Article Sidebar

pdf
Date Published: 01/07/2025
Abstract Views: 256
Views pdf: 183
DOI: https://doi.org/10.51298/vmj.v551i3.14745
Issue
Vol. 551 No. 3 (2025)
Section
Các bài báo
How to Cite
Nguyễn Thị Phương, M., Nguyễn Thị Thanh, M., & Dương Qúy, S. (2025). CHANGES IN SLEEP DISORDERS AFTER TWO MONTHS OF TREATMENT FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER IN CHILDREN. Vietnam Medical Journal, 551(3). https://doi.org/10.51298/vmj.v551i3.14745

CHANGES IN SLEEP DISORDERS AFTER TWO MONTHS OF TREATMENT FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER IN CHILDREN

Mai Nguyễn Thị Phương, Mai Nguyễn Thị Thanh, Sỹ Dương Qúy

Main Article Content

Abstract

Objective: To evaluate changes in sleep disorders after two months of treatment for Attention Deficit Hyperactivity Disorder (ADHD) in children. Subjects and Methods: A prospective cohort study was conducted on 629 children with ADHD aged 6 to 12 years at the National Children’s Hospital (October 1, 2022 – September 30, 2024). Children were treated for ADHD and sleep disorders according to the American Academy of Pediatrics (AAP) guidelines. Sleep disorders were assessed using the Children’s Sleep Habits Questionnaire (CSHQ) and diagnosed/classified according to ICSD-3 before treatment, and at one and two months after treatment. Results: Before treatment, 70% of children with ADHD had at least one sleep disorder; this rate decreased to 47.7% after one month and 27.7% after two months of treatment (p < 0.001). Common sleep disorders in children with ADHD, such as insomnia, restless legs syndrome, and parasomnias, showed marked improvement. CSHQ scores decreased in parallel with improvements in ADHD symptoms. Conclusion: Managing both ADHD and associated sleep disorders yields substantial clinical benefits, emphasizing the value of an individualized and integrative treatment strategy.

Article Details

Keywords

ADHD, children, sleep disorders, CSHQ, treatment

References

1. Wolraich ML, Hagan JF, Allan C, et al. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics. 2019; 144(4):e20192528. doi:10.1542/peds.2019-2528
2. Sung V, Hiscock H, Sciberras E, Efron D. Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. Arch Pediatr Adolesc Med. 2008;162(4):336-342. doi:10.1001/ archpedi.162.4.336
3. Stein MA, Weiss M, Hlavaty L. ADHD treatments, sleep, and sleep problems: complex associations. Neurother J Am Soc Exp Neurother. 2012; 9(3): 509-517. doi:10.1007/s13311-012-0130-0
4. Cortese S, Brown TE, Corkum P, et al. Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2013; 52(8): 784-796. doi:10.1016/j.jaac.2013. 06.001
5. Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric Properties of A Survey Instrument for School-Aged Children. Sleep. 2000;23(8):1-9. doi:10.1093/sleep/23.8.1d
6. Bard DE, Wolraich ML, Neas B, Doffing M, Beck L. The psychometric properties of the Vanderbilt attention-deficit hyperactivity disorder diagnostic parent rating scale in a community population. J Dev Behav Pediatr JDBP. 2013; 34(2): 72-82. doi:10.1097/DBP. 0b013e31827a3a22
7. Becker SP, Langberg JM, Evans SW. Sleep Problems Predict Comorbid Externalizing Behaviors and Depression in Young Adolescents with Attention-Deficit/Hyperactivity Disorder. Eur Child Adolesc Psychiatry. 2015;24(8):897-907. doi:10.1007/s00787-014-0636-6
8. Kidwell KM, Van Dyk TR, Lundahl A, Nelson TD. Stimulant Medications and Sleep for Youth With ADHD: A Meta-analysis. Pediatrics. 2015; 136(6):1144-1153. doi:10.1542/peds.2015-1708