A simple tool to help you differentiate between ADHD and the most common overlapping comorbidities in children
Enter your full name and email and you will receive your complimentary download today
Based on parent reports, children with attention-deficit/hyperactivity disorder (ADHD) are 2 to 3 times more likely to experience sleep disturbances vs their neurotypical peers.3 Data indicate that 62% of pediatric patients with ADHD have moderate to severe sleep problems,2 including:
AAP clinical guidelines recommend screening children or adolescents with ADHD for symptoms of primary sleep disorders.4
Overlapping areas of the brain are implicated in both ADHD and sleep dysfunction
While it can be difficult to know what is causing a lack of sleep for your patients, we do know that insomnia can worsen ADHD symptoms.2 Shorter sleep duration has even been shown to predate the onset of clinical symptoms of ADHD.1
Management of sleep disorders should always start with sleep hygiene interventions, such as2:
It is also important to consider the effect of your patients’ current ADHD treatments on sleep:
Comorbid sleep problems and their associated impairment may warrant consideration as an additional target for treatment.7 Explore more on the management of comorbidities in ADHD here.
Abbreviation: AAP, American Academy of Pediatrics.
References:1. Schneider HE, Lam JC, Mahone EM. Sleep disturbance and neuropsychological function in young children with ADHD. Child Neuropsychol. 2016;22(4):493-506. 2. Hvolby A. Associations of sleep disturbances with ADHD: implications for treatment. Atten Defic Hyperact Disord. 2015;7(1):1-18. 3. National Resource Center on ADHD. ADHD, sleep and sleep disorders factsheet. https://chadd.org/about-adhd/adhd-and-sleep-disorders/. Accessed November 12, 2019. 4. Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement Management, Wolraich M, et al. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents: Supplement. Pediatrics. 2019;144(4):1-43. 5. Munz MT, Prehn-Kristensen A, Thielking F, Mölle M, Göder R, Baving L. Slow oscillating transcranial direct current stimulation during non-rapid eye movement sleep improves behavioral inhibition in attention-deficit/hyperactivity disorder. Front Cell Neurosci. 2015;9:307. 6. Bijlenga D, Van Someran EJW, Gruber R, et al. Body temperature, activity and melatonin profiles in adults with attention-deficit/hyperactivity disorder and delayed sleep: a case-control study. J Sleep Res. 2013;22:607-616. 7. Vogel SWN, Bijlenga D, Benjamins JS, Beekman ATF, Kooij JJS, Van Somerern EJW. Attention deficit hyperactivity disorder symptom severity and sleep problems in adult participants of the Netherlands sleep registry. Sleep Med. 2017;40:94-102.