Exploring the Association Between ADHD, Sleep, and Homework Problems: The Role of Behavioral Indicators of Neuropsychological Functioning.

IF 2.7 3区 医学 Q2 PSYCHIATRY
Liv Smets, Finja Marten, Lena Keuppens, Dieter Baeyens, Bianca E Boyer, Saskia Van der Oord
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Abstract

Objective: Around 70% of adolescents with ADHD experience sleep and/or homework problems. Both impairments have been previously associated with neuropsychological deficits but have not been simultaneously examined in adolescents with ADHD and clinical sleep problems. Therefore, this study investigated how sleep problems are associated with homework problems and how parent-rated behavioral indicators of neuropsychological functioning are part of this association in adolescents with ADHD.

Method: Parental ratings of homework problems (HPC) and behavioral indicators of neuropsychological functioning (CAMEL) of adolescents with ADHD and comorbid sleep problems (ADHD/sleep; n = 53), adolescents with ADHD only (n = 24), and neurotypical adolescents (NT; n = 53) were collected. Homework problems and behavioral indicators of neuropsychological functioning were compared between the three groups. A path analysis was performed to investigate whether the behavioral indicators of neuropsychological functioning are part of the relation between sleep problems in ADHD and homework problems.

Results: We found no differences for either homework problems or behavioral indicators of neuropsychological functioning between the ADHD/sleep and ADHD only groups, except for a small significant difference in arousal regulation, but both ADHD groups showed more homework problems and behavioral indicators of weaker neuropsychological functioning compared to the NT group. Behavioral indicators of weaker neuropsychological functioning were related to the increased homework problems experienced in the ADHD/sleep and ADHD only groups compared to NT.

Conclusion: In adolescents with ADHD, sleep problems were not associated with more homework problems by weaker behavioral indicators of neuropsychological functioning. However, regardless of sleep problems, the behavioral indicators of neuropsychological functioning relate to the homework problems in adolescents with ADHD.

探索ADHD、睡眠和家庭作业问题之间的关系:神经心理功能行为指标的作用。
目的:大约70%患有多动症的青少年有睡眠和/或家庭作业问题。这两种损伤先前都与神经心理缺陷有关,但尚未同时在患有多动症和临床睡眠问题的青少年中进行检查。因此,本研究调查了睡眠问题与家庭作业问题之间的关系,以及父母评价的神经心理功能行为指标在ADHD青少年中是如何成为这种关系的一部分的。方法:父母对青少年ADHD伴发睡眠问题(ADHD/sleep)的作业问题评分(HPC)和神经心理功能行为指标(CAMEL);n = 53),仅患有ADHD的青少年(n = 24),以及神经正常的青少年(NT;N = 53)。比较三组学生的作业问题和神经心理功能行为指标。通过通径分析,探讨神经心理功能的行为指标是否是ADHD睡眠问题与家庭作业问题之间关系的一部分。结果:我们发现ADHD/sleep组和ADHD组在作业问题和神经心理功能行为指标上没有差异,除了唤醒调节有微小的显著差异,但ADHD组和NT组相比,都出现了更多的作业问题和较弱的神经心理功能行为指标。与非多动症组相比,神经心理功能较弱的ADHD/睡眠组和仅ADHD组的行为指标与作业问题的增加有关。结论:在患有ADHD的青少年中,睡眠问题与作业问题的增加无关,神经心理功能较弱的行为指标与作业问题的增加无关。然而,不考虑睡眠问题,神经心理功能的行为指标与ADHD青少年的作业问题有关。
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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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