Caregivers' difficulty in managing sleep behaviors of children with attention-deficit/hyperactivity disorder and related factors during the COVID-19 pandemic.

Dear Editor Changes in daily routines, closure of schools, reducing outdoor activities, and psychological stress due to the COVID-19 pandemic may change sleep behaviors in children during the COVID-19 pandemic. Managing sleep behaviors of children is a challenge encountered by the caregivers of children with attention-deficit/ hyperactivity disorder (ADHD). Given that sleep disturbances may worsen child psychosocial quality of life and impaired child daily functioning, caregivers' difficulty in managing sleep behaviors of children with ADHD during the COVID-19 pandemic and the factors related to this difficulty warrant further investigation. We recruited 252 caregivers (200 women and 52 men; mean age = 42.23 years; SD = 8.34 years) of children with ADHD from the child psychiatric outpatient clinics of two medical centers in Taiwan into this study between August 2021 and January 2022. The mean age of their children (200 boys and 52 girls) was 9.61 (SD = 2.39)