التفاصيل البيبلوغرافية
| العنوان: |
Effects and clinical feasibility of a behavioral treatment for sleep problems in adult attention deficit hyperactivity disorder (ADHD): a pragmatic within-group pilot evaluation. |
| المؤلفون: |
Jernelöv, Susanna, Larsson, Ylva, Llenas, Milagros, Nasri, Berkeh, Kaldo, Viktor |
| المصدر: |
BMC Psychiatry; 7/24/2019, Vol. 19 Issue 1, pN.PAG-N.PAG, 1p, 1 Diagram, 4 Charts, 2 Graphs |
| مصطلحات موضوعية: |
ATTENTION-deficit hyperactivity disorder, SLEEP interruptions, SLEEP, THERAPEUTICS, BEHAVIOR therapy, PSYCHIATRIC clinics |
| مستخلص: |
Background: Sleep disturbances, including insomnia, 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. The purpose of this study was to investigate if patients with insomnia and other sleep problems, at a specialist clinic for ADHD, benefit from a group delivered behavioral treatment based on CBT-i; whether insomnia severity improves following this treatment. Methods: 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 several sleep problems prevalent in the ADHD–population, was offered as 10 weekly 90-min 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. Results: Nineteen patients (37 [SD 13.7] years; 68% female) with ADHD and subjectively reported sleep problems provided informed consent and pre-treatment measures. Patients had suffered from sleep problems for 15.3 [SD 13.4] years, 42% used sleep medications, 79% used stimulant medication(s). At post-treatment, insomnia severity (Insomnia Severity Index; score range 0–28) had improved with 4.5 points (95% CI, 2.06–6.99, p =.002), at 3 months with 6.8 points (95% CI, 4.71–8.91, p <.0001) from pre-treatment. Conclusions: 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. Trial registration: Study registered with the Regional ethical review board in Stockholm, January 13th 2016, Study id: 2015/2078–31/1. Study registered retrospectively with Clinicaltrials.org, February 21st 2019, ID: NCT03852966. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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