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Published on: June 12, 2020
Effectiveness of a cognitive-behavioral sleep hygiene intervention for adolescents with ADHD: a randomized controlled
Lena Keuppens1,2, Finja Marten3, Dieter Baeyens3,4
1KU Leuven, Leuven, Belgium. lena.keuppens@kuleuven.be.
Objective:
Sleep problems are frequent and impairing in adolescents with ADHD. This randomized controlled trial investigates the effectiveness of a newly developed CBT sleep hygiene intervention for adolescents with ADHD - SIESTA.
Method:
Adolescents with ADHD and sleep problems (N = 92, Mage = 14.36, SD = 1.43, 47% males) were randomized to receive SIESTA next to treatment as usual targeting ADHD (SIESTA+TAU) or TAU only. Adolescent and parent ratings, actigraphy and sleep diaries, were collected at pre-, post-, and at 4 month follow-up test. A linear mixed effects model was used with an intent-to-treat approach.
Results:
Results indicated significant improvement in SIESTA+TAU compared to TAU from pre- to post-test on sleep hygiene ([Formula: see text] =.21), chronic sleep reduction ([Formula: see text] =.15), and sleep-wake problem behaviors ([Formula: see text] =.05). Actigraphy and sleep diaries showed no significant differences, with both groups improving on sleep diaries. The improvements in sleep hygiene were maintained at follow-up ([Formula: see text] =.09). Of secondary outcomes, depressive symptoms reduced significantly more from pre- to post-test in SIESTA+TAU than in TAU only ([Formula: see text] =.09).
Conclusions:
This study indicates that SIESTA is effective at improving sleep hygiene, perceived sleep problems, and depressive symptoms in adolescents with ADHD. However, to maintain long-term effects, booster sessions may be beneficial.
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