A Pilot Study of a Cognitive-Behavioral Sleep Intervention Specifically for Adolescents With ADHD and Sleep Problems: A Qualitative and Quantitative Evaluation

Background Young people and adults with ADHD are at risk of a range of physical health problems. There is limited guidance on how to approach health problems in ADHD, and especially around 16-25 year olds who will be transitioning from paediatric to adult care. The aim of this scoping review was to identify psychosocial interventions that target physical health in young people and adults with ADHD. Methods We constructed searches in MEDLINE, PsycInfo, EMBASE of adolescents, young people and adults. Inclusion criteria were; studies of psychosocial interventions examining a component of physical health, applicable to people aged 16-25, with clinical or research diagnoses of ADHD. Data were extracted using a data extraction tool and tabulated, including study intervention framing/aims, population, intervention, and relevant outcomes (including specific statistics where relevant). Results Our search identified 22 unique papers covering, psychosocial interventions targeting at least one of sleep (n=7), smoking (n=3), substance/alcohol use (n=4), physical health/exercise (n=6) and general health (n=3). Studies examined psychotherapy/behaviour interventions (n=12), psychoeducation (n=4), digital (n=2) and social interventions (n=4). There was significant heterogeneity in intervention framing, outcome measures and population. Conclusion Further work on the impact of targeted physical health interventions, with explicit reference to a conceptual framework of poor health in ADHD is required. Furthermore, future work standardising reporting of physical health outcomes in ADHD is crucial for the development of an evidence base in this field.

show abstract

Effectiveness of a cognitive-behavioral sleep intervention for adolescents with ADHD: A randomized controlled trial

Keuppens,

Marten,

Baeyens

et al. 2024

Preprint

View full text Add to dashboard Cite

Objective: Sleep problems are frequent and impairing in adolescents with ADHD. This randomized controlled trial investigates the effectiveness of a newly developed CBT sleep 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 (partial eta squared = .21), chronic sleep reduction (partial eta squared = .15), and sleep-wake problem behaviors (partial eta squared = .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 (partial eta squared = .09). Of secondary outcomes, depressive symptoms reduced significantly more from pre- to post-test in SIESTA+TAU than in TAU only (partial eta squared = .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.

show abstract

A Pilot Study of a Cognitive-Behavioral Sleep Intervention Specifically for Adolescents With ADHD and Sleep Problems: A Qualitative and Quantitative Evaluation

Cited by 3 publications

References 52 publications

A Special Issue on Applications of Cognitive Behavioral Therapy to Psychological Disorders and Comorbid Medical Conditions in Pediatric Patients

A Special Issue on Applications of Cognitive Behavioral Therapy to Psychological Disorders and Comorbid Medical Conditions in Pediatric Patients

Psychosocial interventions for improving the physical health of young people and adults with attention deficit hyperactivity disorder: a scoping review

Effectiveness of a cognitive-behavioral sleep intervention for adolescents with ADHD: A randomized controlled trial

Contact Info

Product

Resources

About