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Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder

Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder
Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder
To provide evidence- or consensus-based recommendations concerning the assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder (ADHD).

Method

PubMed, Ovid, EMBASE, and Web of Knowledge were searched through October 31, 2012. When no evidence was available, consensus of the authors was achieved. The evidence-level of the recommendations on the management of sleep disturbances was based on the Scottish Intercollegiate Guidelines Network (SIGN) system.

Results

A total of 139 original articles on sleep and childhood ADHD were retrieved, including 22 on treatment of sleep disturbances. This review focuses on behaviorally based insomnia, circadian rhythm disorder, sleep-disordered breathing, restless legs syndrome/periodic limb movement disorder, and sleep disturbances due to comorbid psychiatric disorders or ADHD medications. Healthy sleep practices are recommended as the foundation of management strategies. Behavioral interventions should be considered as first-line treatment of insomnia, although further evidence from randomized controlled trials (RCTs) is needed to prove their efficacy in ADHD. Among pharmacological treatments, RCTs support the use of melatonin to reduce sleep-onset delay, whereas there is more limited evidence for other medications.

Conclusion

Growing empirical evidence is informing assessment/management strategies of sleep problems in youths with ADHD. However, further RCTs are warranted to support current recommendations.
assessment, attention-deficit/hyperactivity disorder (ADHD), management, sleep
0890-8567
784-796
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Brown, Thomas E.
3232b60c-d1f0-4a65-9aea-97960822d541
Corkum, Penny
b749cc33-1733-4ebb-9bdd-a1c55662f553
Gruber, Reut
ede1a6a0-c7dd-4acf-8806-3384289710ad
O’Brien, Louise M.
920dcdb8-75bf-417c-ab98-c45d35c8ac97
Stein, Mark
254eb9e0-bac1-4740-a4d8-13f539a86853
Weiss, Margaret
2d2d048e-b02b-4306-b1e4-702e82a35644
Owens, Judith
cf1d6e66-386b-412a-ae42-5b5961ec3fc3
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Brown, Thomas E.
3232b60c-d1f0-4a65-9aea-97960822d541
Corkum, Penny
b749cc33-1733-4ebb-9bdd-a1c55662f553
Gruber, Reut
ede1a6a0-c7dd-4acf-8806-3384289710ad
O’Brien, Louise M.
920dcdb8-75bf-417c-ab98-c45d35c8ac97
Stein, Mark
254eb9e0-bac1-4740-a4d8-13f539a86853
Weiss, Margaret
2d2d048e-b02b-4306-b1e4-702e82a35644
Owens, Judith
cf1d6e66-386b-412a-ae42-5b5961ec3fc3

Cortese, Samuele, Brown, Thomas E., Corkum, Penny, Gruber, Reut, O’Brien, Louise M., Stein, Mark, Weiss, Margaret and Owens, Judith (2013) Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52 (8), 784-796. (doi:10.1016/j.jaac.2013.06.001).

Record type: Article

Abstract

To provide evidence- or consensus-based recommendations concerning the assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder (ADHD).

Method

PubMed, Ovid, EMBASE, and Web of Knowledge were searched through October 31, 2012. When no evidence was available, consensus of the authors was achieved. The evidence-level of the recommendations on the management of sleep disturbances was based on the Scottish Intercollegiate Guidelines Network (SIGN) system.

Results

A total of 139 original articles on sleep and childhood ADHD were retrieved, including 22 on treatment of sleep disturbances. This review focuses on behaviorally based insomnia, circadian rhythm disorder, sleep-disordered breathing, restless legs syndrome/periodic limb movement disorder, and sleep disturbances due to comorbid psychiatric disorders or ADHD medications. Healthy sleep practices are recommended as the foundation of management strategies. Behavioral interventions should be considered as first-line treatment of insomnia, although further evidence from randomized controlled trials (RCTs) is needed to prove their efficacy in ADHD. Among pharmacological treatments, RCTs support the use of melatonin to reduce sleep-onset delay, whereas there is more limited evidence for other medications.

Conclusion

Growing empirical evidence is informing assessment/management strategies of sleep problems in youths with ADHD. However, further RCTs are warranted to support current recommendations.

Full text not available from this repository.

More information

Accepted/In Press date: 4 June 2013
e-pub ahead of print date: 20 July 2013
Keywords: assessment, attention-deficit/hyperactivity disorder (ADHD), management, sleep
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 380179
URI: https://eprints.soton.ac.uk/id/eprint/380179
ISSN: 0890-8567
PURE UUID: ce6600e9-937c-45f2-baf1-7e8c7faef3a3
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075

Catalogue record

Date deposited: 21 Aug 2015 11:46
Last modified: 31 Jul 2019 00:31

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Contributors

Author: Samuele Cortese ORCID iD
Author: Thomas E. Brown
Author: Penny Corkum
Author: Reut Gruber
Author: Louise M. O’Brien
Author: Mark Stein
Author: Margaret Weiss
Author: Judith Owens

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