"Tell Me More About Your Child's Sleep": A Qualitative Investigation Of Sleep Problems In Children With ADHD.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY

Behavioral Sleep Medicine Pub Date : 2024-05-01 Epub Date: 2023-09-04 DOI:10.1080/15402002.2023.2253947

Upasana Bondopadhyay, Jane McGrath, Andrew N Coogan

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引用次数: 0

Abstract

Objective: To investigate parental experiences and perceptions of sleep problems in their children with Attention Deficit Hyperactivity Disorder (ADHD), the perceived impacts of sleep problems and coping strategies deployed by parents.

Methods: Semi-structured interviews with twenty-six parents of pre-adolescent children with a diagnosis of ADHD, followed by thematic analysis of the interview transcripts.

Results: Three themes were generated from the data: Children's Sleep Difficulties; Impacts of Children's Sleep; and Improving Children's Sleep. Sleep initiation problems in children with ADHD were commonly reported by parents, were perceived to be linked in a bidirectional manner with executive and emotional problems, and were reported as being disruptive to parental sleep. Some parents reported that their children's sleep problems were the initial prompt that lead to a diagnosis of ADHD. Parents reported utilizing a range of coping strategies to mitigate sleep problems, such as controlling the bedroom sensory environment and using emotional "wind down" as part of the bedtime routine. Some parents endorsed a beneficial effect of melatonin on their children's sleep.

Conclusions: Sleep problems in children with ADHD were perceived as important issues by parents. Equipping parents with evidence-based strategies for the management of their children's sleep may lead to benefits for the children, parents and wider household.

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"告诉我更多关于您孩子睡眠的信息"：对多动症儿童睡眠问题的定性调查。

目的调查家长对患有注意力缺陷多动障碍（ADHD）儿童睡眠问题的经历和看法、睡眠问题的影响以及家长采取的应对策略：方法：对 26 名被诊断患有注意力缺陷多动障碍（ADHD）的青春期前儿童的家长进行半结构式访谈，然后对访谈记录进行主题分析：结果：从数据中产生了三个主题：儿童睡眠困难；儿童睡眠的影响；改善儿童睡眠。多动症儿童的入睡问题是家长们普遍报告的问题，被认为与执行力和情绪问题有双向联系，并被报告为干扰了家长的睡眠。一些家长表示，孩子的睡眠问题是导致诊断为多动症的最初诱因。家长们报告说，他们采用了一系列应对策略来缓解睡眠问题，如控制卧室的感官环境，以及在睡前例行活动中使用情绪 "放松"。一些家长认可褪黑激素对儿童睡眠的有益影响：结论：多动症儿童的睡眠问题被家长视为重要问题。让家长掌握以证据为基础的儿童睡眠管理策略，可为儿童、家长和整个家庭带来益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.