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The effect of behavioral parent training on sleep problems of school-age children with ADHD: A parallel randomized

Mahboobeh Mehri1, Minoo Mitra Chehrzad2, Abbas Mardani3

  • 1Department of Paediatric Nursing, Shafa Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Archives of Psychiatric Nursing
|August 24, 2020
PubMed

Insights

Behavioral parental training (BPT) significantly improved sleep problems in children with ADHD. This intervention offers a promising approach for managing sleep issues in this population.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Sleep Medicine

Background:

  • Sleep problems are common in children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD).
  • Methylphenidate is a common treatment for ADHD, but sleep disturbances can persist.
  • Behavioral interventions are increasingly explored to complement pharmacological treatments.

Purpose of the Study:

  • To evaluate the efficacy of behavioral parental training (BPT) in addressing sleep problems among school-aged children with ADHD.
  • To compare the outcomes of BPT with a control group in managing sleep disturbances in children with ADHD on methylphenidate.

Main Methods:

  • A parallel randomized controlled trial involving 58 children diagnosed with ADHD and experiencing sleep problems.
  • Participants received methylphenidate and were randomized into either a 5-week BPT program or a control group.
  • Sleep data were collected at baseline, post-intervention, and two months post-intervention, analyzed using statistical tests including repeated measure ANOVA.

Main Results:

  • The intervention group showed a significant improvement in total sleep scores two months after BPT compared to the control group (p=0.03).
  • A significant reduction in overall sleep problems was observed in the BPT group over time compared to the control group (p=0.01).

Conclusions:

  • Behavioral parental training (BPT) is an effective strategy for improving sleep problems in school-aged children with ADHD.
  • BPT can be a valuable addition to methylphenidate treatment for managing sleep disturbances in children with ADHD.
Abstract

Keywords:
ADHDBehavioral interventionBehavioral parent trainingMethylphenidateSchool-age children

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