6.9 EFFECT OF ADENOTONSILLECTOMY ON ATTENTION-DEFICIT/HYPERACTIVITY DISORDER SYMPTOMS, SLEEP DISTURBANCE SYMPTOMS, AND QUALITY OF LIFE OF CHILDREN WITH ADENOTONSILLAR HYPERTROPHY AND SLEEP-DISORDERED BREATHING

• Published in: Journal of the American Academy of Child and Adolescent Psychiatry Vol. 55; no. 10; p. S207
• Main Authors: Turkoglu, Serhat, MD, Somuk, Battal Tahsin, MD, Sapmaz, Emrah, MD, Goktas, Goksel, MD, Bilgi, Ayhan, MD
• Format: Journal Article
• Language: English
• Published: Baltimore Elsevier BV 01-10-2016
• Subjects: Airway management; Anxiety; Attention deficit hyperactivity disorder; Child & adolescent psychiatry; Childhood; Children; Chronic; Coexistence; Cognitive ability; Day time; Habits; Health status; Hyperactivity; Hypertrophy; Mental disorders; Obstruction; Pediatrics; Physical Health; Psychiatrists; Psychiatry; Psychosocial factors; Psychosocial well being; Quality of life; Questionnaires; Rating Scales; Resistance; Respiration; Sick children; Sleep; Sleep and wakefulness; Sleep disorders; Sleepiness; Statistical analysis; Symptoms; Throat surgery
• ISSN: 0890-8567; 1527-5418
• DOI: 10.1016/j.jaac.2016.09.330

Objectives: Chronic adenotonsillar hypertrophy is the most common etiologic cause for the obstruction of the upper airways in childhood and has been found to be related with a variety of psychiatric problems and poor quality of life. To date, limited data has been available regarding the impact of adenotonsillectomy (AT) on the psychosocial well-being of chronic adenotonsillar hypertrophy subjects. In the present study, we examined the impacts of AT on ADHD and sleep disturbance symptoms and quality of life of children with chronic adenotonsillar hypertrophy. Methods: Parents of children with chronic adenotonsillar hypertrophy filled in Conners Parent Rating Scale-Revised Short (CPRS-RS), Children's Sleep Habits Questionnaire (CSHQ), and The Pediatric Quality of Life Inventory, Parent versions (PedsQL-P) before and six months after AT. Paired t-test was used to test for mean differences between these ratings. Results: A total of 64 children were included the study (mean age, 6.8 ± 2,4, years; 50% boys). Mean ADHD Index (11.98 ± 6.94 versus 10.35 ± 6.44) (before AT versus after AT) and oppositional scores (6.73 ± 3.72 versus 5.87 ± 3.52) improved statistically significantly after AT (p < 0.05). Cognitive problems /inattention and hyperactivity scores was reduced, but were not statistically significant (p > 0.05). All of the CSHQ subdomain scores (bedtime resistance, sleep-onset delay, sleep anxiety, night waking, parasomnias, sleep disordered breathing, daytime sleepiness), except sleep duration, significantly reduced after AT (p < 0.05). Regarding to quality of life, both PedsQL-P physical health (64.20±19.81 versus 69.84±18.63) and psychosocial health subdomain scores (67,83±12.89 versus 75.57±13.16), and PedsQL-P total score (66.57±12.94 versus 73.58±12.46) of the patients were significantly higher six months after AT (p < 0.001). Conclusions: It is necessary for child and adolescent psychiatrists to query the symptoms ofchronicadenotonsillarhypertrophy toidentify childrenwith chronic adenotonsillar hypertrophy who suffer from ADHD symptoms, oppositionality, and sleep disturbance. To carry out AT seems to be beneficial for coexisting ADHD and sleep disorder symptoms and quality of life in these children.