A Study on Effect of Sleep Training Program in Children with ADHD: A Comparative Prospective Study

IF 0.4 Q4 PEDIATRICS
Henal Shah, Allauki Dani
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Abstract

To study complementary effect of sleep training program in children with attention deficit hyperactivity disorder (ADHD) receiving tablet methylphenidate with respect to sleep, quality of life (social, behavioral, emotional, and executive functioning of children), and their parent’s emotional state. It was a comparative and prospective study, and it was conducted in child mental health services of a tertiary care municipal hospital. The children (age 8−12 years) were diagnosed with ADHD using DSM 5 criteria. The children’s sleep habit questionnaire (CSHQ) and Kiddie-SADS-PL questionnaire (K-SADS-PL) were used to select 100 consecutive participants (parent–child dyad). They were randomly equally divided into two groups: A and B. Semi-structured proforma was filled and different scales were applied for children; these scales include Strengths and Difficulties Questionnaire (SDQ), Pediatric Quality of Life Inventory (PQLI), Stroop test (ST) and Verbal fluency test (VFT), and to parent-Depression Anxiety Stress Scale-21 (DASS-21). The participants in group A received a validated sleep intervention and the scales were reapplied after 12 weeks. We used Chi-square test, paired t-test, unpaired t-test, Wilcoxon signed-rank test, Mann-Whitney U test, Spearman’s correlation test, and logistic regression analysis for data analysis. p-Value <.05 was taken as significant. SPSS version 20 software was used for data analysis. We found significant post-intervention improvement in sleep, quality of life, social, emotional, behavioral, and executive functioning in children and emotional factors in parents. The combination of sleep intervention and tablet methylphenidate were more effective in improving these factors.
睡眠训练计划对多动症儿童的影响研究:前瞻性对比研究
研究睡眠训练计划对接受哌醋甲酯片剂治疗的注意力缺陷多动障碍(ADHD)儿童的睡眠、生活质量(儿童的社交、行为、情绪和执行功能)及其父母情绪状态的补充作用。这是一项前瞻性比较研究,在一家三级甲等市立医院的儿童心理健康服务处进行。根据 DSM 5 标准,这些儿童(8-12 岁)被诊断为多动症。研究使用儿童睡眠习惯问卷(CSHQ)和Kiddie-SADS-PL问卷(K-SADS-PL)连续选取了100名参与者(亲子二人组)。他们被随机平均分为两组,A 组和 B 组:填写了半结构化问卷,并对儿童采用了不同的量表;这些量表包括优势与困难问卷(SDQ)、儿童生活质量量表(PQLI)、斯特罗普测试(ST)和语言流畅性测试(VFT),对家长则采用了抑郁焦虑压力量表-21(DASS-21)。A 组参与者接受了有效的睡眠干预,并在 12 周后重新使用了这些量表。数据分析采用了卡方检验、配对 t 检验、非配对 t 检验、Wilcoxon 符号秩检验、Mann-Whitney U 检验、Spearman 相关性检验和逻辑回归分析。数据分析采用 SPSS 20 版软件。我们发现,干预后儿童的睡眠、生活质量、社交、情绪、行为和执行功能以及家长的情绪因素均有明显改善。睡眠干预与哌醋甲酯片剂相结合对改善这些因素更为有效。
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来源期刊
CiteScore
0.70
自引率
16.70%
发文量
0
期刊介绍: Journal of Indian Association for Child and Adolescent Mental Health (JIACAM) is a peer reviewed online journal. Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org) will be followed. JIACAM accepts original articles, review articles, case reports, conference announcements, summary of trials, letters to the editor and conference reports.
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