The article by Rappley et al1 is excellent and addresses a common problem we are facing currently.2- 4 A lot of effort has gone into gathering data on this large patient population. Being interested in pediatric sleep medicine, I cannot emphasize the importance of screening these children with attention-deficit/hyperactivity disorder for sleep disorders such as obstructive sleep apnea, chronic sleep deprivation, or sleep-disordered breathing. One major difference between sleep-deprived adults and children is that children show hyperactivity, incoordination, learning difficulty, and behavior changes that can easily be mistaken for attention-deficit/hyperactivity disorder. I would request all my colleagues to ask a few basic questions about their patients' sleeping characteristics before prescribing any psychotropic medications to these young ones.
Divgi V. What About Sleep?. Arch Pediatr Adolesc Med. 2000;154(6):636. doi: