that ADHd cases have significantly
higher sleep-related problems, but
there is no significant relationship between
ADHD comorbidities and level of sleep problems.

Anahtar Kelimeler

Child, sleep, Attention Deficit Hyperactivity Disorder (ADHD), Pediatric Sleep Questionnaire (PSQ), comorbidity

Kaynakça

Biederman J, Faraone SV (2005) Attention De- ficit Hyperactivity Disorder. Lancet 366(9481): 237- 248.
Chervin RD, Archbold KH (2001) Associations Between Symptoms of Attention, Hyperactivity, Rest- less Legs and Periodic Leg Movements. Sleep, 25: 213-215.
Chervin RD, Hedger K, Dillon JE, Pituch KJ (2000) Pediatric Sleep Questionnaire (PSQ): Validity and Relaibility of Scales for Sleep-Disordered Bre- athing, Snoring, Sleepiness and Behavioral Prob- lems. Sleep Med, 1(1): 21-32.
Corkum P, Tannock R, Moldofsky H (1998) Sleep Disturbances in Children with Attention Deficit Hyperactivity Disorder. J Am Acad Child Adolesc Psychiatry, 37(6): 637-646.
Cortese S, Konofal E, Yateman N, Mouren MC, Lecendeux M (2006) Sleep and Alertness in Children with Attention Deficit Hyperactivity Disorder: A Sys- tematic Review of the Literature. Sleep, 29 (4): 504- 511.
Crabtree VM, Ivanenko A, Gozal D (2003) Clinical and Parentel Assessment of Sleep in Children with Attention Deficit/Hyperactivity Disorder Refferred to A Pediatric Sleep Medicine Center. Clin Pediatr, 42: 807-813.
Diagnostic and Statistical Manuel of Mental Disorders, 4th ed. (2004) American Psychiatric Asso- ciation ed., Washington.
Efron D, Jarman F, Barker M (1997) Side Effects of Methylphenidate and Dextroamphetamine in Children with Attention Deficit Hyperactivity Disorder: A Double-Blind, Crossover Trial. Pediatrics, 100: 662- 666.
Golan N, Shahar E, Ravid S, Pillar G (2004) Sleep Disorders and Day Time Sleepiness in Children with Attention Deficit Hyperactivity Disorder. Sleep, 27: 261-266.
Gökler B, Ünal F, Pehlivantürk B, Kültür EÇ, Akdemir D, Taner Y (2004) Okul Çağı Çocukları İçin Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi -Şimdi ve Yaşam Boyu Şekli- Türkçe Uyar- lamasının Geçerlik ve Güvenirliği. Çocuk ve Ergen Ruh Sağlığı Dergisi 11(3): 109-116.
Huang YS, Chen NH, Li HY, Wu YY, Chao CC, Guilleminault C (2004) Sleep Disorders in Taiwanese Children with Attention Deficit Hyperactivity Disorder. J Sleep Res, 13: 269-277.
Kaufman J, Birmaher B, Brent DA, Rao U, Flynn C, Moreci P, Williamson D, Ryan ND (1997) Schedule for Affective Disorders and Schizophrenia for School- Age Children Present and Lifetime Version (K-SADS- PL): Initial Relaibility and Validity Dat. J Am Acad Child Adolesc Psychiatry, 36(7): 545-553.
Owens JA (2005) The ADHD and Sleep Conondrum: A Review. J Dev Behav Pediatr, 26(4): 312-322.
Owens JA, Maxim R, Nobile C, Mcguinn M, Msall M (2000) Parental and Self-Report of Sleep in Children with Attention Deficit Hyperactivity Disorder. Arch Pediatr Adolesc Med, 154: 549-555.
Van Der Heijden KB, Smiths MG, Gunning WB (2005) Sleep-Related Disorders in ADHD: A Review. Clin Pediatr, 44(3): 201-210.