Evidence map›Paper›PMID 26922623›Full record

ArticleSleep medicine2016

Sleep habits in children with attention-deficit/hyperactivity disorder predominantly inattentive type and associations with comorbid psychopathology symptoms.

Stephen P Becker, Linda J Pfiffner, Mark A Stein, G Leonard Burns, Keith McBurnett

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Systematic Review: Assessment of Sluggish Cognitive Tempo Over the Past Decade.Journal of the American Academy of Child and Adolescent Psychiatry · 2021
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  13. Sluggish Cognitive Tempo and ADHD Symptoms in a Nationally Representative Sample of U.S. Children: Differentiation Using Categorical and Dimensional Approaches.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Stephen P BeckerDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Electronic address: stephen.becker@cchmc.org.
Linda J PfiffnerDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
Mark A SteinDepartment of Psychiatry and Behavioral Medicine, University of Washington, Seattle, WA, USA.
G Leonard BurnsDepartment of Psychology, Washington State University, Pullman, WA, USA.
Keith McBurnettDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USUniversity of Washington · USWashington State University · US

Funding

Integrated Multi-Setting Psychosocial Treatment for ADHD-Inattentive TypeR01MH077671 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HINSHAW, STEPHEN, PFIFFNER, LINDA · 2008 to 2012
$3.7M
A Multi-Method Investigation to Distinguish Sluggish Cognitive Tempo from ADHDK23MH108603 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI BECKER, STEPHEN P · 2015 to 2019
$675k
Latent Structure of Sluggish Cognitive Tempo and ADHD SymptomsR21MH080810 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCBURNETT, ROBERT KEITH · 2009 to 2010
$425k
NIMH NIH HHS K23 MH108603NIMH NIH HHS R01 MH077671NIMH NIH HHS R21 MH080810
6 · The paper itself

Abstract

objectivesMuch of what is currently known about the sleep functioning of children with attention-deficit/hyperactivity disorder (ADHD) is based on samples of children with ADHD combined type, and no study to date has examined the association between sluggish cognitive tempo (SCT) and sleep functioning in children diagnosed with ADHD. Accordingly, the objectives of this study were to (1) describe the sleep habits of children diagnosed with ADHD predominantly inattentive type (ADHD-I) and (2) examine whether comorbid internalizing, oppositional, and/or SCT symptoms are associated with poorer sleep functioning in children with ADHD-I. This study extends the current literature by using a large, clinical sample of children with ADHD-I to examine the association between SCT and other psychopathology symptoms with children's sleep functioning.

methodsParticipants included 147 children (age: 6-11, 59% male, 55% White) diagnosed with ADHD-I using a semi-structured diagnostic interview. Parents completed measures assessing their child's sleep habits as well as comorbid anxiety, depression, oppositionality, and SCT symptoms.

resultsFourteen percent of children with ADHD-I obtain less sleep than recommended and 31% have a sleep onset latency of greater than 20 minutes. The few children taking medication for ADHD had a longer sleep onset latency than those without medication. Twenty-seven percent of parents indicated that it is "difficult" to get their child out of bed on school days and 41% of parents indicated that their child needs to catch-up on sleep on the weekend "at least a little". Regression analyses found anxiety and SCT sleepy/tired symptoms to be the most consistent dimensions of psychopathology associated with sleep functioning, with little support for depression or oppositionality being associated with sleep.

conclusionsA sizeable minority of children with ADHD-I experience impaired sleep. In addition to SCT sleepy/tired symptoms, comorbid anxiety was most consistently associated with poorer sleep functioning in children with ADHD-I. SCT daydreaming and working memory symptoms were unassociated with sleep functioning, and the size of the effects between SCT sleepy/tired and sleep functioning indicates that these are not overlapping constructs. Longitudinal studies are needed to evaluate the interrelations of sleep problems and comorbid psychopathology symptoms and their impact on the daytime functioning of children with ADHD-I.

Indexed as

ComorbidityAttention Deficit Disorder with HyperactivityChildCognitionFemaleHumansMaleSleepTime FactorsADHD predominantly inattentive typeAttention-deficit/hyperactivity disorderComorbiditySleepSluggish cognitive tempoSubtypes

Identifiers

PMID26922623
PMCPMC4889552
OpenAlexW2185042717

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.