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Association of parent-rated sleep disturbances with attention-deficit/hyperactivity disorder symptoms: 9-year follow-up of a population-based cohort study

Association of parent-rated sleep disturbances with attention-deficit/hyperactivity disorder symptoms: 9-year follow-up of a population-based cohort study
Association of parent-rated sleep disturbances with attention-deficit/hyperactivity disorder symptoms: 9-year follow-up of a population-based cohort study

OBJECTIVE: Symptoms of attention-deficit/hyperactivity disorder (ADHD) and sleep disturbances frequently co-occur, and can result in significant functional impairments that worsen quality of life. Despite a growing number of studies focusing on the association between sleep disturbances and ADHD symptoms over the last 20 years, the directionality of this association from childhood to early adulthood remains unclear.

METHOD: A sample of French parents (n = 1,055) were followed-up over a 9-year period. At children mean ages of 9, 13, and 18 years, parents were interviewed about their children's ADHD symptoms and sleep disturbances. Random-intercept cross-lagged panel models assessed the directionality of the association from childhood to early adulthood.

RESULTS: Parent-reported sleep disturbances at a mean age of 13 years predicted increased ADHD symptoms 5 years later. Additional analyses suggested that this effect might be limited to inattentive symptoms, and that ADHD symptoms at a mean age of 9 predicted increased sleep disturbances 4 years later.

CONCLUSION: The present study provides evidence of a directional longitudinal association between parent-reported sleep disturbances and ADHD symptoms from adolescence to early adulthood. Our results highlight the importance of identifying sleep disturbances and ADHD symptoms for the design of preventive interventions. Future studies investigating this association in children with a clinical diagnosis of ADHD have the potential to provide important information for clinical practice.

Adolescent, Adult, Attention Deficit Disorder with Hyperactivity/diagnosis, Child, Child, Preschool, Cohort Studies, Follow-Up Studies, Humans, Parents, Quality of Life, Sleep, Sleep Wake Disorders/epidemiology
1527-5418
244-252
Gosling, Corentin J
4b27a1d3-18fb-4be5-b199-e44aaa66c8b2
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Konofal, Eric
6328bf1a-74f1-4438-8c14-333ccc8931eb
Lecendreux, Michel
51135545-1b33-4540-8ba9-1e8a1cc57173
Faraone, Stephen V
11abe086-d301-4ca2-bbd5-d7a516be924f
Gosling, Corentin J
4b27a1d3-18fb-4be5-b199-e44aaa66c8b2
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Konofal, Eric
6328bf1a-74f1-4438-8c14-333ccc8931eb
Lecendreux, Michel
51135545-1b33-4540-8ba9-1e8a1cc57173
Faraone, Stephen V
11abe086-d301-4ca2-bbd5-d7a516be924f

Gosling, Corentin J, Cortese, Samuele, Konofal, Eric, Lecendreux, Michel and Faraone, Stephen V (2023) Association of parent-rated sleep disturbances with attention-deficit/hyperactivity disorder symptoms: 9-year follow-up of a population-based cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 62 (2), 244-252. (doi:10.1016/j.jaac.2022.05.013).

Record type: Article

Abstract

OBJECTIVE: Symptoms of attention-deficit/hyperactivity disorder (ADHD) and sleep disturbances frequently co-occur, and can result in significant functional impairments that worsen quality of life. Despite a growing number of studies focusing on the association between sleep disturbances and ADHD symptoms over the last 20 years, the directionality of this association from childhood to early adulthood remains unclear.

METHOD: A sample of French parents (n = 1,055) were followed-up over a 9-year period. At children mean ages of 9, 13, and 18 years, parents were interviewed about their children's ADHD symptoms and sleep disturbances. Random-intercept cross-lagged panel models assessed the directionality of the association from childhood to early adulthood.

RESULTS: Parent-reported sleep disturbances at a mean age of 13 years predicted increased ADHD symptoms 5 years later. Additional analyses suggested that this effect might be limited to inattentive symptoms, and that ADHD symptoms at a mean age of 9 predicted increased sleep disturbances 4 years later.

CONCLUSION: The present study provides evidence of a directional longitudinal association between parent-reported sleep disturbances and ADHD symptoms from adolescence to early adulthood. Our results highlight the importance of identifying sleep disturbances and ADHD symptoms for the design of preventive interventions. Future studies investigating this association in children with a clinical diagnosis of ADHD have the potential to provide important information for clinical practice.

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More information

Accepted/In Press date: 10 June 2022
e-pub ahead of print date: 17 June 2022
Published date: 3 February 2023
Additional Information: Copyright © 2022 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
Keywords: Adolescent, Adult, Attention Deficit Disorder with Hyperactivity/diagnosis, Child, Child, Preschool, Cohort Studies, Follow-Up Studies, Humans, Parents, Quality of Life, Sleep, Sleep Wake Disorders/epidemiology

Identifiers

Local EPrints ID: 476483
URI: http://eprints.soton.ac.uk/id/eprint/476483
ISSN: 1527-5418
PURE UUID: 3f75de7f-459e-4bbb-a3c4-b5e84d91d7e8
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075

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Date deposited: 03 May 2023 17:43
Last modified: 17 Mar 2024 03:37

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Contributors

Author: Corentin J Gosling
Author: Samuele Cortese ORCID iD
Author: Eric Konofal
Author: Michel Lecendreux
Author: Stephen V Faraone

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