All ETDs from UAB

Advisory Committee Chair

Marti Rice

Advisory Committee Members

Whitney Loring

Beth Malow

Erica Pryor

Anne Turner Henson

Document Type

Dissertation

Date of Award

2017

Degree Name by School

Doctor of Philosophy (PhD) School of Nursing

Abstract

EFFECT OF PARENTS’ ADHD STATUS, PARENTS’ SLEEP HYGIENE, AND CHILD SLEEP HYGIENE ON SLEEP OF SCHOOL-AGED CHILDREN WITH ADHD LAURA GRAY NURSING ABSTRACT The purpose of this study was to determine effect sizes for the relationships between parents’ attention-deficit/hyperactivity disorder (ADHD) symptoms, parents’ sleep hygiene, and child sleep hygiene, and to determine effect sizes for the amount of variance in ADHD child sleep explained by parent ADHD symptoms, parent sleep hygiene, and child sleep hygiene. Children who have ADHD are more likely to have sleep problems than peers without ADHD. Sleep problems can exacerbate or even mimic ADHD symptoms. Consistent sleep hygiene can help ameliorate some sleep problems. However, at least 50% of children with ADHD have a parent with ADHD. These adults may have sleep problems and executive function deficits that can make maintaining consistent sleep hygiene for a child difficult. A convenience sample of 27 six- to ten-year-old children (22 males, 5 females; 23 White, 3 Black; 1 Hispanic), 24 mothers, and 19 fathers were recruited from schools and private practice settings in a large southeastern city. All children had a diagnosis of ADHD, and 44% of parents self-reported ADHD symptoms that reached “somewhat symptomatic” or higher. Sleep hygiene of children was reported by parents to be in the higher ranges of the Children’s Sleep Hygiene Scale, while parents scored themselves in the mid-range of the Sleep Hygiene Index. Child sleep was remarkable for deficient total sleep time (TST), long sleep onset latency (SOL), and frequent night wakings (WASO). Effect sizes for relationships between ADHD symptoms of both parents and child sleep hygiene, as well as child sleep onset latency (SOL) were clinically meaningful. In addition, effect sizes for relationships between both parents sleep hygiene and child sleep hygiene were clinically meaningful. Sleep hygiene in parents and children were also related to child sleep outcome variables with effect sizes that were clinically meaningful. Recommendations for future research include recruitment of a larger sample size, objective measure of child sleep hygiene, and consideration of dosage and timing of child stimulant medication use.

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