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Attention Deficit/Hyperactivity Disorder and Sleep in Children.

Sleep medicine clinics
June 1, 2015
John H Herman
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of Melatonin in treating sleep problems in children with ADHD.

Results Summary

The study found that Melatonin is an effective treatment for sleep problems in children with ADHD, though it noted that stimulant treatment for ADHD may disrupt sleep.

Population

Children with ADHD experiencing sleep problems.

Effective Dosage

Not available

Duration

Not available

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
-
no change
basic assumptions about ADHD in children and sleep
children with ADHD
-
not supported by research
#1
-
no change
disrupted sleep
children with hyperactivity or inattention
-
unclear
#2
-
increase
bedtime resistance
parents of children with ADHD
-
consistently report more
#3
-
no change
sleep is subsequently disrupted
children with ADHD
-
no objective evidence
#4
Treatment of ADHD with stimulants
decrease
sleep
children with ADHD
-
may disrupt
#5
-
decrease
sleep
patients with comorbid sleep or psychiatric disorders
-
consistently show that they disrupt
#6
Melatonin
decrease
sleep problems
children with ADHD
-
is an effective treatment
#7
Abstract

Basic assumptions about ADHD in children and sleep are not supported by research. It is unclear that children with hyperactivity or inattention have disrupted sleep. Parents of children with ADHD consistently report more bedtime resistance, but there is no objective evidence that sleep is subsequently disrupted. Treatment of ADHD with stimulants may disrupt sleep. Studies of comorbid sleep or psychiatric disorders consistently show that they disrupt sleep. Melatonin is an effective treatment of sleep problems in children with ADHD. Before any child is placed on stimulants, the pediatrician or other health care professional should insure that the child is obtaining adequate sleep.

Medical Subject Headings (MeSH)
AttentionAttention Deficit Disorder with HyperactivityChildComorbidityHumansImpulsive BehaviorSleepSleep Wake Disorders
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations11
Citations/Year1.1
Relative Citation Ratio0.59
NIH Percentile31.7%
Research Impact Scores
APT Score0.50
Weight Score1.60
Normalized Score0.69
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