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

doi:10.7499/j.issn.1008-8830.2206147

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Abstract Objective To study the mediating role of working memory between sleep quality and symptoms in children with attention deficit hyperactivity disorder (ADHD). Methods The cluster random sampling method was used to select 110 ADHD children and 124 normal children as subjects from grade 3-5 students in two primary schools in Kashgar, Xinjiang Uygur Autonomous Region, China. SNAP-IV, Pittsburgh Sleep Quality Index (PSQI), and visual-spatial working memory paradigm were used for investigation and comparison. Results Compared with the normal group, the ADHD group had a significantly higher total score of PSQI and scores of subjective sleep quality, sleep latency, sleep efficiency, sleep disturbance, and a higher incidence of sleep quality problems (P<0.001). The working memory score in the ADHD group was significantly lower than that in the normal group (P<0.001). In the ADHD group, the working memory score was negatively correlated with the total score of PSQI (rs=-0.271, P<0.001) and the score of symptoms (rs=-0.439, P<0.001), and the total score of PSQI was positively correlated with the score of symptoms (rs=0.540, P<0.001). Working memory had a partial mediating effect in the influence of sleep quality on symptoms in children with ADHD, accounting for 18.10% of the total effect. Conclusions Sleep quality issues are observed in some children with ADHD, and working memory plays a mediating role between sleep quality and symptoms in ADHD children.

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	Articles by authors
	ZHONG Lin
	ZHANG Jing
	GAO Xiao-Yan
	HE Hong-Yao
	ZUO Peng-Xiang
	SONG Ran-Ran

Key words： Attention deficit hyperactivity disorder Sleep quality Working memory Symptom Child

Received: 29 June 2022

Cite this article:

ZHONG Lin,ZHANG Jing,GAO Xiao-Yan et al. Influence of sleep quality on symptoms in children with attention deficit hyperactivity disorder: the mediating role of working memory[J]. CJCP, 2022, 24(12): 1365-1370.

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http://www.zgddek.com/EN/10.7499/j.issn.1008-8830.2206147 OR http://www.zgddek.com/EN/Y2022/V24/I12/1365

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