Intraindividual variability of sleep/wake patterns in adolescents with and without attention-deficit/hyperactivity disorder / J. M. LANGBERG in Journal of Child Psychology and Psychiatry, 60-11 (November 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-11 (November 2019) . - p.1219-1229 Titre : Intraindividual variability of sleep/wake patterns in adolescents with and without attention-deficit/hyperactivity disorder Type de document : Texte imprimé et/ou numérique Auteurs : J. M. LANGBERG, Auteur ; R. P. BREAUX, Auteur ; C. N. CUSICK, Auteur ; C. D. GREEN, Auteur ; Z. R. SMITH, Auteur ; S. J. MOLITOR, Auteur ; Stephen P. BECKER, Auteur Article en page(s) : p.1219-1229 Langues : Anglais (eng) Mots-clés : Actigraphy  adolescence  attention-deficit/hyperactivity disorder  day-to-day  interdaily  jet lag  night-to-night Index. décimale : PER Périodiques Résumé : BACKGROUND: Prior studies examining the sleep of adolescents with and without attention-deficit/hyperactivity disorder (ADHD) have relied on mean values such as average sleep duration, which masks intraindividual variability (IIV). The objective was to investigate whether adolescents with ADHD have greater IIV of sleep/wake patterns than adolescents without ADHD using actigraphy and daily sleep diaries. METHOD: Adolescents (ages 13.17 +/- 0.40 years; 45% female) with (n = 162) and without (n = 140) ADHD were recruited from middle schools at two sites. Participants wore actigraphs and completed sleep diaries for an average of 2 weeks. RESULTS: Multilevel models were conducted with sex, sleep medication use, ADHD medication use, number of days with data, and social jetlag controlled for in analyses. For actigraphy, adolescents with ADHD had greater variability for time in bed, sleep onset and offset, and wake after sleep onset than adolescents without ADHD. For sleep diary data, adolescents with ADHD had greater variability in bedtime, wake time, sleep duration, sleep onset latency, sleep quality, and night wakings than adolescents without ADHD. Social jetlag was a significant predictor of variability in sleep measures based on both actigraph and daily diaries; however, ADHD status was not associated with social jetlag. CONCLUSIONS: This is the first study to show that adolescents with ADHD have more variable sleep/wake patterns than their peers using both objective and subjective sleep measures. IIV of sleep/wake patterns may be important for clinicians to assess and monitor as part of treatment. Research is needed to understand the mechanisms underlying increased IIV of sleep/wake patterns in adolescents with ADHD and potential consequences for daytime functioning. En ligne : http://dx.doi.org/10.1111/jcpp.13082 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408 [article] Intraindividual variability of sleep/wake patterns in adolescents with and without attention-deficit/hyperactivity disorder [Texte imprimé et/ou numérique] / J. M. LANGBERG, Auteur ; R. P. BREAUX, Auteur ; C. N. CUSICK, Auteur ; C. D. GREEN, Auteur ; Z. R. SMITH, Auteur ; S. J. MOLITOR, Auteur ; Stephen P. BECKER, Auteur . - p.1219-1229. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-11 (November 2019) . - p.1219-1229 Mots-clés : Actigraphy  adolescence  attention-deficit/hyperactivity disorder  day-to-day  interdaily  jet lag  night-to-night Index. décimale : PER Périodiques Résumé : BACKGROUND: Prior studies examining the sleep of adolescents with and without attention-deficit/hyperactivity disorder (ADHD) have relied on mean values such as average sleep duration, which masks intraindividual variability (IIV). The objective was to investigate whether adolescents with ADHD have greater IIV of sleep/wake patterns than adolescents without ADHD using actigraphy and daily sleep diaries. METHOD: Adolescents (ages 13.17 +/- 0.40 years; 45% female) with (n = 162) and without (n = 140) ADHD were recruited from middle schools at two sites. Participants wore actigraphs and completed sleep diaries for an average of 2 weeks. RESULTS: Multilevel models were conducted with sex, sleep medication use, ADHD medication use, number of days with data, and social jetlag controlled for in analyses. For actigraphy, adolescents with ADHD had greater variability for time in bed, sleep onset and offset, and wake after sleep onset than adolescents without ADHD. For sleep diary data, adolescents with ADHD had greater variability in bedtime, wake time, sleep duration, sleep onset latency, sleep quality, and night wakings than adolescents without ADHD. Social jetlag was a significant predictor of variability in sleep measures based on both actigraph and daily diaries; however, ADHD status was not associated with social jetlag. CONCLUSIONS: This is the first study to show that adolescents with ADHD have more variable sleep/wake patterns than their peers using both objective and subjective sleep measures. IIV of sleep/wake patterns may be important for clinicians to assess and monitor as part of treatment. Research is needed to understand the mechanisms underlying increased IIV of sleep/wake patterns in adolescents with ADHD and potential consequences for daytime functioning. En ligne : http://dx.doi.org/10.1111/jcpp.13082 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408

Prospective impact of COVID-19 on mental health functioning in adolescents with and without ADHD: protective role of emotion regulation abilities / R. P. BREAUX in Journal of Child Psychology and Psychiatry, 62-9 (September 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-9 (September 2021) . - p.1132-1139 Titre : Prospective impact of COVID-19 on mental health functioning in adolescents with and without ADHD: protective role of emotion regulation abilities Type de document : Texte imprimé et/ou numérique Auteurs : R. P. BREAUX, Auteur ; M. R. DVORSKY, Auteur ; N. P. MARSH, Auteur ; C. D. GREEN, Auteur ; A. R. CASH, Auteur ; D. M. SHROFF, Auteur ; N. BUCHEN, Auteur ; J. M. LANGBERG, Auteur ; Stephen P. BECKER, Auteur Article en page(s) : p.1132-1139 Langues : Anglais (eng) Mots-clés : Adolescent  Attention Deficit Disorder with Hyperactivity/epidemiology  COVID-19/epidemiology  Emotional Regulation  Female  Humans  Male  Mental Health/statistics & numerical data  Pandemics  Prospective Studies  Covid-19  Novel coronavirus  adolescence  attention-deficit/hyperactivity disorder  emotion regulation  mental health  psychopathology Index. décimale : PER Périodiques Résumé : BACKGROUND: The impact of chronic stressors like the COVID-19 pandemic is likely to be magnified in adolescents with pre-existing mental health risk, such as attention-deficit/hyperactivity disorder (ADHD). This study examined changes in and predictors of adolescent mental health from before to during the COVID-19 pandemic in the Southeastern and Midwestern United States. METHODS: Participants include 238 adolescents (132 males; ages 15-17; 118 with ADHD). Parents and adolescents provided ratings of mental health symptoms shortly before the COVID-19 pandemic and in spring and summer 2020. RESULTS: Adolescents on average experienced an increase in depression, anxiety, sluggish cognitive tempo, inattentive, and oppositional/defiant symptoms from pre-COVID-19 to spring 2020; however, with the exception of inattention, these symptoms decreased from spring to summer 2020. Adolescents with ADHD were more likely than adolescents without ADHD to experience an increase in inattentive, hyperactive/impulsive, and oppositional/defiant symptoms. Adolescents with poorer pre-COVID-19 emotion regulation abilities were at-risk for experiencing increases in all mental health symptoms relative to adolescents with better pre-COVID-19 emotion regulation abilities. Interactive risk based on ADHD status and pre-COVID-19 emotion regulation abilities was found for inattention and hyperactivity/impulsivity, such that adolescents with ADHD and poor pre-COVID-19 emotion regulation displayed the highest symptomatology across timepoints. Lower family income related to increases in inattention but higher family income related to increases in oppositional/defiant symptoms. CONCLUSIONS: The early observed increases in adolescent mental health symptoms during the COVID-19 pandemic do not on average appear to be sustained following the lift of stay-at-home orders, though studies evaluating mental health across longer periods of time are needed. Emotion dysregulation and ADHD increase risk for sustained negative mental health functioning and highlight the need for interventions for these populations during chronic stressors. Results and clinical implications should be considered within the context of our predominately White, middle class sample. En ligne : http://dx.doi.org/10.1111/jcpp.13382 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] Prospective impact of COVID-19 on mental health functioning in adolescents with and without ADHD: protective role of emotion regulation abilities [Texte imprimé et/ou numérique] / R. P. BREAUX, Auteur ; M. R. DVORSKY, Auteur ; N. P. MARSH, Auteur ; C. D. GREEN, Auteur ; A. R. CASH, Auteur ; D. M. SHROFF, Auteur ; N. BUCHEN, Auteur ; J. M. LANGBERG, Auteur ; Stephen P. BECKER, Auteur . - p.1132-1139. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-9 (September 2021) . - p.1132-1139 Mots-clés : Adolescent  Attention Deficit Disorder with Hyperactivity/epidemiology  COVID-19/epidemiology  Emotional Regulation  Female  Humans  Male  Mental Health/statistics & numerical data  Pandemics  Prospective Studies  Covid-19  Novel coronavirus  adolescence  attention-deficit/hyperactivity disorder  emotion regulation  mental health  psychopathology Index. décimale : PER Périodiques Résumé : BACKGROUND: The impact of chronic stressors like the COVID-19 pandemic is likely to be magnified in adolescents with pre-existing mental health risk, such as attention-deficit/hyperactivity disorder (ADHD). This study examined changes in and predictors of adolescent mental health from before to during the COVID-19 pandemic in the Southeastern and Midwestern United States. METHODS: Participants include 238 adolescents (132 males; ages 15-17; 118 with ADHD). Parents and adolescents provided ratings of mental health symptoms shortly before the COVID-19 pandemic and in spring and summer 2020. RESULTS: Adolescents on average experienced an increase in depression, anxiety, sluggish cognitive tempo, inattentive, and oppositional/defiant symptoms from pre-COVID-19 to spring 2020; however, with the exception of inattention, these symptoms decreased from spring to summer 2020. Adolescents with ADHD were more likely than adolescents without ADHD to experience an increase in inattentive, hyperactive/impulsive, and oppositional/defiant symptoms. Adolescents with poorer pre-COVID-19 emotion regulation abilities were at-risk for experiencing increases in all mental health symptoms relative to adolescents with better pre-COVID-19 emotion regulation abilities. Interactive risk based on ADHD status and pre-COVID-19 emotion regulation abilities was found for inattention and hyperactivity/impulsivity, such that adolescents with ADHD and poor pre-COVID-19 emotion regulation displayed the highest symptomatology across timepoints. Lower family income related to increases in inattention but higher family income related to increases in oppositional/defiant symptoms. CONCLUSIONS: The early observed increases in adolescent mental health symptoms during the COVID-19 pandemic do not on average appear to be sustained following the lift of stay-at-home orders, though studies evaluating mental health across longer periods of time are needed. Emotion dysregulation and ADHD increase risk for sustained negative mental health functioning and highlight the need for interventions for these populations during chronic stressors. Results and clinical implications should be considered within the context of our predominately White, middle class sample. En ligne : http://dx.doi.org/10.1111/jcpp.13382 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

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