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

Yuan-Ting LIN; Li-Hui LUO; Tong-Qin PENG; Chun-Wen TAN; Hui LEI

doi:10.7499/j.issn.1008-8830.2505076

PDF(537 KB)

Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (11) : 1353-1359. DOI: 10.7499/j.issn.1008-8830.2505076

CLINICAL RESEARCH

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

Author information +

History +

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.

Key words

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

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

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

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis

[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 . https://www.ncbi.nlm.nih.gov/pubmed/32135589 Cited in this article [1]

[2]

Wolraich

, Hagan

, Allan

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/31570648

Cited in this article [5]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/30060318 Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/31629217 Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/29542374 Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/36544420 Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/19779069 Cited in this article [1]

[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 . Cited in this article [1]

[9]	American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)[M]. 5th ed. Washington DC: American Psychiatric Publishing, 2013. Cited in this article [1]

[10]

Foster

, Shurtz

. 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 .

https://www.ncbi.nlm.nih.gov/pubmed/23930089

Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/26957104 Cited in this article [1]

[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 . Cited in this article [2]

[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 . Cited in this article [1]

[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 . Cited in this article [2]

[15]	Ivanenko A. Sleep in children and adolescents with attention deficit hyperactivity disorder[EB/OL]. (2023-12-30)[2024-01-28]. https://www.uptodate.com/contents/sleep-in-children-and-adolescents-with-attention-deficit-hyperactivity-disorder Cited in this article [6]

[16]

Cortese

, Brown

, Corkum

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/23880489

Cited in this article [8]

[17]	NICE. Attention deficit hyperactivity disorder: diagnosis and management[EB/OL]. (2019-09-13)[2024-01-28]. https://www.nice.org.uk/guidance/ng87 Cited in this article [5]

[18]	CADDRA. Canadian ADHD practice guidelines[EB/OL]. [2024-01-28]. https://adhdlearn.caddra.ca/wp-content/uploads/2022/08/Canadian-ADHD-Practice-Guidelines-4.1-January-6-2021.pdf Cited in this article [3]

[19]

Cortese

, Holtmann

, Banaschewski

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/23294014

Cited in this article [6]

[20]

May

, Birch

, Chaves

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/37254562

Cited in this article [5]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/32204604 Cited in this article [5]

[22]

Phillips

, Moore

, Teng

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/32163581

Cited in this article [4]

[23]

Rigney

, Ali

, Corkum

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/29764710

Cited in this article [4]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/37657199 Cited in this article [5]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/35758199 Cited in this article [4]

[26]

Parvataneni

, Srinivas

, Shah

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/32617211

Cited in this article [4]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/36603513 Cited in this article [4]

[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 . Cited in this article [3]

[29]

Lönn

, Svedberg

, Nygren

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/37452697

Cited in this article [3]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/24581717 Cited in this article [6]

[31]

Carpena

, Matijasevich

, Loret de Mola

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/34607058

Cited in this article [1]

[32]

Krinzinger

, Hall

, Groom

, 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 .

https://www.ncbi.nlm.nih.gov/pubmed/31545988

Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/25454674 Cited in this article [1]

[34]

Türkmen Noyan

, Direk

, Örengül

. 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 .

https://www.ncbi.nlm.nih.gov/pubmed/38554532

Cited in this article [1]

[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 . Cited in this article [1]

[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 . Cited in this article [1]

[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 . https://www.ncbi.nlm.nih.gov/pubmed/36849578 Cited in this article [1]