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A systematic review of the effectiveness of sleep hygiene in children with ADHD

Jane Nikles1, Geoffrey Keith Mitchell2, Rossiniê de Miranda Araújo3

  • 1UQCCR - Centre for Clinical Research, The University of Queensland, Brisbane, Australia.

Psychology, Health & Medicine
|March 25, 2020
PubMed

Insights

Sleep hygiene interventions show promise for improving sleep in children with Attention Deficit/Hyperactivity Disorder (ADHD). While most studies indicate effectiveness, more rigorous research is needed to confirm these findings for ADHD sleep issues.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Behavioral Therapy

Background:

  • Sleep problems are common in children with Attention Deficit/Hyperactivity Disorder (ADHD).
  • Sleep hygiene interventions are a standard first-line treatment for insomnia in ADHD patients.

Purpose of the Study:

  • To systematically review the literature and evaluate the effectiveness of sleep hygiene interventions for sleep difficulties in children diagnosed with ADHD.

Main Methods:

  • A systematic review of 16 relevant articles was conducted.
  • The review included 1,469 participants (mean age 9.6 years) from 6 countries.
  • Studies focused on sleep hygiene interventions for children with ADHD.

Main Results:

  • Fifteen out of sixteen studies reported that sleep hygiene interventions were effective in improving sleep.
  • One study did not find significant improvements.
  • Growing evidence supports sleep hygiene for improving sleep quality in children with ADHD and sleep disturbance.

Conclusions:

  • Sleep hygiene interventions appear effective for improving sleep in children with ADHD.
  • Limited studies and high risk of bias necessitate caution in drawing definitive conclusions.
  • Well-designed clinical trials are required to strengthen the evidence base for these interventions.

Keywords:
ADHDSleep hygienebehaviouralchildren

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