The mediating role of anxiety/depression emotions between sleep quality and cognitive function in adolescents with attention deficit hyperactivity disorder
10.3760/cma.j.cn371468-20250520-00221
- VernacularTitle:焦虑抑郁情绪在注意缺陷多动障碍青少年睡眠质量与认知功能间的中介作用
- Author:
Anxiu ZHOU
1
;
Yanhong FU
1
;
Ling QIN
1
;
Hairun LIU
1
;
Hong ZHANG
1
;
Siyan HUANG
1
;
Lixian YANG
1
;
Chunling YAO
1
Author Information
1. 广西壮族自治区人民医院认知睡眠中心，广西医学科学院脑与精神疾病研究所，南宁 530021
- Publication Type:Journal Article
- Keywords:
Attention deficit hyperactivity disorder;
Sleep quality;
Anxiety;
Depression;
Cognitive function;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(8):692-697
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of anxiety/depression emotions between sleep quality and cognitive function in adolescents with attention deficit hyperactivity disorder(ADHD).Methods:A cross-sectional study design was adopted, involving 204 ADHD adolescents aged 12-18 who were treated between January 2021 and November 2023.All participants were assessed using the Pittsburgh sleep quality index(PSQI)for sleep quality, the self-rating anxiety scale(SAS) and self-rating depression scale(SDS) for emotional states.Four cognitive information processing processes(planning, simultaneous processing, attention, and successive processing) were evaluated by the Das-Naglieri cognitive assessment system(DN: CAS). Data were statistically analyzed using SPSS 23.0 and Zstats software, including descriptive statistics, Spearman correlation analysis, and mediation effect analysis.Results:Among ADHD adolescents, girls exhibited significantly higher rates of sleep disturbance(71.59%(63/88) vs 43.97%(51/116), χ2=15.490, P<0.001)and depressive emotion(47.73%(42/88) vs 33.62%(39/116), χ2=4.159, P=0.041)compared to boys.High school students had a significantly higher rate of sleep disturbance than middle school students(64.84%(59/91) vs 48.67%(55/113), χ2=5.341, P=0.021). Spearman correlation analysis revealed that sleep quality(8.00(6.00, 11.00)) in ADHD adolescents was significantly and positively correlated with anxiety(38.00(32.00, 46.00); r=0.504, P<0.01) and depression(46.00(39.00, 54.00); r=0.427, P<0.01). And sleep quality, anxiety and depression were significantly and negatively correlated with the DN: CAS total score(109.5(91.25, 123.75); r=-0.158--0.237, P<0.05). Mediation analysis indicated that anxiety mediated the relationship between sleep quality and attention function(indirect effect β=-0.159, Bootstrap 95% CI=-0.287--0.046). Conclusion:ADHD adolescents exhibit complex interactions among sleep quality, emotion, and cognitive function, sleep quality indirectly affects attention function through anxiety.
