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Symptoms of inattention and hyperactivity in children with habitual snoring: evidence from a community-based study in Istanbul.

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Title: Symptoms of inattention and hyperactivity in children with habitual snoring: evidence from a community-based study in Istanbul.
Authors: Arman, A. R. (AUTHOR), Ersu, R. (AUTHOR), Save, D. (AUTHOR), Karadag, B. (AUTHOR), Karaman, G. (AUTHOR), Karabekiroglu, K. (AUTHOR), Karakoc, F. (AUTHOR), Dagli, E. (AUTHOR), Berkem, M. (AUTHOR)
Source: Child: Care, Health & Development. Nov2005, Vol. 31 Issue 6, p707-717. 11p. 4 Charts.
Subjects: Attention-deficit hyperactivity disorder, Behavior disorders in children, Snoring, Child psychology, Mental health, School children
Geographic Terms: Istanbul (Turkey), Turkey
Abstract: Background Neurobehavioural symptoms of inattention and hyperactivity are common in children with sleep-disordered breathing (SDB). Prevalence rates of habitual snoring and attention deficit hyperactivity disorder (ADHD) are very similar and both have a substantial negative effect on children's behavioural health. Objective We examined the differences for subjective attentional and hyperactivity measures reported by parents and teachers among primary school children with habitual snoring and age- and sex-matched controls in a community-based case-control study in Istanbul. Methods In 2002, a survey was carried out to determine the prevalence of snoring in 2147 primary school children. After one year, in 2003, 151 children with habitual snoring and 302 controls from this survey were studied with parental SDB questionnaire, Conners’ Parent (Conners-P) and Teacher Scales, and an inattention hyperactivity scale (IHS). Exclusion criteria included history of ADHD diagnosis, controls who started to snore and habitual snorers (HS) who no longer snored in this follow-up study. Results Ninety-six HS and 190 control subjects (mean age: 9.4 ± 1.3) were evaluated. HS had significantly more symptoms of hyperactivity (Conners-ADHD index) ( P: 0.033), attentional ( P: 0.019), and conduct and oppositional defiant in subscales ( P: 0.001) of Conners-P and IHS-Parents. A pooled score of Conners-P ADHD Index > 60 and IHS-Parent score > 1.25 showed considerable difference in HS when compared with controls (5.1% vs. 1.4%) ( P < 0.0001). Daytime hyperactivity and excessive daytime sleepiness reported by parents correlated with scores of Conners-P and IHS-P ( P < 0.01). Teachers’ observations showed significant correlations with learning disability and the level of academic performance in HS ( P < 0.01). Other behavioural parameters related to SDB were not significantly correlated with teachers’ ADHD ratings in HS. Conclusion Increased rates of moderate hyperactivity as well as conduct and oppositional defiant symptoms in HS reported by the parents might reflect a negative impact on overall neurobehavioural health. The teachers’ scores yielded no significant results among HS and controls. This may be caused by the limitation due to shared method variance. The negative effect of crowded classes on teachers’ evaluations must be also taken into consideration. After exclusion of a diagnosis of ADHD in children presenting with hyperactivity and inattention, children with habitual snoring with prominent scores of behavioural measures should be considered as candidates for further assessment by a sleep specialist. [ABSTRACT FROM AUTHOR]
Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Symptoms of inattention and hyperactivity in children with habitual snoring: evidence from a community-based study in Istanbul.
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  Label: Abstract
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  Data: Background Neurobehavioural symptoms of inattention and hyperactivity are common in children with sleep-disordered breathing (SDB). Prevalence rates of habitual snoring and attention deficit hyperactivity disorder (ADHD) are very similar and both have a substantial negative effect on children&#39;s behavioural health. Objective We examined the differences for subjective attentional and hyperactivity measures reported by parents and teachers among primary school children with habitual snoring and age- and sex-matched controls in a community-based case-control study in Istanbul. Methods In 2002, a survey was carried out to determine the prevalence of snoring in 2147 primary school children. After one year, in 2003, 151 children with habitual snoring and 302 controls from this survey were studied with parental SDB questionnaire, Conners’ Parent (Conners-P) and Teacher Scales, and an inattention hyperactivity scale (IHS). Exclusion criteria included history of ADHD diagnosis, controls who started to snore and habitual snorers (HS) who no longer snored in this follow-up study. Results Ninety-six HS and 190 control subjects (mean age: 9.4 &#177; 1.3) were evaluated. HS had significantly more symptoms of hyperactivity (Conners-ADHD index) ( P: 0.033), attentional ( P: 0.019), and conduct and oppositional defiant in subscales ( P: 0.001) of Conners-P and IHS-Parents. A pooled score of Conners-P ADHD Index &gt; 60 and IHS-Parent score &gt; 1.25 showed considerable difference in HS when compared with controls (5.1% vs. 1.4%) ( P &lt; 0.0001). Daytime hyperactivity and excessive daytime sleepiness reported by parents correlated with scores of Conners-P and IHS-P ( P &lt; 0.01). Teachers’ observations showed significant correlations with learning disability and the level of academic performance in HS ( P &lt; 0.01). Other behavioural parameters related to SDB were not significantly correlated with teachers’ ADHD ratings in HS. Conclusion Increased rates of moderate hyperactivity as well as conduct and oppositional defiant symptoms in HS reported by the parents might reflect a negative impact on overall neurobehavioural health. The teachers’ scores yielded no significant results among HS and controls. This may be caused by the limitation due to shared method variance. The negative effect of crowded classes on teachers’ evaluations must be also taken into consideration. After exclusion of a diagnosis of ADHD in children presenting with hyperactivity and inattention, children with habitual snoring with prominent scores of behavioural measures should be considered as candidates for further assessment by a sleep specialist. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Child: Care, Health &amp; Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/j.1365-2214.2005.00561.x
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        Text: English
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        PageCount: 11
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    Subjects:
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Behavior disorders in children
        Type: general
      – SubjectFull: Snoring
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      – SubjectFull: Child psychology
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      – SubjectFull: Mental health
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      – SubjectFull: School children
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      – SubjectFull: Istanbul (Turkey)
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      – SubjectFull: Turkey
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              Text: Nov2005
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