Use of melatonin for sleep disturbance in a large intellectual disability psychiatry service

Ward, Fran; Nanjappa, Muralidhara Shankarapura; Hinder, S; Roy, Meera

doi:10.1179/2047387714y.0000000051

Cited by 7 publications

(13 citation statements)

References 30 publications

(33 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…) and retrospective case note analysis ( N = 1; Ward et al . ). Other medications (including aripiprazole, citalopram, carbamazepine, sodium valproate, diazepam, lamotrigine and cisapride) that participants were taking was reported in nine participants out of 97 (Short & Carpenter ; Hare et al .…”

Section: Resultsmentioning

confidence: 97%

“…) and four assessed differences qualitatively (Short & Carpenter ; Stenfert‐Kroese & Thomas ; Richings & Feroz‐Nainar ; Ward et al . ).…”

Section: Resultsmentioning

confidence: 97%

“…Ward et al . () had a serious risk of bias in the reported result, which identified ‘mild’, ‘good’ and ‘excellent’ improvements in 15 of the 23 adult participants who were prescribed between 2.5 and 10 mg of melatonin. In one case series with ‘critical’ risk of bias, all three participants stopped taking melatonin due to agitation (Richings & Feroz‐Nainar ).…”

Section: Resultsmentioning

confidence: 99%

“…Levels of risk across the six domains are summarised in Table 3. The overall risk of bias identified one study that had a low risk (Braam et al 2008), two with serious risk (Short & Carpenter 1998;Gunning & Espie 2003) and six with critical risk of bias (Didden et al 2002;Stenfert-Kroese & Thomas 2006;Hare et al 2008;Hylkema & Vlaskamp 2009;Richings & Feroz-Nainar 2010;Ward et al 2015).…”

Section: Resultsmentioning

confidence: 99%

“…; Richings & Feroz‐Nainar ; Ward et al . ). Similar mixed results in evidence have been found by Braam et al .…”

Section: Discussionmentioning

confidence: 97%

See 4 more Smart Citations

Interventions for sleep difficulties in adults with an intellectual disability: a systematic review

Shanahan

Palod²,

Smith

et al. 2019

J intellect Disabil Res

View full text Add to dashboard Cite

BackgroundCurrent literature highlights higher prevalence rates of sleep difficulties amongst adults with an intellectual disability. However, no synthesis has been conducted to assess the effectiveness of existing interventions in this population. Thus, the aim of this review was to assess the effectiveness of sleep interventions in adults with an intellectual disability (ID).MethodEight databases were searched to identify interventions for sleep difficulties amongst adults with an ID. The study quality was assessed with the Risk Of Bias In Non‐randomised Studies – of Interventions. Nine studies (n = 97) were eligible for inclusion in the review.ResultsThere was a notable study on heterogeneity in terms of the population, study design, intervention studied, sleep assessment and outcome assessments used. Eight of the nine studies reported improvement in sleep following intervention. However, these findings need additional support as only 97 participants involving a variety of interventions and measurement systems were used across all studies. Furthermore, eight of the nine studies had serious to critical risk of bias. The only study identified as having low risk of bias was a placebo‐controlled randomised controlled trial for the use of melatonin.ConclusionsThis review highlights the need for objective measures such as actigraphy and studies with greater experimental control investigating sleep interventions in adults with ID.

show abstract

Section: Resultsmentioning

confidence: 97%

“…) and four assessed differences qualitatively (Short & Carpenter ; Stenfert‐Kroese & Thomas ; Richings & Feroz‐Nainar ; Ward et al . ).…”

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%