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Identifying and managing sleep disorders associated with ADHD

Identifying and managing sleep disorders associated with ADHD
Identifying and managing sleep disorders associated with ADHD
Although often overlooked, sleep disturbances are frequent in ADHD, affecting a sizable proportion of patients. Sleep complaints in patients with ADHD may be due to behavioral factors (e.g., limit-setting disorder), as well as objective alterations, such as delayed sleep-phase disorder, restless legs syndrome, sleep-disordered breathing and the effect of stimulants or associated comorbid disorders. We suggest to systematically screen for sleep disturbances at each visit by means of subjective tools (i.e., questionnaires and sleep diaries) and, when indicated, objective measures (i.e., polysomnography, actigraphy and the multiple sleep latency test). Empirical evidence for the treatment of sleep disturbances associated with ADHD is limited. Besides initial studies on behavioral interventions, the largest and best available evidence demonstrates the effectiveness and good tolerability of melatonin for sleep-onset delay. Further randomized controlled trials of pharmacological and nonpharmacological interventions are needed.
1758-2008
393-405
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Vincenzi, Brenda
6cf59f67-ef21-439e-9d01-8a551b4721cb
Angriman, Marco
3520e752-d35c-461f-80f4-b31203319cef
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Vincenzi, Brenda
6cf59f67-ef21-439e-9d01-8a551b4721cb
Angriman, Marco
3520e752-d35c-461f-80f4-b31203319cef

Cortese, Samuele, Vincenzi, Brenda and Angriman, Marco (2012) Identifying and managing sleep disorders associated with ADHD. Neuropsychiatry, 2 (5), 393-405. (doi:10.2217/npy.12.49).

Record type: Article

Abstract

Although often overlooked, sleep disturbances are frequent in ADHD, affecting a sizable proportion of patients. Sleep complaints in patients with ADHD may be due to behavioral factors (e.g., limit-setting disorder), as well as objective alterations, such as delayed sleep-phase disorder, restless legs syndrome, sleep-disordered breathing and the effect of stimulants or associated comorbid disorders. We suggest to systematically screen for sleep disturbances at each visit by means of subjective tools (i.e., questionnaires and sleep diaries) and, when indicated, objective measures (i.e., polysomnography, actigraphy and the multiple sleep latency test). Empirical evidence for the treatment of sleep disturbances associated with ADHD is limited. Besides initial studies on behavioral interventions, the largest and best available evidence demonstrates the effectiveness and good tolerability of melatonin for sleep-onset delay. Further randomized controlled trials of pharmacological and nonpharmacological interventions are needed.

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More information

Published date: 2012
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 380410
URI: http://eprints.soton.ac.uk/id/eprint/380410
ISSN: 1758-2008
PURE UUID: 63d54cf1-6006-4e7c-a867-870b0f3c3ffc
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075

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Date deposited: 21 Aug 2015 15:22
Last modified: 15 Mar 2024 03:52

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Contributors

Author: Samuele Cortese ORCID iD
Author: Brenda Vincenzi
Author: Marco Angriman

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