Indian Journal of Sleep Medicine

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VOLUME 8 , ISSUE 3 ( July-September, 2013 ) > List of Articles


Sleep Quality in Children with Attention Deficit Hyperactivity Disorder: Is one night polysomnography as good as two nights?

A Gupta, M Mehta, Garima Shukla, AA Joseph, NT Hazari, G Kumar, R Pandey, R Sagar

Keywords : attention-deficit/hyperactivity disorder, sleep quality, polysomnography, sleep lab adaptation, first night effect.

Citation Information : Gupta A, Mehta M, Shukla G, Joseph A, Hazari N, Kumar G, Pandey R, Sagar R. Sleep Quality in Children with Attention Deficit Hyperactivity Disorder: Is one night polysomnography as good as two nights?. Indian Sleep Med 2013; 8 (3):116-122.

DOI: 10.5005/ijsm-8-3-116

License: CC BY-SA 4.0

Published Online: 01-09-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Objective: One of the factors that possibly account for conflicting results from research studies examining sleep problems in children with attention-deficit/hyperactivity disorder (ADHD) is sleep lab adaptation. The aim of the present study was to study sleep quality in children with ADHD and investigate the presence of a first night effect in children with ADHD using polysomnography (PSG) in a sleep lab. Methods: Sleep architecture and sleep quality were assessed in children with ADHD using two consecutive nights of PSG and parent reported sleep questionnaires. Results: A total of 13 children diagnosed with ADHD were studied over a period of 1 year. Sleep disturbances most frequently reported by parents included bedtime resistance, excessive daytime sleepiness, parasomnias and restless legs syndrome. Comparison of sleep latency, sleep efficiency, wakefulness, REM latency, total sleep time, N1, N2, N3, AHI, arousal index, REM and PLMI revealed no difference between 1st and the 2nd night of polysomnography. Conclusion: Children with ADHD have disturbed sleep but do not show a first night effect during PSG, and hence, a single night PSG has been shown to suffice in assessment of sleep among patients with ADHD.

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