Panacea Index Logo

Command Palette

Search for a command to run...

Sleep Problems in Children with Attention Deficit/Hyperactivity Disorder: Current Status of Knowledge and Appropriate Management.

Current psychiatry reports
August 1, 2016
Ming-Horng Tsai et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to provide updated information on the management of sleep problems in children with ADHD, including the potential use of melatonin.

Results Summary

Melatonin is identified as a potential treatment option for ADHD children with severe sleep problems, alongside other medications like atomoxetine and guanfacine. The abstract suggests that current practices are based on expert consensus, with emerging evidence from meta-analyses and randomized controlled trials.

Population

Children and adolescents with ADHD experiencing sleep problems.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
good sleep hygiene
decrease
sleep problems
ADHD children
-
can be considered as the first-line treatment option
#1
modifying the dose regimens, formulation, or alternative stimulants
decrease
sleep problems
ADHD children
-
when sleep problems are encountered
#2
atomoxetine
decrease
sleep problems
ADHD children with more severe sleep problems
-
potential choices for
#3
once daily guanfacine extended release
decrease
sleep problems
ADHD children with more severe sleep problems
-
potential choices for
#4
melatonin
decrease
sleep problems
ADHD children with more severe sleep problems
-
potential choices for
#5
Abstract

Attention deficit hyperactivity disorder (ADHD) affects approximately 5 % of children and adolescents, and sleep problems are common in these patients. There is growing evidence informing the significant importance of sleep problems in youth with ADHD. The sleep problems in children with ADHD include specific sleep disorders and sleep disturbances due to comorbid psychiatric disorders or ADHD medications. The specific sleep disorders of ADHD children include behaviorally based insomnia, sleep-disordered breathing, and restless legs syndrome/periodic limb movement disorder. Current practices on the management of sleep problems for ADHD children are based mostly on expert consensus, whereas more evidence-based literature can be found only recently. Assessment of the sleep conditions in ADHD children before initiation of pharmacotherapy is the currently recommended guideline, and good sleep hygiene can be considered as the first-line treatment option. In addition to modifying the dose regimens, formulation, or alternative stimulants when sleep problems are encountered in ADHD children, atomoxetine, once daily guanfacine extended release, and melatonin are potential choices for ADHD children with more severe sleep problems. In this review, we aimed to provide the most updated information, preferably based on meta-analyses, systemic review, and randomized controlled trials published in the latest 3 years, in order to be clinically useful for practitioners and clinicians.

Medical Subject Headings (MeSH)
AdolescentAttention Deficit Disorder with HyperactivityChildHumansSleep Wake Disorders
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations34
Citations/Year3.8
Relative Citation Ratio1.86
NIH Percentile72.3%
Research Impact Scores
APT Score0.75
Weight Score2.01
Normalized Score0.67
Related Supplements
Sleep Problems in Children with Attention Deficit/Hyperactiv... | Panacea Index