Title
The effects of persistent sleep disturbances during early childhood over adolescent ADHD, and the mediating effect of attention-related executive functions: Data from the 2004 Pelotas Birth Cohort
Date Issued
01 January 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Carpena M.X.
Matijasevich A.
Santos I.S.
Munhoz T.N.
Tovo-Rodrigues L.
Universidade Federal do Rio Grande (FURG)
Publisher(s)
Elsevier B.V.
Abstract
Objective: Investigate effects of persistent sleep disturbances during early childhood over ADHD during the adolescence, and the potential attention-related executive functions mediating this effect. Methods: We used data from the 2004 Pelotas Birth Cohort. Children's Sleep disturbances were reported by their mothers at 12, 24, and 48 months of age, whereas the Test-of-Everyday-Attention-for-Children (TEA-Ch) and the Development and Well Being Assessment (DAWBA) were applied at 11 years of age to evaluate attention-related executive functions and ADHD, respectively. Persistent sleep problems were defined as reporting have two or more points of difficulty to sleep, nightmares, restless sleeps, and/or <10h/24h sleep duration. Logistic regression and mediation models were used, adjusting for maternal and child sociodemographic, behavior and health related variables. Results: The highest prevalence of adolescent ADHD (15.4%) was on the group who reported having nightmares at 2,4 and 6 years. In adjusted models, we observed an odd of ADHD in the adolescence 2.26 higher in those who reported persistent nightmares (CI95% 1.33, 4.01) compared to those reported transitory or no nightmares. Persistent difficulty to sleep (OR=1.74 CI95% 1.13, 2.66) and restless sleep (OR=1.80, CI95% 1.23, 2.64) during childhood also increased ADHD odds at 11 years. No indirect effect through attention related executive functions was found using mediating models. Discussion: Persistent early sleep disturbances may increase odds of ADHD among adolescents and could be consider as early marker of such disorder, specially nightmares problems. These effects were not mediated by attention-related executive functions. Nevertheless, we had 75% of cohort inception response.
Start page
175
End page
182
Volume
296
Language
English
OCDE Knowledge area
Psiquiatría Pediatría Otros temas de medicina clínica
Scopus EID
2-s2.0-85116007240
PubMed ID
Source
Journal of Affective Disorders
ISSN of the container
01650327
Sponsor(s)
This study receipt the following financial support for the research, authorship, and/or publication of this article: The World Health Organization, National Support Program for Centers of Excellence (PRONEX), Brazilian National Research Council (CNPq), Brazilian Ministry of Health, and Children's Pastorate supported previous phases of the study until 2009. The 11-year follow-up was supported by the Science and Technology Department/Brazilian Ministry of Health, with resources trans-ferred through the Brazilian National Council for Scientific and Technological Development (CNPq) , Grant Number 2400943/2013-1 . This follow-up was also funded by the São Paulo Research Foundation (FAPESP; Grant Number 2014/13864-6 ). This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001. M.X.C., A.M., I.S.S., and L.T.-R. are supported by the CNPq (National Council for Scientific and Technological Development).
Sources of information: Directorio de Producción Científica Scopus