The effect of sleep loss on nighttime sleep, daytime sleepiness, and cognitive functioning in children with attention deficit hyperactivity disorder.

Item

Title
The effect of sleep loss on nighttime sleep, daytime sleepiness, and cognitive functioning in children with attention deficit hyperactivity disorder.
Identifier
AAI9917637
identifier
9917637
Creator
Cantor, Stuart Roy.
Contributor
Adviser: Arthur J. Spielman
Date
1999
Language
English
Publisher
City University of New York.
Subject
Psychology, Clinical | Health Sciences, Mental Health | Health Sciences, Human Development | Psychology, Physiological | Psychology, Behavioral | Psychology, Personality | Psychology, Developmental
Abstract
The purpose of this investigation was to define groups of ADHD and Non-ADHD prepubertal children, and assess the impact of sleep loss on sleep, daytime sleepiness, and performance on a continuous performance task, the Test of Variables of Attention (T.O.V.A.TM). 20 children (11 ADHD and 9 non-ADHD) were evaluated in the CCNY Sleep Disorders Center. Participants who met inclusion criteria returned to begin a two night, two day study in which their sleep and levels of daytime alertness were electronically recorded. To partially sleep deprive participants, they went to bed two hours later on Night 2. Levels of daytime alertness/sleepiness were assessed with the Multiple Sleep Latency Test. Post sleep loss dependent variables included: (1) Night 2 of sleep, (2) Day 2 MSLTs, and (3) T.O.V.ATM performance. One significant interaction effect was found for sleep. ADHD children had a significantly higher percentage of transitional, lighter Stage 1 sleep after sleep loss, in contrast to the non-ADHD group, who had lower Stage 1% on Night 2, a more expectable response. Parent reports on the questionnaire of children's sleep correlated somewhat with empirical recordings. Items seem to be useful in identifying children with sleep difficulties. ADHD children did not become sleepier than non-ADHD children from mild sleep loss: there was no difference found between the groups on the MSLT. However, all participants, had statistically significantly lower Sleep Latency means on MSLT 2, suggesting that just two hours of sleep loss can have some impact on the high levels of alertness seen in most participants the first day. ADHD group T.O.V.A. TM means, before and after sleep loss, were not different. ADHD group's T.O.V.A. TM performance did not show more severe decrements than controls after the sleep loss condition. Preliminary findings showed non-ADHD children made more errors on the T.O.V.A.TM after mild sleep deprivation. Further research is indicated to follow up investigating the group differences and relationships suggested by this study between sleep loss and nocturnal sleep, decrements in diurnal alertness, and T.O.V.A. Tm performance in ADHD and non-ADHD children.
Type
dissertation
Source
PQT Legacy CUNY.xlsx
degree
Ph.D.
Item sets
CUNY Legacy ETDs