Adult Attention-Deficit/Hyperactivity Disorder (ADHD) and Insomnia: an Update of the Literature

  title={Adult Attention-Deficit/Hyperactivity Disorder (ADHD) and Insomnia: an Update of the Literature},
  author={Dora Wynchank and Denise Bijlenga and Aartjan T. F. Beekman and J J Sandra Kooij and Brenda W.J.H. Penninx},
  journal={Current Psychiatry Reports},
Purpose of ReviewInsomnia is diagnosed when there is dissatisfaction with sleep quantity or quality. It has a prevalence in the general population ranging from 31 to 56%. Insomnia has previously been associated with adult attention-deficit/hyperactivity disorder (ADHD). In this review, we address three topics: (1) the cross-sectional relationship between ADHD and insomnia in adulthood, (2) the longitudinal relationship between ADHD and insomnia, and (3) insomnia as a side effect of… 

Insomnia Disorder in Adult Attention-Deficit/Hyperactivity Disorder Patients: Clinical, Comorbidity, and Treatment Correlates

Insomnia disorder is highly prevalent in adult ADHD and is related to higher ADHD severity and more psychiatric and medical comorbidities and stable pharmacological ADHD treatment are associated with better outcomes.

Influence of Adult Attention-Deficit/Hyperactivity Disorder and Insomnia on Risk of Minor Injury: Prospective Observation Study

The results suggest that an evaluation and intervention for adult ADHD and insomnia should be made in people engaged in other tasks that may result in UMMI.

Effects and clinical feasibility of a behavioral treatment for sleep problems in adult attention deficit hyperactivity disorder (ADHD): a pragmatic within-group pilot evaluation

CBT-i adjusted for ADHD is promising for improving insomnia severity in adult patients at specialist psychiatric out-patient clinics, who suffer from ADHD and sleep disturbances.

Effects of stimulant treatment on sleep in attention deficit hyperactivity disorder (ADHD)

Patients receiving a mean daily dose of 0.58 mg/kg of methylphenidate for 3 months did not experience sleep disturbances, based on objective (actigraphy) and subjective data, and sleep problems in ADHD subjects may be overestimated by parents due to ADHD symptomatology.

Sleep impairment in Attention Deficit Hyperactivity Disorder (ADHD) Is it an additional symptom of ADHD or the result of comorbidities?

  • N. Gadoth
  • Psychology
    Medical Research Archives
  • 2020
The bidirectional association between impaired sleep quality and ADHD is discussed in an attempt to clarify whether impaired sleep is an additional symptom of “pure” ADHD, is the sole result of associated comorbidities or is the result of both.

Work participation, sensory processing and sleep quality in adults with attention deficit hyperactive disorder.

The deficient body functions of adults with ADHD may affect their work performance and therefore should be considered in further research, as well as in clinical applications.



Sleep quality in adult patients with attention deficit hyperactivity disorder (ADHD)

It seems important to screen adult patients with ADHD for the presence of sleep disorders, especially insomnia, restless legs syndrome, and sleep-related breathing disorders (the last in conjunction with the body mass index).

Association between sleep problems and symptoms of attention-deficit/hyperactivity disorder in young adults.

Examination of sleep-related problems and symptoms of attention-deficit/hyperactivity disorder in a community sample of young adults in Taiwan showed ADHD symptoms in young adults are related to sleep problems.

Atomoxetine treatment in adults with attention-deficit/hyperactivity disorder

The safety and efficacy of ATX in adults with ADHD are reviewed, including data in special populations, functional outcomes, as well as provider and patient real-world perceptions.

The ADHD and Sleep Conundrum: A Review

  • J. Owens
  • Psychology, Medicine
    Journal of developmental and behavioral pediatrics : JDBP
  • 2005
A discussion of the multilevel relationships among sleep quality and quantity, neurobehavioral functioning, and the clinical syndrome of ADHD expands on previous reviews of the literature and synthesizes what is currently known about the interaction of sleep and attention/arousal in children to propose possible underlying mechanisms.

Sleep in adults with attention deficit hyperactivity disorder (ADHD) before and during treatment with methylphenidate: a controlled polysomnographic study.

Assessment of objective and subjective sleep parameters in adults with ADHD and the impact of stimulant medication on sleep found medication with methylphenidate appears to have beneficial effects on sleep parameters.

Sleep disturbance, circadian preference and symptoms of adult attention deficit hyperactivity disorder (ADHD)

Findings highlight the reciprocal links between ADHD symptoms, sleep and diurnal preference and suggest individuals likely to suffer from ADHD and/or insomnia disorder were significantly more evening oriented than controls.

ADHD and Sleep Quality: Longitudinal Analyses From Childhood to Early Adulthood in a Twin Cohort

Adults with ADHD had more sleep problems than those without ADHD, over and above psychiatric comorbidity and maternal insomnia, and children with ADHD do not appear to have an increased risk of later sleep problems.

Attention-deficit/hyperactivity disorder casts a long shadow: findings from a population-based study of adult women with self-reported ADHD.

The results suggest that women with ADHD are particularly vulnerable to early adversities, health and mental health problems.

Associations of sleep disturbance with ADHD: implications for treatment

  • A. Hvolby
  • Psychology, Medicine
    ADHD Attention Deficit and Hyperactivity Disorders
  • 2014
A comprehensive overview of the relationships between ADHD and sleep is provided, and a conceptual model of the modes of interaction is presented: ADHD may cause sleep problems as an intrinsic feature of the disorder; sleep problems may cause or mimic ADHD; ADHD andSleep problems may interact, with reciprocal causation and possible involvement of comorbidity.