nach oben

European Child & Adolescent Psychiatry

Erschienen in:

01.12.2012 | Original Contribution

Attention-deficit/hyperactivity disorder (ADHD) and adaptation night as determinants of sleep patterns in children

verfasst von: Roumen Kirov, Henrik Uebel, Bjoern Albrecht, Tobias Banaschewski, Juliana Yordanova, Aribert Rothenberger

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 12/2012

Einloggen, um Zugang zu erhalten

Abstract

Sleep problems are a prominent feature in children with attention-deficit/hyperactivity disorder (ADHD) but their relationships to sleep structure are not consistent across studies. We aimed at further examining the sleep architecture in children with ADHD, while considering the role of the first-night effect (FNE) as a possible confounder. Twenty unmedicated children with ADHD combined type (8–15 years old; mean 11.24, SD 2.31) and 19 healthy controls, matched for age and gender, underwent polysomnography during an adaptation and a consecutive second night. ADHD and controls displayed a typical FNE without group differences. Independently of testing night, children with ADHD spent more time in sleep and had shortened rapid eye movement (REM) sleep latency and a greater amount of REM sleep relative to controls. However, the increased REM sleep amount in ADHD children was more expressed in the second night when it was also significantly related to scores of inattention and hyperactivity. Our results (1) document similar sleep adaptation processes in children with ADHD and typically developing children, (2) reveal that REM sleep changes in association with ADHD-specific psychopathology may characterize sleep in ADHD children, which is evident only when the FNE is accounted for, (3) indicate that ADHD psychopathology and adaptation night may exert opposite effects on REM sleep in children. These results may prompt the awareness of clinicians about the importance of actual sleep alterations and their precise evaluation in children with ADHD, which could significantly contribute to better diagnostic, treatment and early prevention strategies.

American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington DC

Brown TE, McMullen WJ Jr (2001) Attention deficit disorders and sleep/arousal disturbance. Ann NY Acad Sci 931:271–286PubMedCrossRef

Kirov R, Kinkelbur J, Banaschewski T, Rothenberger A (2007) Sleep patterns in children with attention-deficit/hyperactivity disorder, tic disorder, and comorbidity. J Child Psychol Psychiatry 48:561–570PubMedCrossRef

Gruber R (2009) Sleep characteristics of children and adolescents with attention deficit-hyperactivity disorder. Child Adolesc Psychiatr Clin N Am 18:863–876PubMedCrossRef

American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association, Washington DC

American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association, Washington DC

Owens JA (2009) A clinical overview of sleep and attention-deficit/hyperactivity disorder in children and adolescents. J Can Acad Child Adolesc Psychiatry 18(2):92–102PubMed

Spruyt K, Gozal D (2011) Sleep disturbances in children with attention-deficit/hyperactivity disorder. Expert Rev Neurother 11:565–577PubMedCrossRef

Silvestri R, Aricò I (2012) Sleep disorders diagnosis and management in children with attention deficit/hyperactivity disorder (ADHD). In: Idzikowski C (ed) Sleep disorders. InTech, Rijeca, pp 31–46 ISBN: 978-953-51-0293-9

10.

Yoon SY, Jain U, Shapiro C (2012) Sleep in attention-deficit/hyperactivity disorder in children and adults: past, present, and future. Sleep Med Rev 16(4):371–388PubMedCrossRef

11.

Konofal E, Lecendreux M, Cortese S (2010) Sleep and ADHD. Sleep Med 11:652–658PubMedCrossRef

12.

Jan YW, Yang CM, Huang YS (2011) Comorbidity and confounding factors in attention-deficit/hyperactivity disorder and sleep disorders in children. Psychol Res Behav Manag 4:139–150PubMed

13.

Tsai MH, Huang YS (2010) Attention-deficit/hyperactivity disorder and sleep disorders in children. Med Clin North Am 94:615–632PubMedCrossRef

14.

Huang YS, Tsai MH, Guilleminault C (2011) Pharmacological treatment of ADHD and the short and long term effects on sleep. Curr Pharm Des 17:1450–1458PubMedCrossRef

15.

Cohen-Zion M, Ancoli-Israel S (2004) Sleep in children with attention-deficit hyperactivity disorder (ADHD): a review of naturalistic and stimulant intervention studies. Sleep Med Rev 8:379–402PubMedCrossRef

16.

Diekelmann S, Born J (2010) The memory function of sleep. Nat Rev Neurosci 11:114–126PubMedCrossRef

17.

Kirov R, Brand S (2012) The memory, cognitive and psychological functions of sleep: update from electroencephalographic and neuroimaging studies. In: Bright P (ed) Neuroimaging—cognitive and clinical neuroscience. InTech, Rijeca, pp 155–180 ISBN: 978-953-51-0606-7

18.

Roffwarg HP, Muzio JN, Dement WC (1966) Ontogenetic development of the human sleep-dream cycle. Science 152:604–619PubMedCrossRef

19.

Schmidt LA, Segalowitz SJ (2008) Developmental psychophysiology: theory, systems, and methods. Cambridge University Press, New York ISBN: 978-0-521-82106-3

20.

Brand S, Kirov R (2011) Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions. Int J Gen Med 4:425–442PubMedCrossRef

21.

Cortese S, Konofal E, Yateman N, Mouren MC, Lecendreux M (2006) Sleep and alertness in children with attention-deficit/hyperactivity disorder: a systematic review of the literature. Sleep 29:504–511PubMed

22.

Cortese S, Faraone SV, Konofal E, Lecendreux M (2009) Sleep in children with attention-deficit/hyperactivity disorder: meta-analysis of subjective and objective studies. J Am Acad Child Adolesc Psychiatry 48:894–908PubMed

23.

Millichap JG, Millichap JJ, Stack CV (2011) Utility of the electroencephalogram in attention deficit hyperactivity disorder. Clin EEG Neurosci 42:180–184PubMedCrossRef

24.

Sadeh A, Pergamin L, Bar-Haim Y (2006) Sleep in children with attention-deficit hyperactivity disorder: a meta-analysis of polysomnographic studies. Sleep Med Rev 10:381–398PubMedCrossRef

25.

Kirov R, Pillar G, Rothenberger A (2004) REM-sleep changes in children with attention-deficit/hyperactivity disorder: methodologic and neurobiologic considerations. Sleep 27:1215PubMed

26.

Agnew HW Jr, Webb WB, Williams RL (1966) The first-night effect: an EEG study of sleep. Psychophysiology 2:263–266PubMedCrossRef

27.

Browman CP, Cartwright RD (1980) The first-night effect on sleep and dreams. Biol Psychiatry 15:809–812PubMed

28.

Scholle S, Scholle HC, Kemper A, Glaser S, Rieger B, Kemper G, Zwacka G (2003) First-night effect in children and adolescents undergoing polysomnography for sleep-disordered breathing. Clin Neurophysiol 114:2138–2145PubMedCrossRef

29.

Verhulst SL, Schrauwen N, De Backer WA, Desager KN (2006) First-night effect for polysomnographic data in children and adolescents with suspected sleep disordered breathing. Arch Dis Child 91:233–237PubMedCrossRef

30.

Kirov R, Kinkelbur J, Heipke S, Kostanecka-Endress T, Westhoff M, Cohrs S, Ruther E, Hajak G, Banaschewski T, Rothenberger A (2004) Is there a specific polysomnographic sleep pattern in children with attention deficit/hyperactivity disorder? J Sleep Res 13:87–93PubMedCrossRef

31.

O’Brien LM, Holbrook CR, Mervis CB, Klaus CJ, Bruner JL, Raffield TJ, Rutherford J, Mehl RC, Wang M, Tuell A, Hume BC, Gozal D (2003) Sleep and neurobehavioral characteristics of 5- to 7-year old children with parentally reported symptoms of attention-deficit/hyperactivity disorder. Pediatrics 111:554–563PubMedCrossRef

32.

O’Brien LM, Ivanenko A, Crabtree VM, Holbrook CR, Bruner JL, Klaus CJ, Gozal D (2003) Sleep disturbances in children with attention deficit hyperactivity disorder. Pediatr Res 54:237–243PubMedCrossRef

33.

Gruber R, Xi T, Frenette S, Robert M, Vannasinh P, Carrier J (2009) Sleep disturbances in prepubertal children with attention deficit hyperactivity disorder: a home polysomnography study. Sleep 32:343–350PubMed

34.

Golan N, Shahar E, Ravid S, Pillar G (2004) Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactive disorder. Sleep 27:261–266PubMed

35.

Prehn-Kristensen A, Göder R, Fischer J, Wilhelm I, Seeck-Hirschner M, Aldenhoff J, Baving L (2011) Reduced sleep-associated consolidation of declarative memory in attention-deficit/hyperactivity disorder. Sleep Med 12:672–679PubMedCrossRef

36.

Palm L, Persson E, Bjerre I, Elmqvist D, Blennow G (1992) Sleep and wakefulness in preadolescent children with deficits in attention, motor control and perception. Acta Paediatr 81:618–624PubMedCrossRef

37.

Prihodova I, Paclt I, Kemlink D, Skibova J, Ptacek R, Nevsimalova S (2010) Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactivity disorder: a two-night polysomnographic study with a multiple sleep latency test. Sleep Med 11:922–928PubMedCrossRef

38.

Busby K, Pivik RT (1985) Auditory arousal thresholds during sleep in hyperkinetic children. Sleep 8:332–341PubMed

39.

Busby K, Firestone P, Pivik RT (1981) Sleep patterns in hyperkinetic and normal children. Sleep 4:366–383PubMed

40.

Tewes U (1999) Hamburg-Wechsler-intelligenztest für kinder III. In: Rossmann P, Schallenberger U (eds) Third revision of HAWIK-R. Huber, Bern ISBN: 978-3-456-83005-6

41.

Achenbach TM, Edelbrock C (1983) Manual for the child behavior checklist and revised child behavior profile. University of Vermont, Burlington ISBN: 0-8058-1368-3

42.

Goyette CH, Conners CK, Ulrich RF (1978) Normative data on revised Conners parent and teacher rating scales. J Abnorm Child Psychol 6:221–236PubMedCrossRef

43.

Berg C, Rapoport J, Flament M (1986) The Leyton obsessional inventory—child version. J Am Acad Child Adolesc Psychiatry 25:84–91CrossRef

44.

Rechtschaffen A, Kales A (1968) A manual of standardized terminology techniques and scoring system for sleep stages in human subjects. US Department of Health, Education and Welfare, Public Health Service. US Government Printing Office, Washington DC

45.

Diagnostic Classification Steering Committee, Thorpy MJ (1990) Periodic limb movement disorder. International classification of sleep disorders: diagnostic and coding manual. American Sleep Disorders Association, Rochester, pp 69–71

46.

American Thoracic Society (1996) Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med 153:173–184

47.

Picchietti MA, Picchietti DL, England SJ, Walters AS, Couvadelli BV, Lewin DS, Hening W (2009) Children show individual night-to-night variability of periodic limb movements in sleep. Sleep 32:530–535PubMed

48.

Biederman J, Faraone SV (2005) Attention-deficit hyperactivity disorder. Lancet 366:237–248PubMedCrossRef

49.

Pliszka SR (2005) The neuropsychopharmacology of attention-deficit/hyperactivity disorder. Biol Psychiatry 57:1385–1390PubMedCrossRef

50.

Pace-Schott EF, Hobson JA (2002) The neurobiology of sleep: genetics, cellular physiology and subcortical networks. Nat Rev Neurosci 3:591–605PubMed

51.

Monti JM, Monti D (2007) The involvement of dopamine in the modulation of sleep and waking. Sleep Med Rev 11:113–133PubMedCrossRef

52.

Cortese S, Konofal E, Bernardina BD, Mouren MC, Lecendreux M (2009) Sleep disturbances and serum ferritin levels in children with attention-deficit/hyperactivity disorder. Eur Child Adolesc Psychiatry 18:393–399PubMedCrossRef

53.

Cortese S, Azoulay R, Castellanos FX, Chalard F, Lecendreux M, Chechin D, Delorme R, Sebag G, Sbarbati A, Mouren MC, Bernardina BD, Konofal E (2012) Brain iron levels in attention-deficit/hyperactivity disorder: a pilot MRI study. World J Biol Psychiatry 13:223–231PubMedCrossRef

54.

Sobanski E, Banaschewski T, Asherson P, Buitelaar J, Chen W, Franke B, Holtmann M, Krumm B, Sergeant J, Sonuga-Barke E, Stringaris A, Taylor E, Anney R, Ebstein RP, Gill M, Miranda A, Mulas F, Oades RD, Roeyers H, Rothenberger A, Steinhausen HC, Faraone SV (2010) Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): clinical correlates and familial prevalence. J Child Psychol Psychiatry 51:915–923PubMedCrossRef

55.

Uekermann J, Kraemer M, Abdel-Hamid M, Schimmelmann BG, Hebebrand J, Daum I, Wiltfang J, Kis B (2010) Social cognition in attention-deficit hyperactivity disorder (ADHD). Neurosci Biobehav Rev 34:734–743PubMedCrossRef

56.

Walker MP (2010) Sleep, memory and emotion. Prog Brain Res 185:49–68PubMedCrossRef

Titel: Attention-deficit/hyperactivity disorder (ADHD) and adaptation night as determinants of sleep patterns in children
verfasst von: Roumen Kirov
Henrik Uebel
Bjoern Albrecht
Tobias Banaschewski
Juliana Yordanova
Aribert Rothenberger
Publikationsdatum: 01.12.2012
Verlag: Springer-Verlag
Erschienen in: European Child & Adolescent Psychiatry / Ausgabe 12/2012
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-012-0308-3

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2012

Gender-specific early risk factors for delinquent behavior of Korean youth: a 6- to 8-year longitudinal study

Characteristics of Type D personality in Korean adolescents

European child and adolescent psychiatry—endorse the importance of prospective longitudinal study designs

The association between formal thought disorder and finger print asymmetry in children with a psychiatric disorder: an exploratory study