Sleep IntervEntion as Symptom Treatment for ADHD

  • STATUS
    Recruiting
  • End date
    Dec 4, 2024
  • participants needed
    92
  • sponsor
    Universitaire Ziekenhuizen Leuven
Updated on 4 April 2021

Summary

Up to 72% of adolescents with ADHD portray sleep problems. The most common sleep difficulties in adolescents with ADHD are initial insomnia, nocturnal awakenings, non-restorative or restless sleep. These difficulties seem to be causally related to increased ADHD symptom impairment, oppositional and depressive symptomatology, and functional impairments in daily life, resulting in a vicious circle of sleep problems and impairment. Thus, reducing sleep problems is an important intervention target. However, to date there is no evidence-based cognitive behavioral sleep treatment available. Sleep-focused treatments need adaptation towards this developmental phase/disorder for effectiveness, as ADHD and sleep problems are bi-directional. Therefore, a blended treatment targeting the core deficits integrating motivational interviewing, planning skills and sleep interventions is needed. Thus, the aim of this project is testing the short and 3 months follow-up effectiveness of the blended CBT sleep intervention in adolescents with ADHD.

Details
Condition Cognitive Therapy, Attention deficit hyperactivity disorder, Attention Deficit/Hyperactivity Disorder (ADHD - Pediatric), Attention Deficit/Hyperactivity Disorder (ADHD - Adults), Family Medicine-ADHD Pediatrics, Adolescence, Sleep, Attention Deficit/Hyperactivity Disorder (ADHD - Adults), Attention Deficit/Hyperactivity Disorder (ADHD - Pediatric), Family Medicine-ADHD Pediatrics, adhd, cognitive behavioral therapy, cognitive behavior therapy, cognitive behavioural therapy, cognitive behaviour therapy
Treatment Treatment as usual for ADHD, SIESTA
Clinical Study IdentifierNCT04723719
SponsorUniversitaire Ziekenhuizen Leuven
Last Modified on4 April 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Attending secondary education and between 13-17 years old
prior diagnosis of ADHD (any presentation) and confirmation of DSM-5 criteria of ADHD in current study
Displaying sleep problems for at least 3 nights per week for at least 3 months
sleep onset latency of at least 20-30 minutes
and/or wake after sleep onset greater than 30 min
and/or an average sleep time of less than 7 hours
and at least one poor sleep hygiene practice
and experienced distress as indicated by parent/guardian and/or adolescent
estimated IQ80
stable ADHD medication use at least 4 weeks before start of treatment and no dose or medication type changes planned during active treatment

Exclusion Criteria

the following comorbidities: sleep-breathing disorder, restless leg syndrome, narcolepsy, conduct disorder, depressive disorder with suicide risk or active suicidality, autism spectrum disorder, or substance use disorder, with an exception for nicotine
acute crisis situation at home
physical problems that interfere with sleep (e.g. pain) or medical disorders and related medication that could affect sleep
participation in a behaviorally based sleep intervention in the 6 months prior to our study
currently taking pharmacological medication for sleep (including melatonin), anxiety or depression. Participation will be allowed after a two-week wash-out period of the medication
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