Effects of Stimulants on Sleep Parameters in Children with Attention Deficit Hyperactivity Disorder
Serkan Turan1, Aynur Pekcanlar Akay21Department of Child and Adolescent Psychiatry, Consultant Child Psychiatrist, Odemis State Hospital, Izmir, Turkey, 2Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
Objectives: This study aims to evaluate the effects of methylphenidate (MPH) on sleep parameters and BMI in attention- deficit/hyperactivity disorder (ADHD) children. Methods: Eighty five ADHD children were enrolled and daily sleep diaries were evaluated after taking medication. This cross-sectional case-control study also included ninety five healthy children. BMI Z scores were measured at baseline and at last follow-up. Results: Eighty five patients (mean [standard deviation] age: 14,02 [±1.6] years, 65 (77%) males) were included. When we compared ADHD and healthy control group, we observed significant statistical difference between two groups on the mean total scores of CSHQ and PSQI (p<0.05). For CSHQ, subscales about sleep delay, sleep duration and daytime sleepiness are also significantly higher in ADHD group (p<0.05). For PSQI, subscales about sleep disturbance, sleep latency and subjective sleep quality differed significantly. MPH treatment was associated with a notional reduction in body mass index standard deviation scores (SDS). Conclusion: These findings indicate children with ADHD under stimulant treatment experience more sleep problems than healthy peers accorrding to both self and parent reports. MPH slightly descreased BMI-sds in this group of ADHD patients followed naturalistically over 32.2 months. Keywords: Attention-deficit/hyperactivity disorder, body mass index, child, methylphenidate, sleep
Cite This Article
Turan S, Pekcanlar Akay A. Effects of Stimulants on Sleep Parameters in Children with Attention Deficit Hyperactivity Disorder. EJMI. 2020; 4(3): 341-346
Corresponding Author: Serkan Turan