Sleep problems in children with attention-deficit hyperactivity disorder: associations with parenting style and sleep hygiene

  • Emma Sciberras
  • Jie Cheng Song
  • Melissa Mulraney
  • Tibor Schuster
  • Harriet Hiscock
Original Contribution

DOI: 10.1007/s00787-017-1000-4

Cite this article as:
Sciberras, E., Song, J.C., Mulraney, M. et al. Eur Child Adolesc Psychiatry (2017). doi:10.1007/s00787-017-1000-4

Abstract

We aimed to examine the association between sleep problems and parenting and sleep hygiene in children with attention-deficit/hyperactivity disorder (ADHD). Participants included 5–13-year-old children with DSM 5 defined ADHD and a parent-reported moderate-to-severe sleep problem (N = 361). Sleep was assessed using the parent-reported Children’s Sleep Habits Questionnaire. Parents also completed checklists assessing sleep hygiene, parenting consistency, and parenting warmth. Linear regression established prediction models controlling for confounding variables including child age and sex, ADHD symptom severity, comorbidities, medication use, and socio-demographic factors. More consistent parenting was associated with decreased bedtime resistance (β = −0.16) and decreased sleep anxiety (β = −0.14), while greater parental warmth was associated with increased parasomnias (β = +0.18) and sleep anxiety (β = +0.13). Poorer sleep hygiene was associated with increased bedtime resistance (β = +0.20), increased daytime sleepiness (β = +0.12), and increased sleep duration problems (β = +0.13). In conclusion, sleep hygiene and parenting are important modifiable factors independently associated with sleep problems in children with ADHD. These factors should be considered in the management of sleep problems in children with ADHD.

Keywords

ADHD Sleep Children Parenting Sleep hygiene Comorbidity 

Supplementary material

787_2017_1000_MOESM1_ESM.doc (82 kb)
Supplementary material 1 (DOC 81 kb)
787_2017_1000_MOESM2_ESM.doc (89 kb)
Supplementary material 2 (DOC 89 kb)
787_2017_1000_MOESM3_ESM.doc (72 kb)
Supplementary material 3 (DOC 72 kb)

Funding information

Funder NameGrant NumberFunding Note
National Health and Medical Research Council
  • 1058827
  • 1110688
  • 607351

Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Emma Sciberras
    • 1
    • 2
    • 3
  • Jie Cheng Song
    • 2
  • Melissa Mulraney
    • 2
    • 3
  • Tibor Schuster
    • 2
    • 5
  • Harriet Hiscock
    • 2
    • 3
    • 4
  1. 1.Deakin UniversityGeelongAustralia
  2. 2.Murdoch Childrens Research InstituteParkvilleAustralia
  3. 3.The University of MelbourneParkvilleAustralia
  4. 4.Centre for Community Child HealthThe Royal Children’s HospitalParkvilleAustralia
  5. 5.Department of Family MedicineMcGill UniversityMontrealCanada

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