{"id":58408,"date":"2016-07-01T12:19:33","date_gmt":"2016-07-01T19:19:33","guid":{"rendered":"https:\/\/www.chronobiology.com\/adhd-linked-circadian-rhythm-disruption\/"},"modified":"2024-07-18T14:46:53","modified_gmt":"2024-07-18T21:46:53","slug":"le-tdah-li-la-perturbation-du-rythme-circadien","status":"publish","type":"post","link":"https:\/\/dev.chronobiology.com\/fr\/le-tdah-li-la-perturbation-du-rythme-circadien\/","title":{"rendered":"Le TDAH li\u00e9 \u00e0 la perturbation du rythme circadien"},"content":{"rendered":"

Le TDAH et les troubles qui y sont li\u00e9s ont atteint un niveau quasi \u00e9pid\u00e9mique aux \u00c9tats-Unis. La recherche sugg\u00e8re que la perturbation du rythme circadien pourrait jouer un r\u00f4le cl\u00e9.<\/p>\n

Le trouble du d\u00e9ficit de l’attention\/hyperactivit\u00e9, \u00e9galement appel\u00e9 TDAH, est un probl\u00e8me courant dans le monde occidental. Environ 11 % des enfants am\u00e9ricains<\/a> ont \u00e9t\u00e9 diagnostiqu\u00e9s avec ce trouble, mais il ne se limite pas \u00e0 l’enfance. Plus de 4 % des adultes<\/a> en sont \u00e9galement atteints, mais on estime que ce trouble est sous-diagnostiqu\u00e9 car les adultes peuvent apprendre des m\u00e9canismes d’adaptation qui rendent le TDAH moins \u00e9vident pour les prestataires de soins de sant\u00e9. Les difficult\u00e9s d’attention peuvent affecter tous les aspects de la vie d’une personne, de l’\u00e9ducation aux relations sociales en passant par la carri\u00e8re.<\/p>\n

Le TDAH en hausse<\/h2>\n

Les sympt\u00f4mes du TDAH<\/a> comprennent l’inattention, l’hyperactivit\u00e9 et l’impulsivit\u00e9, qui se manifestent dans divers contextes et interf\u00e8rent avec la vie de l’individu. Le trouble peut souvent \u00eatre pris en charge par des m\u00e9dicaments et une th\u00e9rapie comportementale, mais de nombreuses personnes luttent m\u00eame avec ces traitements standard. En outre, les m\u00e9dicaments utilis\u00e9s pour traiter le TDAH peuvent avoir des effets secondaires d\u00e9sagr\u00e9ables. M\u00eame avec un traitement pr\u00e9coce et complet, les d\u00e9ficits d’attention et les probl\u00e8mes de comportement qui y sont associ\u00e9s touchent plus de personnes que jamais, avec une augmentation de 42 % au cours de la derni\u00e8re d\u00e9cennie<\/a>.<\/p>\n

Les Am\u00e9ricains souffrent d’une augmentation des troubles du d\u00e9ficit de l’attention\/hyperactivit\u00e9 et d’une augmentation des troubles du sommeil. Ces deux probl\u00e8mes pourraient-ils \u00eatre li\u00e9s ?<\/p>\n

La chronobiologie du TDAH<\/h2>\n

\"ADHD<\/a>Bien que les troubles du sommeil ne fassent pas partie des crit\u00e8res de diagnostic du TDAH, de nombreuses personnes souffrent des deux troubles. De nombreux experts pensent que les m\u00e9dicaments stimulants utilis\u00e9s pour traiter le trouble sont en partie responsables. Cependant, il est probable que d’autres m\u00e9canismes entrent \u00e9galement en jeu. Les enfants qui se couchent tard peuvent \u00eatre hyperactifs pour rester \u00e9veill\u00e9s le lendemain. En outre, un manque de sommeil peut rendre difficile la concentration et la m\u00e9morisation des informations. Alors que de nombreuses personnes se coucheraient t\u00f4t le soir apr\u00e8s une nuit blanche et se sentiraient repos\u00e9es le lendemain, les personnes atteintes de TDAH pr\u00e9sentent une forte pr\u00e9valence de troubles de la phase de sommeil diff\u00e9r\u00e9<\/a>. M\u00eame apr\u00e8s une journ\u00e9e d’\u00e9puisement, elles ont du mal \u00e0 s’endormir le soir. Cela cr\u00e9e davantage de sympt\u00f4mes le lendemain, ce qui les conduit \u00e0 l’\u00e9chec.<\/p>\n

Le TDAH peut-il \u00eatre trait\u00e9 efficacement en traitant les troubles du sommeil sous-jacents ? Plusieurs \u00e9tudes<\/a> sugg\u00e8rent que c’est le cas. Environ deux tiers des parents d’enfants souffrant de TDAH ont constat\u00e9 une am\u00e9lioration \u00e0 long terme du comportement de leur enfant lorsqu’ils recevaient de la m\u00e9latonine tous les soirs. La luminoth\u00e9rapie a eu des effets similaires chez les adultes souffrant de ce trouble. On a \u00e9galement constat\u00e9 que la correction des troubles du rythme circadien att\u00e9nuait certains effets secondaires des m\u00e9dicaments, tels que les retards de croissance.<\/p>\n

Sommeil et fonctions mentales<\/h2>\n

Comment le trouble d\u00e9ficitaire de l’attention\/hyperactivit\u00e9 et la biologie circadienne sont-ils li\u00e9s au niveau biochimique ? Les chercheurs ont d\u00e9couvert que les cellules des personnes souffrant de ce trouble ont un rythme circadien alt\u00e9r\u00e9<\/a>. En outre, les g\u00e8nes de l’horloge BMAL1 et PER2 ne pr\u00e9sentent pas leur rythmicit\u00e9 normale. Les personnes atteintes de ce trouble pr\u00e9sentent \u00e9galement des rythmes endocriniens alt\u00e9r\u00e9s, avec moins de variations dans la lib\u00e9ration de m\u00e9latonine, de cortisol et d’autres r\u00e9gulateurs hormonaux importants du rythme circadien. L’insomnie est connue pour provoquer des comportements similaires \u00e0 ceux du TDAH, de sorte qu’un manque de sommeil de qualit\u00e9 pourrait \u00eatre la cause premi\u00e8re de ce trouble chez de nombreuses personnes.<\/p>\n

L’avenir du traitement du TDAH pourrait r\u00e9sider dans les suppl\u00e9ments de m\u00e9latonine<\/a>, la luminoth\u00e9rapie et d’autres mesures qui s’attaquent aux causes profondes de ce trouble. Ces nouvelles d\u00e9couvertes sont porteuses d’espoir pour des millions de personnes, y compris des enfants, qui luttent pour passer leurs journ\u00e9es et dormir leurs nuits.<\/p>\n","protected":false},"excerpt":{"rendered":"

Le TDAH et les troubles qui y sont li\u00e9s ont atteint un niveau quasi \u00e9pid\u00e9mique aux \u00c9tats-Unis. La recherche sugg\u00e8re que la perturbation du rythme circadien pourrait jouer un r\u00f4le cl\u00e9. Le trouble du d\u00e9ficit de l’attention\/hyperactivit\u00e9, \u00e9galement appel\u00e9 TDAH, est un probl\u00e8me courant dans le monde occidental. Environ 11 % des enfants am\u00e9ricains ont […]<\/p>\n","protected":false},"author":15,"featured_media":24564,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[174,259,255],"tags":[],"class_list":{"0":"post-58408","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-le-rythme-circadien","8":"category-sante-mentale","9":"category-sommeil","10":"entry"},"acf":[],"yoast_head":"\nADHD Linked to Circadian Rhythm Disruption<\/title>\n<meta name=\"description\" content=\"ADHD and related disorders have increased to almost epidemic levels in the United States. 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