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Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers

dc.contributor.authorGomes, Rita
dc.contributor.authorSousa, Bebiana
dc.contributor.authorGonzaga, Diana
dc.contributor.authorPrior, Catarina
dc.contributor.authorRios, Marta
dc.contributor.authorVaz Matos, Inês
dc.date.accessioned2024-07-23T09:27:29Z
dc.date.available2024-07-23T09:27:29Z
dc.date.issued2023-04
dc.description.abstractIntroduction: Sleep problems are frequent in children with attention-deficit/hyperactivity disorder (ADHD). Some authors have tried to characterize paediatric sleep habits in Portugal, but none has focused on preschool-age children nor attempted to establish their association with ADHD. We aimed to assess the prevalence of ADHD symptoms in preschool-age children and to study their association with sleep habits. Material and methods: We conducted a cross-sectional study. We distributed questionnaires to a random sample of caregivers of children enrolled in early childhood education centres in Porto. We collected data on sociodemographic characteristics, television watching and outdoor activities. We assessed ADHD symptoms and sleep habits with the Portuguese versions of the Conners' Parents Rating Scale, Revised and the Children's Sleep Habits Questionnaire (CSHQ-PT), respectively. Results: The study included 381 preschoolers (50.90% male). We found high scores for ADHD symptoms in 13.10%, with a higher prevalence in girls (14.40% vs. 11.85%; P = 0.276). In the CSHQ-PT, 45.70% of participants had a mean total score greater than 48, which is the cut-off point applied in the screening of sleep disturbances in the Portuguese population. There was a significant association between high scores for ADHD symptoms and a lower maternal education level (P < 0.001), a shorter sleep duration (P = 0.049), and higher scores on parasomnias (P = 0.019) and sleep disordered breathing (P = 0.002) in CSHQ-PT subscales. Conclusions: ADHD and sleep disorders are common in preschoolers, in Porto, and this study suggests some clinical correlations between them. Since these interactions are complex and far from being elucidated, further studies are paramount to provide guidance for prevention and managing strategies in younger children at risk for ADHD.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGomes R, Sousa B, Gonzaga D, Prior C, Rios M, Vaz Matos I. Association between attention-deficit/hyperactivity symptoms and sleep in preschoolers. An Pediatr (Engl Ed). 2023;98(4):283-290. doi:10.1016/j.anpede.2023.01.010pt_PT
dc.identifier.doi10.1016/j.anpede.2023.01.010pt_PT
dc.identifier.issn2341-2879
dc.identifier.urihttp://hdl.handle.net/10400.16/3014
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://doi.org/10.1016/j.anpede.2023.01.010pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAttention deficit and hyperactivity disorderpt_PT
dc.subjectChildpt_PT
dc.subjectNiñopt_PT
dc.subjectPreescolarpt_PT
dc.subjectPreschoolpt_PT
dc.subjectSleep disorderspt_PT
dc.subjectTelevisionpt_PT
dc.subjectTrastorno por déficit de atención con hiperactividadpt_PT
dc.subjectTrastornos del sueñopt_PT
dc.titleAssociation between attention-deficit/hyperactivity symptoms and sleep in preschoolerspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSpainpt_PT
oaire.citation.endPage290pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage283pt_PT
oaire.citation.titleAnales de Pediatría (English Edition)pt_PT
oaire.citation.volume98pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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