Attention Deficit Disorder With Hyperactivity, Morningness Eveningness Preference, Quality of Life, Sleep Disorders, Circadian Rhythm
Conditions
Keywords
ADHD subtypes, Restrictive ADHD, Sleep disorders, Functionality, Morningness Eveningness Preference
Brief summary
This study aims to explore chronotype and sleep disturbances in ADHD subtypes and their relation to functional impairment.
Detailed description
The goal of this observational study is to compare morningness-eveningness and sleep disturbances between children diagnosed with Restrictive ADHD (ADHD-R) and those with Predominantly Inattentive ADHD (ADHD-PI), and to examine how these sleep-related features impact functional impairment.The main question it aims to answer is:Are chronotype differences and sleep disturbances associated with greater functional impairment in children with ADHD-R compared to ADHD-PI and typically developing peers?
Interventions
None listed
Sponsors
Dr. Behcet Uz Children's Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
7 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Age between 7 and 12 years * Willingness to participate in the study with provided consent * Diagnosis of ADHD according to the Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime Version - Turkish adaptation (K-SADS); no comorbid psychiatric diagnosis (except Oppositional Defiant Disorder) * Presence of 6 or more inattention symptoms accompanied by 5 or fewer hyperactivity/impulsivity symptoms on the Disruptive Behavior Disorders Rating Scale based on Diagnostic and Statistical Manual of Mental Disorders-IV * No psychotropic medication use in the past 3 months
Exclusion criteria
* Families who do not consent to participate in the study * Children and adolescents with chronic medical conditions and/or currently taking any medications * Children and adolescents with intellectual disability (mental retardation) * Children and adolescents with comorbid psychiatric diagnoses * Presence of a neurological disorder * History of head trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Disturbance Scores | At baseline (upon enrollment) | Total Score on the Children's Sleep Habits Questionnaire (CSHQ) - Short Form Sleep habits and sleep-related problems will be assessed using the Children's Sleep Habits Questionnaire (CSHQ) - Short Form, a 33-item parent-report measure. Items are rated based on the child's behavior over the past week. Each item is scored from 1 to 3, with higher scores indicating more frequent sleep problems. Items 32 and 33 are scored on a 0-2 scale, and items 1, 2, 3, 10, 11, and 26 are reverse-coded. The total score ranges from 33 to 97. A score of 41 or higher is considered clinically significant, indicating problematic sleep. Time Frame: At baseline (upon enrollment) Units of Measure: Total score (range: 33-97) Interpretation: Higher scores indicate more severe sleep problems. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chronotype classification and total score on the Children's Chronotype Questionnaire (CCQ) | At baseline (upon enrollment) | Chronotype preference will be assessed using the Children's Chronotype Questionnaire (CCQ), a parent-report tool adapted from the Munich Chronotype Questionnaire and the Children's Morningness-Eveningness Scale. Items 17-26 determine the chronotype score; items 17, 18, 24, and 25 are reverse-coded. Total scores classify children as morning-type (≤23), intermediate-type (24-32), or evening-type (≥33). Units of Measure: Chronotype type; total score (range: 10-40); average sleep duration (hours). Higher scores reflect stronger eveningness preference. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Functional impairment scores on the Weiss Functional Impairment Rating Scale - Parent Form (WFIRS-P) | At baseline (upon enrollment) | Functional impairment will be assessed using the Weiss Functional Impairment Rating Scale - Parent Form (WFIRS-P), a 50-item Likert-type questionnaire completed by parents. The scale includes six domains: family, school, life skills, self-concept, social activities, and risky behaviors. Each item is rated from 0 (never) to 3 (very often), based on the child's functioning over the past month. Subscale and total scores are calculated by summing item scores and dividing by the number of completed items. Functional impairment in a domain is defined as either scoring 3 on at least one item, 2 on two items, or having a mean score of 1.5 or higher in that domain. overall functional impairment. Higher scores indicate greater functional impairment. |
Countries
Turkey (Türkiye)
Outcome results
None listed