Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Apr 2008
Multicenter StudySleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family.
To determine the prevalence of sleep problems in children with attention-deficit/hyperactivity disorder (ADHD) and their associations with child quality of life (QOL), daily functioning, and school attendance; caregiver mental health and work attendance; and family functioning. ⋯ Sleep problems in children with ADHD are common and associated with poorer child, caregiver, and family outcomes. Future research needs to determine whether management of sleep problems can reduce adverse outcomes.
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Arch Pediatr Adolesc Med · Apr 2008
Agreement rates between actigraphy, diary, and questionnaire for children's sleep patterns.
To describe sleep-wake patterns in kindergarten children by measures derived from questionnaire, diary, and actigraphy and to report rates of agreement between methods according to Bland and Altman. ⋯ Actigraphy and diary may be interchangeably used for the assessment of sleep start, sleep end, and assumed sleep but not for nocturnal wake times. The diary is a cost-effective and valid source of information about children's sleep-schedule times, while actigraphy may provide additional information about nocturnal wake times or may be used if parents are unable to report in detail. It is insufficient to collect information by a questionnaire or an interview asking about children's normal sleep patterns.
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Arch Pediatr Adolesc Med · Apr 2008
Clinical TrialEffect of weight, sleep duration, and comorbid sleep disorders on behavioral outcomes in children with sleep-disordered breathing.
To assess the relative contribution of potential risk factors for adverse neurobehavioral outcomes in children referred for evaluation of sleep-disordered breathing (SDB), including weight, mean sleep duration, and comorbid sleep disorders. ⋯ The relationship between SDB and parent-reported behavioral outcomes in children is complex. In addition to SDB-related impairments, clinicians should consider the relative contributions of being overweight, insufficient sleep, and comorbid sleep disorders when assessing behavior in these children.