The role of the circadian system in the etiology and pathophysiology of ADHD: time to redefine ADHD?

Mar 31, 2019Attention deficit and hyperactivity disorders

How the body’s internal clock may contribute to the causes and brain changes in ADHD: Should we rethink ADHD?

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Abstract

Delays in circadian rhythm are prevalent in 73-78% of individuals with attention-deficit/hyperactivity disorder (ADHD).

  • ADHD is commonly associated with various sleep disorders, particularly delayed sleep phase disorder.
  • Sleep disturbances may either result from ADHD or share a common genetic and etiological background.
  • The relationship between ADHD symptoms and delayed sleep may be influenced by genetics, behavior, daylight exposure, and eye function.
  • Treatment options aim to improve sleep quality and phase through methods like sleep hygiene, chronotherapy, and specific sleep disorder management.
  • A novel perspective suggests that some ADHD symptoms may stem from chronic sleep disorders, particularly the delayed circadian rhythm.

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