“ADHD seems to be a 24-hour condition, disrupting daytime and sleep.”
. “It might seem that their energy level is there all the time.”
Corkum added that the children with ADHD didn’t look different from those children with anxiety and other symptoms of mental illness. But Corkum, who is now at Mount St. Vincent University in Halifax, Nova Scotia, also said that shorter sleep times are generally related to more attention problems. “If your mind is racing, it is difficult to go to sleep.”
The researchers also looked for evidence of restless leg syndrome, the symptom de jour these days, and it was not a problem in the kids with ADHD who were studied. People who have restless leg syndrome describe it as an uncomfortable sensation — crawling, tingling, pulling or twitching feeling — that begins right before they fall asleep and forces them to move their leg.
Tannock and her colleagues can’t rule out the possibility that different medicine regimens in the United States may color another sleep picture for American children. Ritalin and other ADHD medicines are often used three times a day whereas in Canada it is given twice a day. What she is hoping to study is whether the high anxiety in these children — one third of them constantly worry about being alone — can be treated to overcome nighttime problems.
The researchers are testing children diagnosed with mild ADHD before and after they receive treatment for sleep disorders to see whether behavioral symptoms improve. The common sleep problems among these children: snoring and apnea, which is disrupted breathing. They believe enlarged tonsils and adenoids may cause sleep apnea, the periodic missed breaths during the night.
“ADHD seems to be a 24-hour condition, disrupting daytime and sleep,” says Lynne Lamberg, co-author of. Most people, she adds, “think about behavioral treatments but not the basic physiology and how that contributes to the symptoms.” During the recent sleep meeting, she listened to French researchers describe how giving Ritalin and similar medicines in the evening paradoxically decreases activity during sleep.
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