Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach

Nunes, Magda Lahorgue; Bruni, Oliviero

doi:10.1016/j.jped.2015.08.006

Cited by 73 publications

(52 citation statements)

References 32 publications

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“…Several interventions have shown to be effective in targeting sleep deficits and disorders (e.g., insomnia) in adolescents, including sleep hygiene, behavioral therapies, and pharmacology (Nunes & Bruni, 2015). Depending on the specific sleep deficits identified in adolescents with ADHD, these treatments may be adapted for ADHD youth and serve as either stand-alone or supplemental therapies implemented in addition to standard care for ADHD.…”

Section: Conclusion and Agenda To Guide Future Researchmentioning

confidence: 99%

“…Finally, pharmacological treatments used in clinical settings target sleep disorders and disturbances in children and adolescents (with or without neurodevelopmental disorders such as ADHD), including antihistaminic agents, alpha-2 adrenergic agonists, melatonin, iron supplements, benzodiazepines, and tricyclic anti-depressants (Barrett, Tracy, & Giaroli, 2013; Bruni et al, 2015; Hollway & Aman, 2011). These agents may have utility in reducing severe sleep problems in teens with ADHD; however, widespread use in pediatric populations is not recommended due to lack of empirical investigations and side effects (Nunes & Bruni, 2015). …”

Section: Conclusion and Agenda To Guide Future Researchmentioning

confidence: 99%

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Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research

Lunsford‐Avery

Krystal

Kollins

2016

Clinical Psychology Review

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Background Biological mechanisms underlying symptom and prognostic heterogeneity in Attention-Deficit/Hyperactivity Disorder (ADHD) are unclear. Sleep impacts neurocognition and daytime functioning and is disrupted in ADHD, yet little is known about sleep in ADHD during adolescence, a period characterized by alterations in sleep, brain structure, and environmental demands as well as diverging ADHD trajectories. Methods A systematic review identified studies published prior to August 2016 assessing sleep in adolescents (aged 10–19 years) with ADHD or participating in population-based studies measuring ADHD symptoms. Results Twenty-five studies were identified (19 subjective report, 6 using actigraphy/polysomnography). Findings are mixed but overall suggest associations between sleep disturbances and 1) ADHD symptoms in the population and 2) poorer clinical, neurocognitive, and functional outcomes among adolescents with ADHD. Common limitations of studies included small or non-representative samples, non-standardized sleep measures, and cross-sectional methodology. Conclusions Current data on sleep in adolescent ADHD are sparse and limited by methodological concerns. Future studies are critical for clarifying a potential role of sleep in contributing to heterogeneity of ADHD presentation and prognosis. Potential mechanisms by which sleep disturbances during adolescence may contribute to worsened symptom severity and persistence of ADHD into adulthood and an agenda to guide future research are discussed.

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Section: Conclusion and Agenda To Guide Future Researchmentioning

confidence: 99%

Section: Conclusion and Agenda To Guide Future Researchmentioning

confidence: 99%

Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research

Lunsford‐Avery

Krystal

Kollins

2016

Clinical Psychology Review

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“…Our patient was diagnosed to have chronic insomnia by the International Classification of Sleep Disorders (ICSD-3) criteria [4]. His symptom characteristics like exaggerated physiological arousal, learned sleep preventing measures, excessive worry regarding sleep and a heightened concern regarding daytime consequences fit in with psychophysiological type of insomnia [5].…”

Section: Case Presentationmentioning

confidence: 97%

Specific Learning Disability Unmasked by Psychophysiological Insomnia

Narasimhan

Anitha

Battula

2020

Cureus

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“…Patients with attention deficit hyperactivity disorder (ADHD) have sleep disorders in up to 25% -30% of the cases (Nunes & Bruni, 2015), or transient alterations in sleep patterns in 48 -73% (Barrett, Tracy, & Glaroli, 2013). Sleep disturbances are frequently reported by both parents and children with ADHD at bedtime or increased night-time awakenings Owens, Maxim, Nobile, McGuinn, & Msall, 2000).…”

Section: Introductionmentioning

confidence: 99%

Sleep problems and profiles in attention deficit hyperactivity disorder assessed by the Children Sleep Habits Questionnaire-Abbreviated in Colombia

Palacio-Ortíz

Gómez-Cano

Aguirre–Acevedo

2018

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Introduction. Sleep problems are frequent in patients with attention deficit hyperactivity disorder (ADHD), but often underestimated in clinical settings. Objective. To describe the main characteristics of sleep habits in an ADHD outpatient population using the Children Sleep Habits Questionnaire-Abbreviated (CSHQ-A) to compare ADHD groups according to the presence of comorbidity and the presence of current treatment, and to determine sleep profiles by using latent class analysis (LCA). Method. A sample of 228 ADHD patients (Mage = 11.5 years old, (IR = 9 -15) were enrolled. ADHD comorbidities and treatments were registered. Parents/caregivers filled out the questionnaire. Participants groups were compared, and LCA was used to classify profiles of similar sleep patterns. Results. The ADHD group with treatment had a higher score in the CSHQ-A than the group without treatment. Four classes emerge: Class 1 only children, males, half with comorbid ADHD, many with treatment, and with many sleep problems (CSHQ-A mean: 25.98). Class 2: mostly adolescents, female, with comorbid anxiety disorder, and who did not show sleep problems (CSHQ-A mean: 12.78). Class 3: only adolescents, males, comorbid with major depressive disorder and CSHQ-A who showed many sleep problems. Class 4: only children, males, the majority with treatment, with some sleep problems. Discussion and conclusion. In this ADHD sample, patients with psychopharmacological treatment have a greater report of sleep problems by the CSHQ-A compared to those who do not receive treatment. RESUMENIntroducción. Los problemas del sueño son frecuentes en pacientes con trastorno por déficit de atención con hiperactividad (TDAH), pero a menudo se subestiman en la consulta. Objetivo. Describir las principales características de los hábitos de sueño en una población de pacientes ambulatorios con TDAH utilizando el Cuestionario de Hábitos de Sueño de Niños-Abreviado (CSHQ-A), comparar los grupos con TDAH según la presencia de comorbilidad y de tratamiento actual y determinar los perfiles del sueño mediante el análisis de clase latente (ACL). Método. Se recogió una muestra de 228 pacientes con TDAH (edad M = 11.5 años, (RI = 9 -15). Los padres / cuidadores completaron el cuestionario. Se compararon los grupos de participantes y se utilizó el ACL para clasificar los perfiles de patrones de sueño similares. Resultados. El grupo con TDAH con tratamiento tuvo una puntuación más alta en CSHQ-A que el grupo sin tratamiento. Surgieron cuatro clases: Clase 1 sólo niños varones, mitad con TDAH comórbido, muchos con tratamiento y con muchos problemas de sueño (media CSHQ-A: 25.98). Clase 2: la mayoría mujeres adolescentes con trastorno de ansiedad comórbido y sin problemas de sueño (CSHQ-A media: 12.78). Clase 3: adolescentes, varones, con depresión comorbida: el CSHQ-A mostró muchos problemas de sueño. Clase 4: sólo niños, hombres, la mayoría con tratamiento, con algunos problemas de sueño. Discusión y conclusión. En esta muestra de TDAH, los pacientes con tratamiento psicofarmacológi...

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Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach

Cited by 73 publications

References 32 publications

Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research

Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research

Specific Learning Disability Unmasked by Psychophysiological Insomnia

Sleep problems and profiles in attention deficit hyperactivity disorder assessed by the Children Sleep Habits Questionnaire-Abbreviated in Colombia

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