Associations between sleep and executive function development in children with attention deficit hyperactivity disorder
10.3969/j.issn.1000-6729.2025.12.06
- VernacularTitle:注意缺陷多动障碍儿童睡眠与执行功能发展特点及关系
- Author:
Dongqing KUANG
1
;
Feilong ZHU
;
Baohua XU
;
Shengqi LIN
;
Xiaoyu BI
;
Xiaotong ZHU
;
Yuanchun REN
Author Information
1. 北京师范大学体育与运动学院,北京 100875
- Publication Type:Journal Article
- Keywords:
attention deficit hyperactivity disorder;
child;
sleep;
executive function
- From:
Chinese Mental Health Journal
2025;39(12):1043-1049
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the sleep characteristics and executive function development in children aged 6-12 years with attention deficit hyperactivity disorder(ADHD),and to examine the relationship between them.Methods:A total of 112 children diagnosed with ADHD according to the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ),and 45 age-and gender-matched typically developing children were recruited.Sleep characteristics were assessed with the Chinese version of Children's Sleep Habits Questionnaire(CSHQ)and ActiGraph GT9X Link Three-axis acceleration body dynamometert.Core ADHD symptoms and multi-ple dimensions of executive function were evaluated withthe Swanson,Nolan,and Pelham scale,Fourth Edition(SNAP-Ⅳ)assessment scale,Stroop Color-Word Test(SCWT),Rey-Osterrieth Complex Figure Test(ROCFT),and Trail Making Test(TMT).Results:Compared with controls,children with ADHD showed significantly higher total CSHQ scores,sleep resistance,sleep anxiety,and sleep maintenance time(P＜0.05),and had significantly lower sleep efficiencies measured by ActiGraph GT9X Link(P＜0.05).In the SCWT,children with ADHD re-quired more time in the word interference and color interference tests(P＜0.05).In the ROCFT,the scores of im-mediate details,delayed details,immediate structure,and delayed structure were lower in the children with ADHD(P＜0.05).In the TMT,the number of errors in the digit connection and the time and number of errors in the digit-letter connection were higher in the children with ADHD(P＜0.05).The total CSHQ scores of ADHD children were negatively correlated with the working memory scores and positively correlated with the core symptom scores.Conclusion:Children with ADHD exhibit notable sleep disturbance and underdeveloped executive func-tion.the sleep problems,as measured by CSHQ are associated significantly with deficits in executive function.
