Sleep in Individuals with ADHD: Prevalence, Impacts, Causes, and Treatments
Emma Sciberras1,2,3
1Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, VIC, Australia. emma.sciberras@deakin.edu.au.
Insights
Children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) frequently experience sleep problems. Behavioral strategies and melatonin show promise for treatment, with emerging research on light therapy for circadian rhythm issues.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
- Child Psychology
Background:
- Sleep problems are highly prevalent in children and adolescents diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD).
- These sleep disturbances significantly impact daily functioning, cognitive abilities, and overall family well-being.
- The etiology of sleep issues in ADHD is multifactorial, involving both biological and environmental contributors.
Purpose of the Study:
- To provide a comprehensive overview of sleep problems in pediatric ADHD.
- To discuss the prevalence, types, and impacts of sleep disturbances.
- To review current and emerging treatment strategies and identify future research directions.
Main Methods:
- Literature review of existing studies on sleep in ADHD.
- Synthesis of findings from randomized controlled trials (RCTs) on behavioral interventions and melatonin.
- Exploration of emerging research on circadian rhythm therapies like bright light therapy.
Main Results:
- Behavioral strategies have demonstrated efficacy in treating sleep problems in children with ADHD.
- Melatonin treatment has shown improvements in sleep onset delay in some studies.
- Bright light therapy is a potential future intervention for ADHD-related sleep issues, particularly those involving circadian rhythms.
Conclusions:
- Sleep problems are a significant concern for individuals with ADHD across development.
- Evidence supports behavioral interventions and melatonin for specific sleep issues.
- Further research is needed to optimize sleep support for adolescents and adults with ADHD, including exploring chronotherapies.
Abstract:
Sleep problems are common in children and adolescents with ADHD. This chapter covers the basics of sleep and the prevalence and types of sleep problems experienced by children and adolescents with ADHD. The impacts of sleep problems on the day-to-day lives of children with ADHD and their families are covered including impacts on child daily functioning and cognition, as well as family well-being. There is no one cause of sleep problems in children with ADHD with both biological and environmental factors implicated. There are a small number of randomized controlled trials that support the efficacy of treating sleep problems in children with ADHD using behavioral strategies. A small number of studies also have found improvements in sleep onset delay in children with ADHD following treatment with melatonin. Little is known about how to best support adolescents and adults with ADHD with sleep, although a small emerging literature largely in adults with ADHD suggests that bright light therapies could potentially be helpful given the extent of circadian involvement in the sleep problems experienced by individuals with ADHD. This chapter ends with consideration of future research directions largely related to approaches to supporting individuals with ADHD and sleep difficulties.
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