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… 

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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.

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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.

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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.

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  • 2020
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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.

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People with both ADHD and sleep problems have increased risk for poorer mental functioning and productivity loss, and the importance of screening for sleep problems when ADHD symptoms are present, and vice versa, is underscore.



Association between attention-deficit/hyperactivity disorder and sleep impairment in adulthood: evidence from a large controlled study.

Clinicians and researchers should consider the potential contribution of sleep disruption to the clinical presentation of adults with ADHD.

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

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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.

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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.

The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies

The results show that estimates of ADHD's persistence rely heavily on how one defines persistence, yet, regardless of definition, the analyses show that evidence for ADHD lessens with age.

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