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March 3, 1999

Sleep Disorders and Attention-Deficit/Hyperactivity Disorder

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(9):797. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-9-jbk0303

To the Editor: Dr Biederman1 did not discuss sleep disorders as part of the differential diagnosis of the 55-year old man with attention-deficit/hyperactivity disorder (ADHD). Obstructive sleep apnea (OSA) is estimated to affect 2% to 4% of the middle-aged population in the United States.2 Sleep disorders mimic the behavioral complex of ADHD.3 Obstructive sleep apnea clearly affects daytime cognitive function in adults and can be improved with continuous positive airway pressure (CPAP) therapy.4,5