The effect of OROS methylphenidate on the sleep of children with attention-deficit/hyperactivity disorder
Abstract
We evaluated the effect of OROS methylphenidate (MPH) on sleep quality and architecture in children with attention-deficit/hyperactivity disorder (ADHD) using both a parental sleep questionnaire and polysomnography. Twenty-four ADHD children who had no comorbid psychiatric or sleep disorders except for oppositional defiant disorder completed the 6-week, prospective, open-label, flexible-dose trial with OROS MPH (Concerta) monotherapy. After OROS MPH administration, the polysomnography data indicated that the percentage of stage 2 sleep was increased (P=0.024) and the Number of Awakenings was decreased (P=0.047). Relative to baseline, Parasomnias of the Children's Sleep Habits Questionnaire were decreased (P=0.033). Sleep Onset Latency was not changed during the treatment in general, but was increased in six children with subjective sleep difficulties (F(1)=5.832, P=0.025, eta(2)(p)=0.226). Bedtime Resistance and Sleep Onset Delay in Children's Sleep Habits Questionnaire were also increased during the treatment with OROS MPH only in individuals with sleep complaints (F1=5.001, P=0.036, eta(2)(p)=0.185; F(1)=7.237, P=0.013, eta(2)(p)=0.248). These results suggest that OROS MPH in open-label treatment does not seem to impair sleep and may even improve some aspects of sleep.
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In an open-label polysomnographic study in children with ADHD, OROS-MPH treatment compared with pre-treatment baseline produced only statistically significant decrease in night-time awakenings and increase in percentage of stage 2 sleep.
“In an open-label polysomnographic study in children with ADHD, the only statistically significant effects of OROS-MPH treatment were a decrease in the number of night-time awakenings and an increase in the percentage of stage 2 sleep, compared with pre-treatment baseline (Kim et al. 2010).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Kim et al. 2010
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- Authors
- Kim, H.-W., Yoon, I.-Y., Cho, S.-C., Kim, B.-N., Chung, S., Lee, H., Kim, C.-W., Park, S.-K., & Yoo, H. J.
- Affiliations
- Dongguk University Ilsan Hospital (KR)
- Seoul National University (KR)
- Asan Medical Center (KR)
- Corresponding author
- Yoo, Hee Jeong
- Venue
- International Clinical Psychopharmacology
- Published
- 2010-03
- Volume
- 25
- Issue
- 2
- Pages
- 107-115
- ISSN
- 0268-1315 (ISSN-L)
- OpenAlex
- W2011542738
- Cited by
- 56
- References
- 27
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 5 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 9
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Clinical Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- OROS methylphenidate, attention deficit hyperactivity disorder, sleep quality, sleep architecture, stage 2 sleep, nocturnal awakenings, parasomnias, sleep latency, bedtime resistance, sleep onset delay, Children's Sleep Habits Questionnaire, polysomnography, children
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Cognition, Data Interpretation, Statistical, Delayed-Action Preparations, Dose-Response Relationship, Drug, Electrocardiography, Female, Humans, Male, Methylphenidate, Psychiatric Status Rating Scales, Surveys and Questionnaires, Linear Models, Treatment Outcome, Polysomnography
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