S02 Assessment, impact and management of sleep problems in children and adolescents with   Attention-Deficit/Hyperactivity Disorder (ADHD)

Summary

Sleep problems affect up to 70% of children with ADHD and have been connected with poorer functioning across multiple domains. This symposium will comprise a series of five presentations from leading experts in the field of ADHD and sleep with a comprehensive focus on the assessment, correlates (causal factors and comorbidities) and management of sleep problems in this population.

The presenters include Anna Hamilton (PhD candidate, University of Leeds), Silvia Miano (Head of Clinic, Civic Hospital of Lugano; Sleep Center, Neurocenter of Southern Switzerland), Penny Corkum (Professor, Clinical Psychology Program, Department of Psychology and Neuroscience, Dalhousie University), Stephen Becker (Associate Professor of Pediatrics, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine) and Emma Sciberras (Associate Professor, School of Psychology, Deakin University; Honorary Research Fellow, Murdoch Children's Research Institute).

The symposium will begin with a presentation from Anna Hamilton focused on the assessment of sleep problems in children with ADHD through use of home polysomnography, actigraphy, and parent-reported measures. The feasibility of using these sleep measures in this population and how they correlate will be discussed. The impact of comorbidities and medication on sleep will also be explored. In addition, the relationship between sleep and cognitive function, as measured via Cambridge Neuropsychological Test Automated Battery (CANTAB) will be considered.

Silvia Miano will then present on the comorbidities between ADHD and a range of sleep disorders, including sleep onset insomnia, epileptiform discharges during sleep, continuous spike wave during sleep, Obstructive Sleep Apnea, Periodic Limb Movements during sleep, and narcolepsy-like disorder. The results of the high-density EEG analysis in all these subgroups will be presented.

Penny Corkum will follow with a presentation of the results of two studies, one that experimentally restricted sleep in typically developing children as well as children with ADHD, and the other than examines the impact on sleep of stimulant medication used in the treatment of ADHD in school-aged children. Together, these results highlight some of the causal factors linking sleep problems to ADHD. The presentation will conclude with a model for understanding the relationship between ADHD and sleep.

Stephen Becker will then provide an overview of sleep in adolescents with ADHD. The presentation will review recent observational and experimental findings examining sleep and functional outcomes in adolescents with ADHD. Recent intervention work focused on treating sleep problems in adolescents with ADHD will also be discussed. Key directions for both research and practice will be highlighted.

Finally, Emma Sciberras will present on the management of sleep problems in children with ADHD from a translation perspective. This presentation will provide an overview of how to train clinicians in the treatment of sleep problems (Sleeping Sound with ADHD program) in children with ADHD, and clinicians' evaluations of this program. The presentation will be coupled with a parent evaluation about what strategies are/are not easy to implement at home informing how this program could be enhanced.

Learning Objectives

Upon completion of this CME activity, participants should be able to:

    • Recognize the different assessment methods for measuring sleep in children with ADHD
    • Identify factors associated with sleep problems in ADHD such as cognitive functioning, medication use, and comorbidities
    • Develop strategies for managing sleep problems in children with ADHD
    • Identify future directions for research and clinical work in the area of ADHD and sleep problems

Target Audience

All including both clinicians and researchers. The strong overlap between ADHD and sleep disorders means that practitioners should all be aware of the importance of considering ADHD in the context of sleep problems and vice versa

Chair

Emma Sciberras (Australia)

The Paediatric ADHD Sleep Study: Baseline data and future directions

Anna Hamilton (United Kingdom)

An update about the sleep phenotypes of ADHD: the impact of chronic sleep deprivation and sleep fragmentation

Silvia Miano (Switzerland)

What does experimental research tell us about the causal relationships that exist between ADHD and sleep in children?

Penny Corkum (Canada)

Sleep in adolescents with ADHD: What do we know and where are we going?

Stephen P. Becker (United States)

Training child health clinicians to manage behavioral sleep problems in ADHD: what works and what do clinicians and parents think?

Emma Sciberras (Australia)


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