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首页> 外文期刊>BMC Psychiatry >The moderating roles of bedtime activities and anxiety/depression in the relationship between attention-deficit/hyperactivity disorder symptoms and sleep problems in children
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The moderating roles of bedtime activities and anxiety/depression in the relationship between attention-deficit/hyperactivity disorder symptoms and sleep problems in children

机译：睡前活动和焦虑/抑郁在儿童注意力缺陷/多动障碍症状与睡眠问题之间的关系中的调节作用

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Children with attention-deficit/hyperactivity disorder (ADHD) often experience sleep problems, but the comorbidity mechanism has not been sufficiently studied. This study aimed to determine the comorbidity of ADHD symptoms and sleep problems as well as the moderating effects of bedtime activities and depression/anxiety symptoms on the relationship between ADHD symptoms and sleep problems. We recruited 934 primary students from third to fifth grade and their parents by stratified random sampling from three primary schools in Shanghai, China. This study used parent-reported versions of the ADHD Rating Scale-IV, Children’s Sleep Habits Questionnaire, and Achenbach Child Behavior Checklist. We used hierarchical linear regression analysis to clarify the moderating effects of bedtime activities and depression/anxiety symptoms. We found that children with more ADHD symptoms had shorter sleep durations and more sleep problems on weekdays. Screen time before bedtime strengthened the relationship between ADHD symptoms and sleep-disordered breathing. Children with more screen time were more likely to have sleep onset delay, while those with less screen time had more sleep onset problems with increasing ADHD symptoms. The high bedtime eating group experienced more night waking with increasing ADHD symptoms compared with the low bedtime eating group. Anxiety/depression exacerbated total sleep problems and further interacted with ADHD symptoms to predict sleep length and sleep duration problems. Bedtime activities and emotional problems had important moderating effects on the relationship between ADHD symptoms and sleep problems. These findings indicate that appropriate bedtime management and emotional management may reduce sleep problems and improve sleep duration for children with ADHD symptoms.
机译：患有注意力缺陷/多动症（ADHD）的儿童经常会出现睡眠问题，但是对合并症的机制尚未进行充分的研究。这项研究旨在确定多动症症状和睡眠问题的合并症，以及就寝活动和抑郁/焦虑症状对多动症症状和睡眠问题之间关系的调节作用。我们通过分层随机抽样从中国上海的三所小学中招募了934位三年级至五年级的小学生及其父母。这项研究使用了家长报告的ADHD分级量表IV，儿童睡眠习惯问卷和Achenbach儿童行为清单。我们使用分层线性回归分析来阐明就寝时间活动和抑郁/焦虑症状的调节作用。我们发现，多动症症状多的儿童平日的睡眠时间较短，睡眠问题更多。就寝前的筛查时间加强了ADHD症状与睡眠呼吸障碍之间的关系。筛查时间较长的孩子更容易出现睡眠发作延迟，而筛查时间较短的孩子因ADHD症状增加而出现更多的睡眠发作问题。与低就寝时间进食组相比，高就寝时间进食组经历了更多的夜间醒来，ADHD症状增加。焦虑/抑郁加剧了总睡眠问题，并进一步与多动症症状相互作用，以预测睡眠时间和睡眠时间问题。就寝时间和情绪问题对ADHD症状与睡眠问题之间的关系具有重要的调节作用。这些发现表明，适当的就寝时间管理和情绪管理可以减少患有ADHD症状的儿童的睡眠问题并改善睡眠时间。

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