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A randomized controlled trial of effects of sleep hygiene training and progressive muscle relaxation training in

Gaye Türkmen Noyan1, Gizem Berna Direk1, Abdurrahman Cahid Örengül1

  • 1Department of Child and Adolescent Psychiatry, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

Sleep Medicine
|March 30, 2024
PubMed

Insights

Sleep hygiene training (SH) and progressive muscle relaxation (PMR) improved sleep and ADHD symptoms in children. Combining SH with PMR further enhanced attention, peer interactions, and reduced anxiety.

Area of Science:

  • Pediatric Psychology
  • Sleep Medicine
  • Neurodevelopmental Disorders

Background:

  • Sleep problems are prevalent in children with Attention-Deficit/Hyperactivity Disorder (ADHD), exacerbating core symptoms.
  • There is a need for effective sleep interventions tailored for children with ADHD.

Purpose of the Study:

  • To investigate the efficacy of sleep hygiene training (SH) and progressive muscle relaxation (PMR) for children with ADHD.
  • To compare the combined effects of SH + PMR against SH alone.

Main Methods:

  • 57 children (6-12 years) with ADHD were randomized into SH or SH + PMR groups.
  • Interventions included group training and 8-week telephone follow-ups.
  • Outcomes assessed via parent, child, and clinician reports, and neuropsychological tests.

Main Results:

  • Both SH and SH + PMR interventions significantly improved child sleep, ADHD symptoms, functioning, and parental sleep quality.
  • The SH + PMR group showed significant advantages in selective attention, peer problems, and anxiety scores compared to the SH-only group.

Conclusions:

  • Sleep hygiene training is beneficial for children with ADHD, addressing sleep issues and clinical parameters.
  • Adding PMR to SH may offer additional benefits for anxiety, peer interactions, and attention in ADHD.
  • SH and PMR represent a promising, non-pharmacological approach for managing sleep problems in children with ADHD.
Abstract

Keywords:
ADHDNeuropsychologyProgressive relaxation exerciseSleep intervention

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