الفهرس 
Introduction and Aim of the StudyOnly 14 pages are availabe for public view
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Abstract
Sleep disturbances in children represent highly common phenomena that, in severe forms, can interfere with daily child and family functioning. Also, are associated with significant morbidity, functional impairment, decreased quality of life and substantial direct and indirect economic costs. The consequences of untreated sleep problems may include significant emotional, behavioral and cognitive dysfunction and the impact of childhood sleep problems is further intensified by their direct effect on parents’ sleep, resulting in parental daytime fatigue, mood disturbances and decreased level of effective parenting. For this reason, children with ADHD and sleeping disorders often require special attention from parents, teachers, school systems and healthcare and mental health professionals in order to succeed, improve symptoms and quality of life.
Aim of the study:
This study aimed to assess sleeping disorders among children suffering from hyperactive disorder.
Subject and methods:
Research design:
A descriptive design was used to conduct this study.
Research settings:
This study was carried out at Psychiatric Outpatient Clinics of Pediatric Hospital and Psychiatric Center affiliated to Ain Shams University Hospitals. These settings were selected based up on high follow on these settings from all countries especially Psychiatric Outpatient Clinic of Psychiatric Center affiliated to Ain Shams University Hospitals.
Subjects of the study:
A purposive sample included 150 children with confirmed diagnosis of hyperactive disorder accompanying their caregivers at the previously mentioned settings regardless both gender and age ranging from toddler to adolescent (2-18 years).
Exclusive criteria; any pervious histories of medical or psychiatric problems were excluded from the study.
Tools of data collection
Data were collected through using the following tools.
1. Predesigned questionnaire sheet:
It was developed by the researcher after reviewing the relevant literature to assess sleeping disorders among children suffering from hyperactive disorder. It was written in a simple Arabic language and included the following parts:
Part I: It was included data about:
1. Demographic characteristics of caregivers (father and mother) such as age, level of education, occupation, marital status and data about family such as type of family, number of family members, child living, history of disease and family history.
2. Demographic characteristics of children suffering from hyperactive disorder and sleeping disorders such as age, gender, rank, level of education, residence, past history for child with ADHD as (symptoms, time between the onset of symptoms and diagnosis and medication for ADHD and their side effect).
3. characteristics of habits and behavior of child to assess child habits and behavior during sleep as (sleeps during the day, early wakeup and late wakeup), at home as (lazy, slow movement and slow in carry out orders), at school as (superior curriculum, ability on academic achievement natural and participate in school activities) and types of sleeping disorders such as parasomnias as (sleep walking, night mares, and confusional arousal) and dyssomnias as (insomnia, circadian rhythm disorder and periodic limb movement).
Part II: It was related to knowledge of caregivers about:
1. ADHD such as; definition, causes, clinical manifestation, associated features and disturbances, medical and nursing management.
2. Sleeping disorders such as; definition, causes, clinical manifestation, associated disturbances, medical and nursing management.
2. The children sleeping disorders checklist, it was adopted from Owens et al. (2000), to assess the sleeping disorders among children suffering from hyperactive disorder.
Results:
The most important finding of the current study can be summarized as the following:
• The age of slightly more than half of studied mothers (50.7%) ranged from 35 - < 45 years, less than half of them (48.7%) were intermediate educated and more than three quarters of them (88.7%) were housewife and all of them (100%) were married.
• The age of slightly more than half of studied fathers (52.7%) ranged from 35 - < 45 years, more than one third of them (39.3%) were intermediate educated and almost all (94.7%) of them were working.
• The highest frequency of age group among ADHD and sleeping disorders children (48.7%) ranged between 6-<12 years and the majority of children (84%) were males.
• Most caregivers (81.3) were from urban areas and the most of them (86%) were nuclear families.
• Most of studied children (95.3%) lived with their parent and their houses (98.7%) were exposed to sunlight.
• There was negative history of sleeping disorders between siblings and in the family (84.7%).
• Most of studied children (93.3%) used sedative or stimulant for treatment of ADHD and sleeping disorders (49.3%) the most common side effect of treatment ADHD.
• Less than one third of studied children (28%) had sleep talking as type of parasomnias and less than one third of them (26%) had insomnia as type of dyssomnias.
• Almost all of studied caregivers (90.7%) had satisfactory knowledge about ADHD and slightly less than two third of them (62.7%) had unsatisfactory knowledge about sleeping disorders.
• Less than half of studied children (48.7%) had usually sleeping disorders.
• There was a statistically significant difference were found between mothers knowledge about sleeping disorders and their education and occupation.
• There were statistically significant differences found between fathers’ knowledge about sleeping disorders and their age.
• There were statistically significant differences between sleeping disorders and child age, gender and rank.
• There was a statistically significant difference between sleeping disorders and child living with parents.
• There was a statistically significant difference between total sleeping disorders of studied children and total knowledge of their caregivers.
• There were statistically significant differences between total sleeping disorders of studied children and the use of stimulant or sedative for the treatment of ADHD and their side effect.
• There were statistically significant differences between total sleeping disorders of studied children and their habits and behavior during sleep and at school.