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Case Series

Jayachandran Vetrayan1, Suhana Othman1, Smily Jesu Priya Victor Paulraj1

  • 11 Universiti Teknologi MARA, Selangor, Malaysia.

Journal of Attention Disorders
|March 27, 2013
PubMed

Insights

This study shows a behavioral sleep intervention effectively reduced sleep problems in medicated children with attention-deficit/hyperactivity disorder (ADHD). Parents found the program helpful and feasible for improving children's sleep.

Area of Science:

  • Pediatric Sleep Medicine
  • Behavioral Psychology
  • Neurodevelopmental Disorders

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) often co-occurs with sleep disturbances.
  • Medication for ADHD can sometimes impact sleep patterns.
  • Effective behavioral interventions are needed to address sleep issues in this population.

Purpose of the Study:

  • To evaluate the effectiveness of a behavioral sleep intervention for medicated children diagnosed with ADHD.
  • To assess the feasibility of implementing such a program in a clinical setting.

Main Methods:

  • A 4-week case-series study involving six medicated children (aged 6-12 years) with ADHD.
  • Intervention utilized Faded Bedtime With Response Cost (FBRC) and positive reinforcement strategies.
  • Sleep changes were measured using the objective Sleep Disturbance Scale for Children (SDSC) and subjective sleep diaries.

Main Results:

  • Significant reductions in overall sleep problem severity were observed in all participants based on SDSC scores.
  • Sleep diaries indicated decreased bedtime resistance and mean sleep onset latency.
  • Observed improvements in sleep were largely maintained at follow-up, with positive parental feedback.

Conclusions:

  • The behavioral sleep intervention demonstrated promise as an effective treatment for sleep problems in medicated children with ADHD.
  • The intervention was perceived as feasible and helpful by parents, suggesting its potential for broader application.
Abstract

Keywords:
ADHDchildrenfaded bedtimepositive reinforcementresponse cost

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