注意缺陷多动障碍儿童睡眠障碍的管理证据总结

林元婷, 罗丽辉, 彭童沁, 谭淳文, 雷慧

中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (11) : 1353-1359.

PDF(537 KB)
HTML
PDF(537 KB)
HTML
中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (11) : 1353-1359. DOI: 10.7499/j.issn.1008-8830.2505076
论著·临床研究

注意缺陷多动障碍儿童睡眠障碍的管理证据总结

作者信息 +

Best evidence summary for management of sleep disorders in children with attention deficit hyperactivity disorder

Author information +
文章历史 +

摘要

目的 评价并整合注意缺陷多动障碍(attention deficit hyperactivity disorder, ADHD)儿童睡眠障碍管理的证据。 方法 基于“6S”模型检索文献,从相关文献中提取ADHD儿童睡眠障碍相关证据。 结果 共纳入17篇文献,提取了16条证据,其中6条证据等级为1级,10条为5级。证据涵盖ADHD儿童睡眠障碍的筛查、评估、非药物干预、药物干预、随访及多学科协作。 结论 该研究通过循证的方法整合了ADHD儿童睡眠障碍管理的相关证据,为管理ADHD儿童睡眠障碍提供循证依据。

Abstract

Objective To evaluate and integrate evidence on the management of sleep disorders in children with attention deficit hyperactivity disorder (ADHD). Methods Literature was retrieved based on the 6S model, and evidence related to sleep disorder management in children with ADHD was extracted from the included references. Results A total of 17 studies were included, from which 16 pieces of evidence were extracted. Of these, 6 were classified as Level 1 evidence and 10 as Level 5. The evidence covered screening, assessment, non-pharmacological interventions, pharmacological interventions, follow-up, and multidisciplinary collaboration. Conclusions This study integrated evidence on the management of sleep disorders in children with ADHD using an evidence-based approach, providing an evidence-based foundation for managing sleep disorders in this population.

关键词

注意力缺陷多动障碍 / 睡眠障碍 / 最佳证据 / 儿童

Key words

Attention deficit hyperactivity disorder / Sleep disorder / Best evidence / Child

引用本文

导出引用
林元婷, 罗丽辉, 彭童沁, . 注意缺陷多动障碍儿童睡眠障碍的管理证据总结[J]. 中国当代儿科杂志. 2025, 27(11): 1353-1359 https://doi.org/10.7499/j.issn.1008-8830.2505076
Yuan-Ting LIN, Li-Hui LUO, Tong-Qin PENG, et al. Best evidence summary for management of sleep disorders in children with attention deficit hyperactivity disorder[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(11): 1353-1359 https://doi.org/10.7499/j.issn.1008-8830.2505076

参考文献

[1]
中华医学会儿科学分会发育行为学组. 注意缺陷多动障碍早期识别、规范诊断和治疗的儿科专家共识[J]. 中华儿科杂志, 2020, 58(3): 188-193. DOI: 10.3760/cma.j.issn.0578-1310.2020.03.006 .
[2]
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[J]. Pediatrics, 2019, 144(4): e20192528. PMCID: PMC7067282. DOI: 10.1542/peds.2019-2528 .
[3]
李世明, 冯为, 方芳, 等. 中国儿童注意缺陷多动障碍患病率Meta分析[J]. 中华流行病学杂志, 2018, 39(7): 993-998. DOI: 10.3760/cma.j.issn.0254-6450.2018.07.024 .
[4]
Becker SP. ADHD and sleep: recent advances and future directions[J]. Curr Opin Psychol, 2020, 34: 50-56. PMCID: PMC7082190. DOI: 10.1016/j.copsyc.2019.09.006 .
[5]
Martin CA, Hiscock H, Rinehart N, et al. Associations between sleep hygiene and sleep problems in adolescents with ADHD: a cross-sectional study[J]. J Atten Disord, 2020, 24(4): 545-554. DOI: 10.1177/1087054718762513 .
[6]
钟琳, 张静, 高小焱, 等. 睡眠质量对注意缺陷多动障碍儿童症状的影响: 工作记忆的中介作用[J]. 中国当代儿科杂志, 2022, 24(12): 1365-1370. PMCID: PMC9785091. DOI: 10.7499/j.issn.1008-8830.2206147 .
[7]
Dicenso A, Bayley L, Haynes RB. Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs, 2009, 12(4): 99-101. DOI: 10.1136/ebn.12.4.99-b .
[8]
朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成[J]. 护士进修杂志, 2017, 32(21): 1991-1994. DOI: 10.16821/j.cnki.hsjx.2017.21.025 .
[9]
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)[M]. 5th ed. Washington DC: American Psychiatric Publishing, 2013.
[10]
Foster MJ, Shurtz S. Making the Critical Appraisal for Summaries of Evidence (CASE) for evidence-based medicine (EBM): critical appraisal of summaries of evidence[J]. J Med Libr Assoc, 2013, 101(3): 192-198. PMCID: PMC3738079. DOI: 10.3163/1536-5050.101.3.008 .
[11]
Brouwers MC, Kerkvliet K, Spithoff K, et al. The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines[J]. BMJ, 2016, 352: i1152. PMCID: PMC5118873. DOI: 10.1136/bmj.i1152 .
[12]
顾莺, 张慧文, 周英凤, 等. JBI循证卫生保健中心关于不同类型研究的质量评价工具——系统评价的方法学质量评价[J]. 护士进修杂志, 2018, 33(8): 701-703. DOI: 10.16821/j.cnki.hsjx.2018.08.008 .
[13]
周英凤, 顾莺, 胡雁, 等. JBI循证卫生保健中心关于不同类型研究的质量评价工具——干预性研究的质量评价[J]. 护士进修杂志, 2018, 33(1): 24-26. DOI: 10.16821/j.cnki.hsjx.2018.01.007 .
[14]
王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11): 964-967. DOI: 10.16821/j.cnki.hsjx.2015.11.002 .
[15]
Ivanenko A. Sleep in children and adolescents with attention deficit hyperactivity disorder[EB/OL]. (2023-12-30)[2024-01-28].
[16]
Cortese S, Brown TE, Corkum P, et al. Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder[J]. J Am Acad Child Adolesc Psychiatry, 2013, 52(8): 784-796. DOI: 10.1016/j.jaac.2013.06.001 .
[17]
NICE. Attention deficit hyperactivity disorder: diagnosis and management[EB/OL]. (2019-09-13)[2024-01-28].
[18]
CADDRA. Canadian ADHD practice guidelines[EB/OL]. [2024-01-28].
[19]
Cortese S, Holtmann M, Banaschewski T, et al. Practitioner review: current best practice in the management of adverse events during treatment with ADHD medications in children and adolescents[J]. J Child Psychol Psychiatry, 2013, 54(3): 227-246. DOI: 10.1111/jcpp.12036 .
[20]
May T, Birch E, Chaves K, et al. The Australian evidence-based clinical practice guideline for attention deficit hyperactivity disorder[J]. Aust N Z J Psychiatry, 2023, 57(8): 1101-1116. PMCID: PMC10363932. DOI: 10.1177/00048674231166329 .
[21]
Nikles J, Mitchell GK, de Miranda Araújo R, et al. A systematic review of the effectiveness of sleep hygiene in children with ADHD[J]. Psychol Health Med, 2020, 25(4): 497-518. DOI: 10.1080/13548506.2020.1732431 .
[22]
Phillips NL, Moore T, Teng A, et al. Behavioral interventions for sleep disturbances in children with neurological and neurodevelopmental disorders: a systematic review and meta-analysis of randomized controlled trials[J]. Sleep, 2020, 43(9): zsaa040. DOI: 10.1093/sleep/zsaa040 .
[23]
Rigney G, Ali NS, Corkum PV, et al. A systematic review to explore the feasibility of a behavioural sleep intervention for insomnia in children with neurodevelopmental disorders: a transdiagnostic approach[J]. Sleep Med Rev, 2018, 41: 244-254. DOI: 10.1016/j.smrv.2018.03.008 .
[24]
Liang X, Qiu H, Li SX. Objectively measured sleep continuity in children and adolescents with ADHD: a systematic review and meta-analysis[J]. Psychiatry Res, 2023, 328: 115447. DOI: 10.1016/j.psychres.2023.115447 .
[25]
Malkani MK, Pestell CF, Sheridan AMC, et al. Behavioral sleep interventions for children with ADHD: a systematic review and meta-analysis[J]. J Atten Disord, 2022, 26(14): 1805-1821. DOI: 10.1177/10870547221106239 .
[26]
Parvataneni T, Srinivas S, Shah K, et al. Perspective on melatonin use for sleep problems in autism and attention-deficit hyperactivity disorder: a systematic review of randomized clinical trials[J]. Cureus, 2020, 12(5): e8335. PMCID: PMC7325410. DOI: 10.7759/cureus.8335 .
[27]
Larsson I, Aili K, Lönn M, et al. Sleep interventions for children with attention deficit hyperactivity disorder (ADHD): a systematic literature review[J]. Sleep Med, 2023, 102: 64-75. DOI: 10.1016/j.sleep.2022.12.021 .
[28]
杨同念, 任杰, 肖辉, 等. 身体活动改善注意缺陷多动障碍和孤独症谱系障碍儿童睡眠功能的系统综述[J]. 中国康复理论与实践, 2024, 30(10): 1133-1139. DOI: 10.3969/j.issn.1006-9771.2024.10.003 .
[29]
Lönn M, Svedberg P, Nygren J, et al. The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder: a randomized controlled crossover trial[J]. J Sleep Res, 2024, 33(2): e13990. DOI: 10.1111/jsr.13990 .
[30]
Sedky K, Bennett DS, Carvalho KS. Attention deficit hyperactivity disorder and sleep disordered breathing in pediatric populations: a meta-analysis[J]. Sleep Med Rev, 2014, 18(4): 349-356. DOI: 10.1016/j.smrv.2013.12.003 .
[31]
Carpena MX, Matijasevich A, Loret de Mola C, et al. The effects of persistent sleep disturbances during early childhood over adolescent ADHD, and the mediating effect of attention-related executive functions: data from the 2004 Pelotas Birth Cohort[J]. J Affect Disord, 2022, 296: 175-182. DOI: 10.1016/j.jad.2021.09.053 .
[32]
Krinzinger H, Hall CL, Groom MJ, et al. Neurological and psychiatric adverse effects of long-term methylphenidate treatment in ADHD: a map of the current evidence[J]. Neurosci Biobehav Rev, 2019, 107: 945-968. DOI: 10.1016/j.neubiorev.2019.09.023 .
[33]
Irish LA, Kline CE, Gunn HE, et al. The role of sleep hygiene in promoting public health: a review of empirical evidence[J]. Sleep Med Rev, 2015, 22: 23-36. PMCID: PMC4400203. DOI: 10.1016/j.smrv.2014.10.001 .
[34]
Türkmen Noyan G, Direk GB, Örengül AC. A randomized controlled trial of effects of sleep hygiene training and progressive muscle relaxation training in children with ADHD[J]. Sleep Med, 2024, 117: 169-176. DOI: 10.1016/j.sleep.2024.03.001 .
[35]
周紫微, 刘芳, 孙莉, 等. 身体活动对注意缺陷多动障碍儿童睡眠质量的影响[J]. 中国体育科技, 2023, 59(9): 26-32. DOI: 10.16470/j.csst.2022078 .
[36]
谢雪婉, 杨文登. 注意缺陷多动障碍的循证治疗指南综述[J]. 中国临床心理学杂志, 2021, 29(3): 661-664. DOI: 10.16128/j.cnki.1005-3611.2021.03.044 .
[37]
Bratton TK, Jazayeri M, Senthilvel E, et al. Clinical laboratory approaches for diagnoses of sleep-disordered breathing and ADHD-like behavior in children[J]. J Appl Lab Med, 2023, 8(3): 568-582. DOI: 10.1093/jalm/jfac143 .

脚注

所有作者均声明无利益冲突。

基金

广东省中医药局科研项目(20241036)

编委: 王颖

版权

版权所有 © 2023中国当代儿科杂志
PDF(537 KB)
HTML

Accesses

Citation

Detail

段落导航
相关文章

/