TL;DR: Inattention and hyperactivity among general pediatric patients are associated with increased daytime sleepiness and---especially in young boys---snoring and other symptoms of SDB, and the current results suggest a major public health impact.
Abstract: Objective. Inattention and hyperactivity are frequent among children with sleep-disordered breathing (SDB) and often improve when SDB is treated. However, the frequency of SDB symptoms among inattentive and hyperactive children has received little study. Design. Cross-sectional survey. Setting. Two university-affiliated but community-based general pediatrics clinics. Patients. Patients consisted of N = 866 children (469 boys), aged 2.0 to 13.9 years (mean: 6.8 ± 3.2 years), with clinic appointments. Measures. A validated Pediatric Sleep Questionnaire assessed for habitual snoring (1 item), snoring severity (a 4-item subscale), sleepiness (4 items), and overall risk of SDB (16 items). Parents also completed 2 common behavioral measures, an inattention/hyperactivity scale (IHS) derived from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and the hyperactivity index (HI, expressed as a t score) of the Conners’ Parent Rating Scale. Results. Habitual snoring was reported in 16% (95% confidence interval [CI]: 13, 19) of the participants. High HI scores (>60) were found in 13% (95% CI: 11, 16) of all participants, 22% (95% CI: 15, 29) of habitual snorers, and 12% (95% CI: 9, 14) of nonsnorers. Odds ratios between HI >60 and each of the following were: habitual snoring, 2.2 (95% CI: 1.4, 3.6); 1 additional positive symptom-item on the snoring scale, 1.3 (95% CI: 1.1, 1.5); 1 additional positive item on the sleepiness scale, 1.6 (95% CI: 1.4, 2.0); and a 1-standard deviation increase in the overall SDB score, 1.7 (95% CI: 1.4, 2.0; all odds ratios age- and sex-adjusted). Results were similar for high IHS scores (>1.25). Stratification by age and sex showed that most of the association with snoring (but not sleepiness) derived from boys Conclusions. Inattention and hyperactivity among general pediatric patients are associated with increased daytime sleepiness and—especially in young boys—snoring and other symptoms of SDB. If sleepiness and SDB do influence daytime behavior, the current results suggest a major public health impact.
TL;DR: In this article, the effects of a mindfulness-based program on self-regulation, prosocial behavior and hyperactivity were examined in a study of 127 children (ages 4-6) in 8 kindergarten classrooms.
Abstract: Classroom environments need to provide young children with opportunities to practice self-regulation in order to develop social and emotional competence. The effects of a mindfulness-based program on self-regulation, prosocial behavior and hyperactivity were examined in a study of 127 children (ages 4–6) in 8 kindergarten classrooms that were randomly assigned to either a Mindfulness Group (n = 72) or to a Control Group (n = 55). The program consisted of 20-minute lessons, delivered 3 times a week, for 6 weeks. The Head-Toes-Knees-Shoulders (HTKS) was used as a direct performance-based measure of self-regulation. The teacher version of the Strengths and Difficulties Questionnaire (SDQ) was used to assess prosocial behavior and hyperactivity. Data were collected before (Time 1) and after (Time 2) the 6-week period of the study intervention. Results indicated that children in the Mindfulness Group showed greater improvement in self-regulation, F (1, 124) = 10.70, p = .001 (=.079), were more prosocial (z = −4.152, p < .001) and less hyperactive (z = −3.377, p = .001) compared to children in the Control Group at Time 2. This was especially true for children who had lower scores at Time 1 (HTKS; rho = −.551, p < .001; Prosocial Behavior scale; rho = −.69, p < .001 and the Hyperactivity scale; rho = −.39, p < .001). Results highlight the benefits of mindfulness-based programs in kindergarten classrooms and indicate that they are particularly effective for children with difficulties in these areas.
TL;DR: An attention deficit hyperactivity disorder (ADHD) Total Symptoms scale was constructed by summing the ratings for these 21 symptom ratings, and this scale was found to be as effective as the Hyperactivity scale was in discriminating between youth who were and were not eventually diagnosed with an ADHD.
Abstract: To assess the factorial validity of the 27-item Conners' Parent Rating Scale-Revised: Short Form (CPRS-R:S; Conners, 1997), 100 (50%) male and 100 (50%) female psychiatric outpatients between 5 and 16 years old were rated by a parent. A confirmatory factor analysis of the 18 item ratings from the CPRS-R:S Oppositional, Cognitive Problems, and Hyperactivity scales provided only tentative support for scoring these scales as Conners (1997) recommended. However, an exploratory principal-axis factor analysis with all 27 item ratings found 2 dimensions: 1 dimension was composed of the 6 items in the Oppositional scale, and other dimension contained the remaining 21 items. An attention deficit hyperactivity disorder (ADHD) Total Symptoms scale was constructed by summing the ratings for these 21 symptom ratings, and this scale was found to be as effective as the Hyperactivity scale was in discriminating between youth who were and were not eventually diagnosed with an ADHD. We discuss the results as providing an alternate way of scoring the CPRS-R:S to screen for an ADHD in child and adolescent psychiatric outpatients.
TL;DR: Diagnostic data indicated that persisters were more likely to exhibit coexisting conduct disorder in Year 1 and oppositional defiant disorder in Years 1, 4, and 5 and parents of persisters reported more psychosocial adversity on measures of parenting and marital satisfaction.
Abstract: A large school-based sample of children in Grades 1, 2, 3, and 4 were screened for disruptive behavior and subsequently assessed over a 5-year period for DSM-III-R symptoms of attention deficit hyperactivity disorder (ADHD) and other externalizing and internalizing behavior disorders. Parents completed structured diagnostic interviews in Years 1, 4, and 5, and teachers completed Behavioral Assessment for Children-Teacher Rating Scales behavioral ratings annually. For parent-derived diagnostic data, both inattention and hyperactivity/impulsivity symptom groups declined from Year 1 to Year 4, with hyperactivity showing more significant decline. For teacher-rated behavioral dimensions, the Attention Problems scale declined from Year 1 to Year 3 and stabilized thereafter. The Hyperactivity scale showed stability during the first 3 years before declining in Year 4. Of those children diagnosed with ADHD in Year 1, 69% still met criteria for ADHD in either Year 4 or 5. Persisters were more likely to exhibit coexisting conduct disorder in Year 1 and oppositional defiant disorder in Years 1, 4, and 5. Parents of persisters reported more psychosocial adversity on measures of parenting and marital satisfaction.
TL;DR: An attempt is made to validate an adolescent interview scale for DSM-based ADHD symptoms and results show that the measure has a high inter-rater reliability and is a good predictor of general outcome.
Abstract: The validity of self-report measurement varies widely according to the type of behaviour investigated For behaviour of overactivity and inattention, adolescents seem to underestimate their problems Well validated instruments for self-report of attention deficit and hyperactivity disorder (ADHD) are lacking yet, and research on ADHD beyond childhood relies quite heavily on self-report In this study, an attempt is made to validate an adolescent interview scale for DSM-based ADHD symptoms Results show that the measure has a high inter-rater reliability and is a good predictor of general outcome However, adolescents do not validly report on symptoms specifically of ADHD Possible implications for research and clinical practice are formulated