PDF(Pubmed)
Abstract：
BACKGROUND: Approximately 7.6% of children are diagnosed with attention deficit/hyperactivity disorder (ADHD), and sleep impairments affect 25-85%. There is a noticeable lack of research on girls and sex differences. The aim of this study was to examine sex differences in children with uncomplicated ADHD and sleep problems.
METHODS: Cross-sectional baseline data were retrieved from a randomized controlled trial with weighted blankets (55 boys and 41 girls, 6-14 years) on a cohort recently diagnosed with uncomplicated ADHD and sleep problems. Differences between boys and girls in ADHD symptoms, objectively and subjectively measured sleep, anxiety, and functioning were examined via parent- or self-reported validated instruments.
RESULTS: Girls reported significantly lower (worse) satisfaction with well-being, life overall, and school, but not for family. Parents reported more sleep anxiety and night-time wakings among boys, but no sex differences in other measures and also not in self-reported measures or objective sleep measures. Children who reported worry, sadness, or unhappiness had more sleep problems.
CONCLUSIONS: Boys with ADHD and sleep problems may need support with sleep-related anxiety and night-time wakings, while girls may require support with overall functioning. Additionally, children who express feelings of worry, sadness, or unhappiness alongside their ADHD symptoms should have attention given to their sleep.
METHODS: Cross-sectional baseline data were retrieved from a randomized controlled trial with weighted blankets (55 boys and 41 girls, 6-14 years) on a cohort recently diagnosed with uncomplicated ADHD and sleep problems. Differences between boys and girls in ADHD symptoms, objectively and subjectively measured sleep, anxiety, and functioning were examined via parent- or self-reported validated instruments.
RESULTS: Girls reported significantly lower (worse) satisfaction with well-being, life overall, and school, but not for family. Parents reported more sleep anxiety and night-time wakings among boys, but no sex differences in other measures and also not in self-reported measures or objective sleep measures. Children who reported worry, sadness, or unhappiness had more sleep problems.
CONCLUSIONS: Boys with ADHD and sleep problems may need support with sleep-related anxiety and night-time wakings, while girls may require support with overall functioning. Additionally, children who express feelings of worry, sadness, or unhappiness alongside their ADHD symptoms should have attention given to their sleep.
摘要：
背景：大约7.6％的儿童被诊断为注意力缺陷/多动症（ADHD），睡眠障碍影响25-85%。明显缺乏对女孩和性别差异的研究。这项研究的目的是检查患有简单的ADHD和睡眠问题的儿童的性别差异。
方法：横断面基线数据来自一项使用加权毛毯的随机对照试验（55名男孩和41名女孩，6-14岁）在最近被诊断出患有简单的ADHD和睡眠问题的队列中。男孩和女孩在ADHD症状上的差异，客观和主观地测量睡眠，焦虑,和功能通过父母或自我报告的验证仪器进行检查。
结果：女孩报告的幸福感满意度明显较低（较差），整体生活,和学校,但不是为了家人.父母报告男孩中有更多的睡眠焦虑和夜间醒来，但在其他测量中没有性别差异，在自我报告测量或客观睡眠测量中也没有。报告担心的孩子，悲伤，或者不快乐有更多的睡眠问题。
结论：患有ADHD和睡眠问题的男孩可能需要与睡眠相关的焦虑和夜间醒来的支持，而女孩可能需要整体功能的支持。此外,表达忧虑的孩子，悲伤，或不快乐以及他们的多动症症状应该注意他们的睡眠。
方法：横断面基线数据来自一项使用加权毛毯的随机对照试验（55名男孩和41名女孩，6-14岁）在最近被诊断出患有简单的ADHD和睡眠问题的队列中。男孩和女孩在ADHD症状上的差异，客观和主观地测量睡眠，焦虑,和功能通过父母或自我报告的验证仪器进行检查。
结果：女孩报告的幸福感满意度明显较低（较差），整体生活,和学校,但不是为了家人.父母报告男孩中有更多的睡眠焦虑和夜间醒来，但在其他测量中没有性别差异，在自我报告测量或客观睡眠测量中也没有。报告担心的孩子，悲伤，或者不快乐有更多的睡眠问题。
结论：患有ADHD和睡眠问题的男孩可能需要与睡眠相关的焦虑和夜间醒来的支持，而女孩可能需要整体功能的支持。此外,表达忧虑的孩子，悲伤，或不快乐以及他们的多动症症状应该注意他们的睡眠。
