Sleep Disturbances in Adolescents with Symptoms of Attention-Deficit/Hyperactivity Disorder
Abstract
We evaluated 32 nonmedicated male adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD) in childhood, 35 male adolescents similarly diagnosed who were receiving methylphenidate (MPH), and 77 control boys. Both ADHD groups completed self-report questionnaires assessing sleep disturbances; weekday and holiday sleep duration; and symptoms of ADHD, anxiety, and depression. Parents and teachers rated the severity of the participants' ADHD. The control group completed self-report questionnaires assessing sleep disturbances. We found that nonmedicated participants and controls did not differ in the severity of sleep disturbance. In contrast, the medicated participants demonstrated a significantly greater severity of sleep disturbance compared with the nonmedicated participants and reported elevated levels of symptoms of ADHD, anxiety, and depression. Specific analyses showed that depressive symptoms contributed significantly to the degree of sleep disturbance when controlling for ADHD diagnosis and MPH treatment. These findings suggest that among adolescents with ADHD symptoms, the severity of symptoms of depression may contribute to the degree of sleep disturbance in addition to the effect of their primary disorder and MPH treatment.
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Depressive symptoms contributed significantly to the degree of sleep disturbance when controlling for ADHD diagnosis and methylphenidate treatment.
“In one study, depressive symptoms contributed significantly to the degree of sleep disturbance when controlling for ADHD diagnosis and methylphenidate treatment [136].”
From European guidelines on managing adverse effects of medication for ADHD (2011) · cites this paper as [136]
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- Authors
- Stein, D., Pat-Horenczyk, R., Blank, S., Dagan, Y., Barak, Y., & Gumpel, T. P.
- Affiliations
- Department of the Chaim Sheba Medical Center, Tel Hashomer, Israel, , Psychiatric Division, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Center for Eating Disorders and Obesity at the Chaim Sheba Medical Center, Tel Hashomer, Israel
- Kaplan Medical Center (IL)
- Tel Aviv University (IL)
- Hebrew University of Jerusalem (IL)
- Venue
- Journal of Learning Disabilities
- Publisher
- SAGE Publications
- Published
- 2002-05
- Volume
- 35
- Issue
- 3
- Pages
- 268-275
- ISSN
- 0022-2194 (ISSN-L)
- 1538-4780
- OpenAlex
- W2163844938
- Cited by
- 58
- References
- 41
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 3
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Learning Disabilities (publishedVersion)
- PubMed (publishedVersion)
- 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
- attention deficit hyperactivity disorder, sleep disorders, adolescents, methylphenidate, depression, anxiety, sleep duration, ADHD symptoms
- MeSH terms
- Adolescent, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Depression, Humans, Male, Methylphenidate, Severity of Illness Index, Sleep Wake Disorders, Case-Control Studies
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