Controlling Screen Time for Children with ADHD

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Parents are often concerned about their child’s screen time and report difficulty enforcing limits. Screen time includes time with all screens including social media, online gaming, and watching videos. Enforcing limits on screen time can be particularly challenging for children who have Attention Deficit Hyperactivity Disorder (ADHD) due to difficulties with self-monitoring and inattention. As a child therapist, parents often tell me that their child grabs their phone out of their purse, asks to use their tablet constantly, and cries when denied. This leads to parents often giving in to such requests, which only encourages this behavior in the future. Screen time is a frequent topic of discussion in child therapy and many parents can benefit from learning skills to manage their child’s screen time.
Screen Time Today
Screen time is nearly impossible to avoid. The majority of children between of 5-16 years old play video-games regularly (at least 1 hour per day) and a recent Norwegian study found that over 75% of children play for over 2 hours per day. The American Academy of Pediatrics currently recommends 1 hour per day of screen time.
Screen time in moderation is a part of everyday life and it is important for children to learn skills related to electronic devices in order to function in the modern world. Your child’s friends at school are using devices regularly and if your child doesn’t play similar games, it can be difficult for them to participa…

Source: Psych CentralCategory: Psychiatry Authors: Tags: Attention Deficit Disorder Parenting Social Networking Source Type: news

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Conclusion The evaluation of health care offered by public mental health services is an important indicator of quality and resoluteness of actions, making it possible to identify the aspects to be improved or reinforced in work processes, in order to favor better care practices in childhood and adolescence.

CONCLUSIONS: People with both ADHD and sleep problems have increased risk for poorer mental functioning and productivity loss. These results underscore the importance of screening for sleep problems when ADHD symptoms are present, and vice versa, and to target both disorders during treatment.
PMID: 32597743 [PubMed – as supplied by publisher]

Source: Psychological MedicineCategory: Psychiatry Authors: Tags: Psychol Med Source Type: research

Abstract
We estimated the absolute and relative risk of sleep problems in children and adolescents with newly diagnosed neurodevelopmental disorders. This was a population-based cohort study of individuals born in Denmark in 1993-2014 and followed in nationwide registers in 2011-2016. We estimated the 5-year cumulative incidence of sleep problems in incident cases of attention-deficit/hyperactivity disorder (ADHD; n = 12,844), autism spectrum disorder (ASD; n = 8,073), oppositional defiant disorder/conduct disorder (ODD/CD; n = 2,234) and epilepsy (n = 3,709). Hazard ratios …

Source: Journal of Sleep ResearchCategory: Sleep Medicine Authors: Tags: J Sleep Res Source Type: research

Atopic dermatitis (AD), a prevalent chronic skin disease in children, has been associated with psychosocial illness and reduced quality of life because of severe itching and sleep deprivation. Previous studies have found a consistent association between AD and attention deficit hyperactivity disorder (ADHD). However, little is known about this relationship in Chinese children with AD.
To investigate co-occurrence of ADHD symptoms, oppositional defiant disorder (ODD) symptoms, and the relevant risk factors of AD, as well as its impact on the quality of life in Chinese school-aged children with AD.
Outpatients aged 6 to 12…

Source: MedicineCategory: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Attention deficit/hyperactivity disorder (ADHD) is a common and heritable phenotype frequently accompanied by insomnia, anxiety, and depression. Here, using a reverse phenotyping approach, we report heterozygous coding variations in the core circadian clock gene cryptochrome 1 in 15 unrelated multigenerational families with combined ADHD and insomnia. The variants led to functional alterations in the circadian molecular rhythms, providing a mechanistic link to the behavioral symptoms. One variant, CRY1Δ11 c.1657+3A>C, is present in approximately 1% of Europeans, therefore standing out as a diagnostic and therapeut…

Source: Journal of Clinical InvestigationCategory: Biomedical Science Authors: Source Type: research

CONCLUSIONS: According to their parents, most children and adolescents with ADHD experience stability or improvement of their well-being. An improvement in school-related anxiety and the flexible adjustment to the children’s’ rhythms as well as parents’ increased awareness of the difficulties their children experience are among the key topics in parents’ descriptions.
PMID: 32522407 [PubMed – as supplied by publisher]

Source: L EncephaleCategory: Psychiatry Tags: Encephale Source Type: research

Another term is being added to the lexicon in the midst of the COVID-19 pandemic: quarantine brain. It takes many forms, from confusion and fogginess to limited executive functioning. Those who fall prey to it may find themselves unable to complete tasks, manage their time and routine, and make sound decisions. This occurs even if the person has no prior history with attention deficit disorder/attention deficit hyperactivity disorder.
Some report a lack of motivation to get out of bed, let alone engage in their daily activities. What helps them is knowing that their boss, teachers, and family are counting on them to launch…

Source: World of PsychologyCategory: Psychiatry & Psychology Authors: Tags: Dreams Memory and Perception Personal Coping Skills coronavirus COVID-19 pandemic Resilience social distancing Source Type: blogs

The objective of this study was to compare caffeine consumption in the morning, afternoon, and evening in adolescents with and without attention-deficit/hyperactivity disorder (ADHD) and examine associations with sleep functioning. METHO…

Source: SafetyLitCategory: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

CONCLUSIONS: ADHD and SCT symptoms and concerns in college students may be related to poor sleep, which can lead to misdiagnosis for individuals presenting with ADHD-like complaints for the first time in college. Sleep difficulties may be modifiable with empirically supported sleep interventions; thus, in assessment for either of these presentations, a careful sleep history should be taken.
PMID: 32380521 [PubMed – as supplied by publisher]

This study aimed to evaluate the baseline sleep habits of children with ADHD and the effects of treatment with methylphenidate (MPH) and atomoxetine (ATX) on sleep parameters. Treatment naive children with clinically normal intelligence diagnosed with ADHD were enrolled in the study. Children were treated naturalistically with MPH and ATX. Treatments were started at 0.5 mg/ kg/ day and titrated weekly to a maximum of 1.2 mg/ kg/ day. The daily equivalent dose was calculated according to clinician toolkits of Utah Academy of Child and Adolescent Psychiatry. DSM-IV Based Screening and Assessment Scale for Disruptive Behavior…

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