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Use of sleep medication in children with ADHD
journal contribution
posted on 2014-04-01, 00:00 authored by D Efron, Kate LycettKate Lycett, Emma SciberrasEmma SciberrasOBJECTIVE: Sleep problems are common in children with attention-deficit/hyperactivity disorder (ADHD), yet little is known about sleep medication use in this population. The aim of this study was to describe sleep medication use, as well as associated child and family characteristics in school-aged children with ADHD. METHOD: Sleep medication use was ascertained using a prospective parent-completed seven-night sleep and medication log. Exposure variables included socio-demographic characteristics, total sleep problem severity (Children's Sleep Habits Questionnaire), ADHD severity and subtype (ADHD Rating Scale IV), ADHD medication use, internalising and externalising co-morbidities (Anxiety Disorders Interview Schedule for Children/Parent version IV) and parent mental health (Depression Anxiety Stress Scale). RESULTS: Two hundred and fifty-seven children with ADHD participated and of these 57 (22%) were taking sleep medication (melatonin 14% and clonidine 9%). Sleep medication use was associated with combined-type ADHD and ADHD medication use. The presence of co-occurring internalising and externalising co-morbidities was also associated with sleep medication use in ad hoc analyses. CONCLUSION: Sleep medication use is common in children with ADHD and is associated with combined-type ADHD and use of ADHD medication. Further research is needed on the broad functional benefits and long-term safety of sleep medication in this population.
History
Journal
Sleep medicineVolume
15Issue
4Pagination
472 - 475Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
ISSN
1389-9457eISSN
1878-5506Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2014, ElsevierUsage metrics
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No categories selectedKeywords
sleepattention deficit hyperactivity disorderchildsleep initiation and maintenance disordersmedication therapy managementmelatoninAdolescentAnxiety DisordersAttention Deficit Disorder with HyperactivityAttention Deficit and Disruptive Behavior DisordersBehavior TherapyBenzodiazepinesCentral Nervous System StimulantsChild, PreschoolClonidineCohort StudiesComorbidityConduct DisorderDrug UtilizationFemaleHistamine AntagonistsHumansHypnotics and SedativesInternal-External ControlMaleMood DisordersProspective StudiesSurveys and QuestionnairesVictoriaScience & TechnologyLife Sciences & BiomedicineClinical NeurologyNeurosciences & NeurologyATTENTION-DEFICIT\/HYPERACTIVITY DISORDERSCHOOL-AGED CHILDRENMELATONIN TREATMENTANXIETYDEPRESSIONMANAGEMENTSYMPTOMSINSOMNIA
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