Case series: evaluation of a behavioral sleep intervention for three children with attention-deficit/hyperactivity

Jennifer Mullane1, Penny Corkum

  • 1Dalhousie University, Department of Psychology, Halifax, Nova Scotia, Canada.

Insights

This study shows a behavioral sleep intervention effectively reduced dyssomnia in children with ADHD. The positive effects on sleep were maintained at follow-up, indicating a promising treatment.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Behavioral Therapy

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) is often comorbid with sleep disorders.
  • Dyssomnia significantly impacts children's behavior and development.
  • Distance treatment offers a scalable approach to behavioral interventions.

Purpose of the Study:

  • To evaluate a distance-delivered behavioral sleep intervention for children with ADHD and dyssomnia.
  • To assess the intervention's impact on sleep problems and ADHD symptoms.
  • To determine the feasibility and perceived helpfulness of the treatment.

Main Methods:

  • A manualized, 5-week intervention was delivered via distance treatment.
  • A non-concurrent multiple baseline design was employed with 3 children (aged 6-10).
  • Objective and subjective sleep measures, nighttime behaviors, and ADHD symptoms were assessed.

Main Results:

  • Clinically significant reductions in dyssomnia severity were observed after the intervention.
  • No significant changes in ADHD symptoms were noted.
  • Intervention benefits were maintained at 3-month follow-up; parents found it helpful.

Conclusions:

  • The behavioral sleep intervention demonstrates promise for treating dyssomnia in children with ADHD.
  • Distance delivery appears to be a feasible method for this intervention.
  • Further research is warranted to confirm efficacy in larger samples.
Abstract

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