Using a Digital Meditation Application to Mitigate Anxiety and Sleep Problems in Children with ADHD

2021 ◽  
pp. 108705472110256
Author(s):  
Ronna Fried ◽  
Maura DiSalvo ◽  
Abigail Farrell ◽  
Joseph Biederman

Objective: ADHD affects 11% of children in the United States and is associated with significant levels of anxiety. Although the literature supports mindfulness-based interventions as a promising strategy for managing anxiety, it falls short in the feasibility of digital mindfulness interventions. Method: This study investigated the usefulness of the pediatric version of Headspace, a digital mindfulness program, for reducing stress in 18 children with ADHD. We conducted a 4-week pilot study to evaluate the Headspace digital mindfulness application for children ages 6 to 12 with ADHD. Parents completed the Beck Anxiety Inventory and the Children’s Sleep Habits Questionnaire at baseline and endpoint. Results: Participants had an average age of 9.2 years and were 78% male. The Headspace intervention significantly reduced anxiety and sleep problems in children with ADHD. Conclusion: Children with ADHD and comorbid anxiety and/or sleep problems could benefit from a digitally based meditation application. (J. of Att. Dis. XXXX; XX(X) XX-XX)

2014 ◽  
Vol 21 (9) ◽  
pp. 731-740 ◽  
Author(s):  
Anne Virring ◽  
Rikke Lambek ◽  
Poul Jørgen Jennum ◽  
Lene Ruge Møller ◽  
Per Hove Thomsen

Objective: Little systematic information is available regarding how sleep problems influence daytime functioning in children with ADHD, as the role of ADHD presentations and comorbidity is unclear. Method: In total, 397 children were assessed with the Children’s Sleep Habits Questionnaire, the Weiss Functional Impairment Rating Scale, and the ADHD Rating Scale. Results: We found a moderate, positive correlation between sleep problems and impaired functioning in both children with ADHD and in typically developed children. ADHD presentations did not differ significantly with respect to sleep problem profile, but having a comorbid internalizing or autistic disorder lead to higher sleep problem score. Conclusion: Sleep problems and impaired daily functioning were more common in children with ADHD, but the overall association between sleep problems and impaired daily functioning was similar in clinical and nonclinical children. Internalizing or autistic comorbid disorders added significantly to the sleep problems.


Sleep Health ◽  
2017 ◽  
Vol 3 (3) ◽  
pp. 136-141 ◽  
Author(s):  
Karen A. Bonuck ◽  
Beth L. Goodlin-Jones ◽  
Clyde Schechter ◽  
Judith Owens

2021 ◽  
Vol 126 (6) ◽  
pp. 505-510
Author(s):  
Jamie Barstein ◽  
Shafali Jeste ◽  
Vidya Saravanapandian ◽  
Carly Hyde ◽  
Charlotte Distefano

Abstract Duplication of chromosome 15q11.2-q13.1 (dup15q syndrome) results in hypotonia, intellectual disability (ID), and autism symptomatology. Clinical electroencephalography has shown abnormal sleep physiology, but no studies have characterized sleep behaviors. The present study used the Children's Sleep Habits Questionnaire (CSHQ) in 42 people with dup15q syndrome to examine the clinical utility of this questionnaire and quantify behavioral sleep patterns in dup15q syndrome. Individuals with fully completed forms (56%) had higher cognitive abilities than those with partially completed forms. Overall, caregivers indicated a high rate of sleep disturbance, though ratings differed by epilepsy status. Results suggest that clinicians should use caution when using standardized questionnaires and consider epilepsy status when screening for sleep problems in dup15q syndrome.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1404.3-1405
Author(s):  
S. Tharwat

Background:Kawasaki disease (KD) is a type of vasculitis that affects mainly medium and small arteries,especially the coronary arteries (1).It mainly affects children under the age of five (2).Sleep disturbances are more prevalent among medically ill children and adults and may have a negative impact on their health related quality of life (3, 4).To the best of our knowledge,sleep problems have not previously studied in KD patients.Objectives:This study aimed to investigate sleep problems, sleep disturbances and the relation between sleep problems and clinical manifestations among patients with KD.Methods:A cross-sectional study was performed using a written survey. Participants were invited through social media groups including patients and parents of children with KD. The survey included questions about demographic data, KD manifestations, disease duration and treatment received for management of the disease. Children’s Sleep Habits Questionnaire (33-item version) was also included in the survey (5).Results:There was a total of 262 survey participants (130 KD and 132 age- and sex matched healthy controls). There was no significant difference in the frequency of clinically significant sleep disturbance between patients with KD and healthy controls. However, the total sleep score was significantly higher in KD patients than health controls (p<.001).Total sleep duration was significantly higher in patients with KD (4.94±1.88 vs 3.74 ±1.14 hr, p<.001).Additionally KD patients had significantly higher scores regarding sleep onset delay (p=.001),night wakings (p<.001),parasomnias (p<.001) and sleep disordered breathing (p<.001) when compared to healthy controls.KD Patients who manifested with chronic heart disease or lethargy had significantly higher sleep score than patients without (p=.015,.039 respectively).Conclusion:This study showed that patients with KD had more sleep disturbance than their healthy peers. The presence of either chronic heart disease or lethargy is associated with poor sleep quality.This study highlights the need for assessment of sleep disorders in KD patients.References:[1]Hedrich CM, Schnabel A, Hospach T. Kawasaki Disease. Front Pediatr. 2018;6:198-.[2]Singh S, Gupta MK, Bansal A, Kumar RM, Mittal BR. A comparison of the clinical profile of Kawasaki disease in children from Northern India above and below 5 years of age. Clinical and experimental rheumatology. 2007;25(4):654-7.[3]van Golde EG, Gutter T, de Weerd AW. Sleep disturbances in people with epilepsy; prevalence, impact and treatment. Sleep medicine reviews. 2011;15(6):357-68.[4]Roehrs T, Diederichs C, Gillis M, Burger AJ, Stout RA, Lumley MA, et al. Nocturnal sleep, daytime sleepiness and fatigue in fibromyalgia patients compared to rheumatoid arthritis patients and healthy controls: a preliminary study. Sleep medicine. 2013;14(1):109-15.[5]Silva FG, Silva CR, Braga LB, Serrão Neto A. Portuguese Children’s Sleep Habits Questionnaire-validation and cross-cultural comparison. Jornal de pediatria. 2014;90(1):78-84.Disclosure of Interests:None declared


2019 ◽  
Vol 32 (10) ◽  
pp. 628
Author(s):  
Inês Marques Carneiro ◽  
Pedro Fonseca ◽  
Rosário Ferreira

Introduction: Children’s sleep habits are profoundly affected by socio-economic, cultural, and environmental factors. We aim to describe the sleep habits of pediatric sub-populations from Cape Verde and Mozambique using the Children’s Sleep Habits Questionnaire, and to ascertain the determinants of the questionnaire’s score.Material and Methods: We conducted cross-sectional surveys in surveillance appointments in Cape Verde and in a school in Maputo (Mozambique). The Cape Verde sample included 206 children (mean age: 6.5) and the Mozambique sample 454 children (mean age: 8). The Portuguese version of the Children’s Sleep Habits Questionnaire was used to evaluate the children’s sleep habits. The distributions of the questionnaire’s scores across different levels of the demographic variables were compared using the Mann-Whitney and the Kruskal-Wallis tests. We used regression models to quantify the relationship between the demographic variables and the questionnaire’s scores.Results: Cape Verde sample: Questionnaire median score: 50 (range 36 – 81). Prevalence of sleep problems: 29.9% (cut-off = 56). Prevalence of parent-reported sleep problems: 22.8%. Co-sleeping: 63%. Bedtime television: 30%. Daytime nap: 63%. Questionnaire scores are associated with the mother’s educational level, the children’s age group, and with the frequency of daytime napping. Mozambique Sample: Median Questionnaire score: 48 (range 35 – 77). Prevalence of sleep problems: 28.4% (cut-off: 52). Percentage of parent-reported sleep problems: 6.9%. Co-sleeping: 29%. Bedtime television: 33%. Daytime nap: 23%. Questionnaire scores are associated with the mother’s nationality, the father educational level, and with the frequency of bedtime television.Discussion: Parents tend to overestimate the quality of their children’s sleep. The prevalence of sleep disturbances and the cut-off values are higher than observed in previous studies, which may be due to the existence of different standards and cultural expectations across populations. Bedtime television, typically associated with more disturbed sleep, is frequent in both samples. Co-sleeping and daytime napping are frequent in the Cape Verde sample; wetting the bed is common and more prevalent than in previous studies. Bed-sharing increases the parents’ awareness of their children’s sleep quality, contributing to the high prevalence of parent-reported sleep problems.Conclusion: Parent-reported sleep problems underestimate the Children’s Sleep Habits Questionnaire results. This is not necessarily indicative of more disturbed sleep and might reflect differences in sleep behavior, childcare practice, and cognitions and attitudes towards the concept of ‘normal’ sleep.


2016 ◽  
Vol 33 (S1) ◽  
pp. s266-s267
Author(s):  
M. Abouzed ◽  
S. Kinawy

Sleep problems frequently coexist in epileptic patient. The effect of them on each the other has been extensively evaluated. Little review exists on the reciprocal interaction of sleep problems and epilepsy in the children.Aim of studyTo evaluate prevalence, pattern and risk factors of sleep problems in epileptic children.MethodEighty-two epileptic children and 40 healthy controlled children were evaluated using children's sleep habits questionnaire – Arabic form and night polysomnography (2 consecutive nights).ResultPrevalence of sleep problem in epileptic children was 45% and 17% of normal control children with significant difference in sleep latency, total sleep time and number of awaking per night with significant prevalence with partial epilepsy, poly therapy and poor controlled epilepsy.ConclusionSleep problems are common in epileptic children with close relation to partial epilepsy, number of anti epileptic and poor controlled epilepsy. This is important to deal with it in order to better control of sleep problems in such patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 59 (6) ◽  
pp. 747-750 ◽  
Author(s):  
Michio Takahashi ◽  
Masaki Adachi ◽  
Sayura Yasuda ◽  
Ayako Osato-Kaneda ◽  
Manabu Saito ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sae Ono ◽  
Hiroto Ogi ◽  
Masato Ogawa ◽  
Daisuke Nakamura ◽  
Teruhiko Nakamura ◽  
...  

Abstract Background Sleep problems in preschool children can stunt their health and growth. However, the factors that cause sleep problems in children are not well understood. The aim of this study was to determine the relationship between parents’ health literacy (HL) and children’s sleep problems. The study was conducted at two kindergartens, two nursery schools, and a center for early childhood education in Chitose-city, Hokkaido, Japan. Method This study used a multicenter cross-sectional design. The sample comprised 354 preschoolers (aged 3–6 years) and their parents. In families with two or more children attending the same facility, only the oldest child was asked to participate in the study. Exclusion criteria included participants whose completed questionnaires had missing values. Children’s sleep problems were assessed using the Japanese version of the Children’s Sleep Habits Questionnaire (CSHQ-J). Parents’ HL was assessed using the 14-item Health Literacy Scale (HLS-14). The parents were classified into two groups (high HL group and low HL group). Multiple regression modelling was used to determine the association between HLS-14 and CSHQ-J scores. Results Of the 354 parents, 255 (72%) were in the high HL group and 99 (28%) in the low HL group. The mean CSHQ-J score was significantly lower in the high HL group than in the low HL group (45.3 ± 6.0 points vs. 46.8 ± 5.9 points, p = 0.043). In multiple regression analyses, parents’ HL was independently associated with their CSHQ-J score after adjusting for all confounding factors (adjusted R2 = 0.22, β = − 0.11; p = 0.043). Conclusions Parents’ HL appears to affect their children’s sleep problems. This finding suggests that parents’ HL may be a target for intervention to improve children’s sleep problems.


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