Skip to main content
  • Home
  • Articles
    • Archive from 2022 July
    • Archive 1960 to 2022 June
    • Accepted Articles
    • Published Ahead-of-Print
    • Supplement
  • About
  • For Authors
  • Podcasts

Sleep-related breathing disorder is associated with hyperactivity in preschoolers

< Back to Listing

Share this Article

Singapore Med J 2014; 55(5): 257-260; http://dx.doi.org/10.11622/smedj.2014068
Sleep-related breathing disorder is associated with hyperactivity in preschoolers

  • Abstract
  • PDF
  • References

Ren ZM, Qiu AL
Correspondence: Dr Zhimin Ren, rrzzmm1966@sina.com

ABSTRACT
INTRODUCTION Sleep problems are a prominent feature in children with attention deficit hyperactivity disorder (ADHD). Unlike existing studies that focused on extreme samples (i.e. normal vs. ADHD), our study investigated the associations of sleep-related behaviours and ADHD features in nonclinical Chinese preschoolers.
METHODS All participants were recruited via advertisements and screened for eligibility through a telephone interview prior to an onsite visit. The maternal reports of the Conners’ Parent Rating Scale (CPRS) and Pediatric Sleep Questionnaire (PSQ) were acquired from 110 Chinese preschoolers aged six years. Regression models were used to examine the association between CPRS and PSQ scores.
RESULTS The results obtained from regression models on the CPRS and PSQ scores of the 110 participants showed that none of the sleep-related behavioural measures (i.e. sleep-related breathing disorder [SRBD], snoring, daytime sleepiness, restless legs syndrome) was associated with inattention in our sample. However, worse SRBD was associated with higher hyperactivity.
CONCLUSION Our study underpins the importance of understanding the relationship between sleep-related behaviours and ADHD characteristics before the usual age of clinical diagnosis in children with ADHD.

Keywords: ADHD, Conners’ Parent Rating Scale, hyperactivity, inattention, sleep-related breathing disorder
Singapore Med J 2014; 55(5): 257-260; http://dx.doi.org/10.11622/smedj.2014068

http://smj.org.sg/sites/default/files/5505/5505a3.pdf

REFERENCES

1. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 2007; 164:942-8.
http://dx.doi.org/10.1176/appi.ajp.164.6.942
 
2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. 4th ed. Washington (DC): American Psychiatric Association, 1994.
 
3. Oguzturk O, Ekici M, Cimen D, Ekici A, Senturk E. Attention deficit/hyperactivity disorder in adults with sleep apnea. J Clin Psychol Med Settings 2013; 20:234-9.
http://dx.doi.org/10.1007/s10880-012-9331-2
 
4. Kirov R, Uebel H, Albrecht B, et al. Attention-deficit/hyperactivity disorder (ADHD) and adaptation night as determinants of sleep patterns in children. Eur Child Adolesc Psychiatry 2012; 21:681-90.
http://dx.doi.org/10.1007/s00787-012-0308-3
 
5. Sadeh A, Pergamin L, Bar-Haim Y. Sleep in children with attention-deficit hyperactivity disorder: a meta-analysis of polysomnographic studies. Sleep Med Rev 2006; 10:381-98.
http://dx.doi.org/10.1016/j.smrv.2006.03.004
 
6. Gaultney JF, Terrell DF, Gingras JL. Parent-reported periodic limb movement, sleep disordered breathing, bedtime resistance behaviors, and ADHD. Behav Sleep Med 2005; 3:32-43.
http://dx.doi.org/10.1207/s15402010bsm0301_5
 
7. Marcotte AC, Thacher PV, Butters M, et al. Parental report of sleep problems in children with attentional and learning disorders. J Dev Behav Pediatr 1998; 19:178-86.
http://dx.doi.org/10.1097/00004703-199806000-00005
 
8. van der Heijden KB, Smits MG, Gunning WB. Sleep-related disorders in ADHD: a review. Clin Pediatr (Phila) 2005; 44:201-10.
http://dx.doi.org/10.1177/000992280504400303
 
9. Scott N, Blair PS, Emond AM, et al. Sleep patterns in children with ADHD: a population-based cohort study from birth to 11 years. J Sleep Res 2013; 22:121-8.
http://dx.doi.org/10.1111/j.1365-2869.2012.01054.x
 
10. Shur-Fen Gau S. Prevalence of sleep problems and their association with inattention/hyperactivity among children aged 6-15 in Taiwan. J Sleep Res 2006; 15:403-14.
http://dx.doi.org/10.1111/j.1365-2869.2006.00552.x
 
11. Wu YW, Xing G, Fuentes-Afflick E, et al. Racial, ethnic, and socioeconomic disparities in the prevalence of cerebral palsy. Pediatrics 2011; 127:e674-81.
http://dx.doi.org/10.1542/peds.2010-1656
 
12. Biederman J, Faraone SV. Attention-deficit hyperactivity disorder. Lancet 2005; 366:237-48.
http://dx.doi.org/10.1016/S0140-6736(05)66915-2
 
13. Biederman J, Mick E, Faraone SV, et al. Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. Am J Psychiatry 2002; 159:36-42.
http://dx.doi.org/10.1176/appi.ajp.159.1.36
 
14. Arnold LE, Elliot M, Sachs L, et al. Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD. J Consult Clin Psychol 2003; 71:713-27.
http://dx.doi.org/10.1037/0022-006X.71.4.713
 
15. Gau SS, Soong WT, Chiu YN, Tsai WC. Psychometric properties of the Chinese version of the Conners' Parent and Teacher Rating Scales-Revised: Short Form. J Atten Disord 2006; 9:648-59.
http://dx.doi.org/10.1177/1087054705284241
 
16. Wang CH, Yang CM, Huang YS. The Validation and Reliability of Chinese Version of the Pediatric Sleep Questionnaire for Patients with Sleep Breathing Problem. Taiwan J Psychiatry 2012; 26:177-86.
 
17. Owens JA. The ADHD and sleep conundrum: a review. J Dev Behav Pediatr 2005; 26:312-22.
http://dx.doi.org/10.1097/00004703-200508000-00011
 
18. Cohen-Zion M, Ancoli-Israel S. Sleep in children with attention-deficit hyperactivity disorder (ADHD): a review of naturalistic and stimulant intervention studies. Sleep Med Rev 2004; 8:379-402.
http://dx.doi.org/10.1016/j.smrv.2004.06.002
 
19. Corkum P, Tannock R, Moldofsky H. Sleep disturbances in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1998; 37:637-46.
http://dx.doi.org/10.1097/00004583-199806000-00014
 
20. Silvestri R, Gagliano A, Arico I, et al. Sleep disorders in children with attention-deficit/hyperactivity disorder (ADHD) recorded overnight by video-polysomnography. Sleep Med 2009; 10:1132-8.
http://dx.doi.org/10.1016/j.sleep.2009.04.003
 
21. O'Brien LM, Holbrook CR, Mervis CB, et al. Sleep and neurobehavioral characteristics of 5- to 7-year-old children with parentally reported symptoms of attention-deficit/hyperactivity disorder. Pediatrics 2003; 111:554-63.
http://dx.doi.org/10.1542/peds.111.3.554
 
22. Konofal E, Lecendreux M, Cortese S. Sleep and ADHD. Sleep Med 2010; 11:652-8.
http://dx.doi.org/10.1016/j.sleep.2010.02.012
 
23. Owens JA, Maxim R, Nobile C, McGuinn M, Msall M. Parental and self-report of sleep in children with attention-deficit/hyperactivity disorder. Arch Pediatr Adolesc Med 2000; 154:549-55.
http://dx.doi.org/10.1001/archpedi.154.6.549
 
24. Ali NJ, Pitson DJ, Stradling JR. Snoring, sleep disturbance, and behaviour in 4-5 year olds. Arch Dis Child 1993; 68:360-6.
http://dx.doi.org/10.1136/adc.68.3.360
 
25. Ali NJ, Pitson D, Stradling JR. Sleep disordered breathing: effects of adenotonsillectomy on behaviour and psychological functioning. Eur J Pediatr 1996; 155:56-62.
http://dx.doi.org/10.1007/BF02115629
 
26. Beebe DW, Gozal D. Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits. J Sleep Res 2002; 11:1-16.
http://dx.doi.org/10.1046/j.1365-2869.2002.00289.x
 
27. O'Brien LM, Ivanenko A, Crabtree VM, et al. Sleep disturbances in children with attention deficit hyperactivity disorder. Pediatr Res 2003; 54:237-43.
http://dx.doi.org/10.1203/01.PDR.0000072333.11711.9A
 
28. Chervin RD, Archbold KH. Hyperactivity and polysomnographic findings in children evaluated for sleep-disordered breathing. Sleep 2001; 24:313-20.
PMid:11322714
 
29. Picchietti DL, Underwood DJ, Farris WA, et al. Further studies on periodic limb movement disorder and restless legs syndrome in children with attention-deficit hyperactivity disorder. Mov Disord 1999; 14:1000-7.
http://dx.doi.org/10.1002/1531-8257(199911)14:6<1000::AID-MDS1014>3.0.CO;2-P
 
30. Konofal E, Cortese S. Restless legs syndrome and attention-deficit/hyperactivity disorder. Ann Neurol 2005; 58:341-2.
http://dx.doi.org/10.1002/ana.20562
 
31. Cortese S, Konofal E, Lecendreux M, et al. Restless legs syndrome and attention-deficit/hyperactivity disorder: a review of the literature. Sleep 2005; 28:1007-13.
PMid:16218085
 
32. Qiu A, Crocetti D, Adler M, et al. Basal ganglia volume and shape in children with attention deficit hyperactivity disorder. Am J Psychiatry 2009; 166:74-82.
http://dx.doi.org/10.1176/appi.ajp.2008.08030426
×

Around the Site

Home

About SMJ

For Reviewers

Sign Up for Alerts

Issues

Current Issue

All Issues

Online First

Supplement

CME

For Authors

Instructions for Authors

Submit Manuscript


Follow us on:
        

More Links

Contact Us

Copyright

Advertise

SMJ Forms

Privacy Policy

SMA Home

Copyright 2021. Singapore Medical Association. All Rights Reserved.