Attention Deficit Disorder, Sleep Initiation and Maintenance Disorders, Sleep Wake Disorders
Conditions
Brief summary
Comorbidities, including sleep problems, are common in adult Attention Deficit Hyperactivity Disorder (ADHD). Treatment of choice for insomnia is cognitive behavioral therapy (CBT-i), but evidence is lacking for CBT-i in patients with ADHD and sleep problems. The purpose of this study was to investigate if patients at a specialist clinic for ADHD benefit from a group delivered CBT-i treatment; whether insomnia severity improves following this treatment. This pragmatic within-group pilot study with a pre to post and three-month follow-up design was set at a specialist psychiatric out-patient clinic for adult ADHD. As an adjunct to care-as-usual at the clinic, a CBT-i-based group treatment targeting sleep problems prevalent in the ADHD-population, designed for patients with executive difficulties, was offered as 10 weekly 90-minute group sessions and scheduled telephone support. All outcome measures were subjectively reported by participants. Data analyzed with dependent t-tests according to intent-to-treat.
Interventions
Cognitive Behavioral Therapy for insomnia adjusted for patients with ADHD
Sponsors
Study design
Intervention model description
Pragmatic, within-group pilot study
Eligibility
Inclusion criteria
* being a patient at the clinic (i.e. having a diagnosis of AD(H)D) * self-reported sleep problems * returning pre-treatment questionnaires and signed consent form
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insomnia Severity Index (ISI) | Change from baseline to 10 weeks | 7-item self-reported measure of insomnia severity, 0-28 Points. Higher values represents higher severity (worse outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adult ADHD Self-Report Scale (ASRS) | Change from baseline to 10 weeks | 18-item self-reported measure of inattention and hyperactivity symptoms. Total score 0-72. Subscale inattention/hyperactivity 0-36 points per scale. Higher scores represents more severe symptoms (worse outcome). |
Countries
Sweden