Delayed Sleep Phase Syndrome, ADHD, and Bright Light Therapy
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Article Abstract Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text. Sir: Accumulating evidence suggests that many children with attention-deficit/hyperactivity disorder (ADHD) have a primary sleep disorder that accounts for some of their behavioral dysregulation.1,2 Most previous reports have focused on the association between ADHD and sleep in children with sleep-disordered breathing or restless legs syndrome.3-8 Here, we present a case in which ADHD symptoms and delayed sleep phase syndrome (DSPS) were rapidly relieved with bright light therapy.†‹
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Morning bright light therapy in a child with ADHD resulted in improvements in ADHD ratings and amelioration of delayed phase sleep disorder.
“Gruber et al. (2007) report a single case for the use of morning bright light therapy in a child with ADHD with resulting improvements in ADHD ratings and amelioration of delayed phase sleep disorder.”
From A systematic review of circadian function, chronotype and chronotherapy in attention deficit hyperactivity disorder (2017) · cites this paper as Gruber et al. (2007)
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“To our knowledge, no controlled study has been conducted to assess the efficacy of LT in children with ADHD, with the exception of a case report [40].”
BackgroundAssessment and Management of Sleep Problems in Youths With Attention-Deficit/Hyperactivity Disorder
Cortese, S., Brown, T. E., Corkum, P. V., Gruber, R., O'Brien, L. M., Stein, M. A., Weiss, M. D., & Owens, J. A. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.06.001 · Cited by 241 · see citing works
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“Gruber et al. (2007) report a single case for the use of morning bright light therapy in a child with ADHD with resulting improvements in ADHD ratings and amelioration of delayed phase sleep disorder.”
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“This is somewhat at odds with previous reports concerning a tendency to sleep delayed phase in ADHD [28], not otherwise seen in our sample.”
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“As this study reveals, treatment strategies in ASD should contain a strong focus on sleep hygiene improvements, while interventions in ADHD should include methods to shift circadian preference, such as bedtime fading [60, 61], melatonin treatment [62], or early morning light therapy [63].”
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“…approach to correcting the delay in circadian activity patterns has not been well explored in children with ADHD, a benefit from morning bright light therapy was reported in a single case study of a child with ADHD (Gruber et al., 2007), and in one study of adults with ADHD (Rybak et al., 2006).”
BackgroundSleep Characteristics of Children and Adolescents with Attention Deficit-Hyperactivity Disorder
Gruber, R. (2009) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2009.04.011 · Cited by 83 · see citing works
Self-citationDark therapy for bipolar disorder using amber lenses for blue light blockade
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“In one week, his sleep onset had advanced by 2 h, and his Conner’s Teacher Global Index score (a standard measure of ADHD severity) had improved from 64 to 45 [15].”
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Bright illumination reduces parietal EEG alpha activity during a sustained attention task
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Circadian rhythm disruption as a link between Attention-Deficit/Hyperactivity Disorder and obesity?
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Circadian Clocks in the Regulation of Neurotransmitter Systems
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A systematic review of the effectiveness of sleep hygiene in children with ADHD
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“‘Table 1’ describes four RCTs, three case-control studies, two cross-sectional studies, and seven pre-post studies conducted between 2003 and 2017 and varying in sample size from one (case studies; Gruber et al., 2007; Hayden, 2003) to 361 (cross-sectional; Sciberras et al., 2017).”
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The Role of the Circadian System in Attention Deficit Hyperactivity Disorder
Bondopadhyay, U., Díaz-Orueta, U., & Coogan, A. N. (2021) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-81147-1_7 · Cited by 7 · see citing works
Chapter 141 – Sleep Disturbances in Attention-Deficit/Hyperactivity Disorder
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ADHD, sleep onset, and pediatric bipolar disorder
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“Consistent with these findings, Gruber et al. (2007) have described an 11-year-old ADHD-SOI boy who met criteria for the delayed sleep phase syndrome.”
ResultSleep and Attention-Deficit/Hyperactivity Disorder
Dimakos, J., Giorgio, L.-M., & Gruber, R. (2022) · Springer eBooks · doi:10.1007/978-981-16-0123-1_25 · Cited by 3 · see citing works
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Self-medication in Depressed Individuals
Sunzeri, F. (2026) · Springer eBooks · doi:10.1007/978-3-032-14465-2_23
(2017) · PubMed · Cited by 51 · see citing works
- Authors
- Gruber, R., Grizenko, N., & Joober, R.
- Affiliations
- Janssen (Belgium) (BE)
- Douglas Mental Health University Institute (CA)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2007-02-15
- Volume
- 68
- Issue
- 02
- Pages
- 337-338
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W1982712320
- Cited by
- 26
- References
- 30
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 1 · 2013: 2
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- AstraZeneca
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- delayed sleep phase syndrome, attention deficit hyperactivity disorder, bright light therapy, circadian rhythm sleep disorders, children, behavioral dysregulation, sleep disorders
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Humans, Male, Phototherapy, Sleep Disorders, Circadian Rhythm
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