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Arch Pediatr Adolesc Med. 2000;154:636.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.

• How long do they sleep in 24 hours?
  
• Do they wake up by themselves, and are they rested?
  
• Do they have any noisy breathing or difficulty breathing during sleep?
  
• Does their daytime behavior show . . . [Full Text of this Article]