{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T04:12:58Z","timestamp":1777781578569,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T00:00:00Z","timestamp":1701302400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Atten Disord"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the improvement of ADHD related symptoms in school-aged children ages 5 to 12 in treatment with a monobloc appliance (MOA) for Sleep Disordered Breathing (SDB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of questionnaire scores of ADHD symptoms from school-aged children being treated with a MOA for SDB. Data was obtained from parent survey questionnaires of 40 school-aged children in three dental offices in treatment with an MOA for SDB showing symptoms of ADHD yet to be confirmed with a formal diagnosis between 2019 and 2021. ADHD symptom scores were ascertained by a parent survey questionnaire completed at the initial visit before MOA treatment, and 2 to 6\u2009months, and 7+ months during MOA treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At the 7+ month endpoint, 17 of the 28 (61%) children ages 5 to 12 saw at least a 1-point drop in the sum of their questionnaire scores indicating an improvement in ADHD symptoms after initiating treatment with an MOA. Although there was a reduction of the overall average symptom score from the initial visit to 2 to 6\u2009months (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u20094.06,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009\u00b1\u20091.55), a statistically significant improvement in ADHD symptoms occurred at the 7+ month endpoint (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u200915.29,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009\u00b1\u20094.50) during MOA treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Treatment with an MOA may be highly effective in addressing the dual pathologies of SDB and ADHD in school-age children ages 5 to 12.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10870547231211024","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T04:47:06Z","timestamp":1701319626000},"page":"293-301","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Intervention to Simultaneously Address the Dual Pathologies of Breathing Disorders During Sleep and Undiagnosed Attention Deficit Hyperactivity Disorder in School-Aged Children Ages 5\u201312"],"prefix":"10.1177","volume":"28","author":[{"given":"Hamza","family":"Paracha","sequence":"first","affiliation":[{"name":"St. Louis University, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5783-1428","authenticated-orcid":false,"given":"Karen","family":"Parker Davidson","sequence":"additional","affiliation":[{"name":"Central Michigan University. Mt Pleasant, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corby","family":"Dixon","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zach","family":"Wilde","sequence":"additional","affiliation":[{"name":"Utah Valley University, Orem, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,30]]},"reference":[{"issue":"4","key":"e_1_3_4_2_1","first-page":"197","article-title":"Neurocognitive profile of children with attention deficit hyperactivity disorders (ADHD): A comparison between subtypes","volume":"9","author":"Ahmadi N.","year":"2014","unstructured":"Ahmadi N., Mohammadi M. R., Araghi S. M., Zarafshan H. (2014). Neurocognitive profile of children with attention deficit hyperactivity disorders (ADHD): A comparison between subtypes. 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