Sleep IntervEntion as Symptom Treatment for ADHD
- Conditions
- CBTAdolescentsADHDSleep
- Interventions
- Behavioral: SIESTAOther: Treatment as usual for ADHD
- Registration Number
- NCT04723719
- Lead Sponsor
- Universitaire Ziekenhuizen KU Leuven
- Brief Summary
Up to 72% of adolescents with ADHD portray sleep problems. The most common sleep difficulties in adolescents with ADHD are initial insomnia, nocturnal awakenings, non-restorative or restless sleep. These difficulties seem to be causally related to increased ADHD symptom impairment, oppositional and depressive symptomatology, and functional impairments in daily life, resulting in a vicious circle of sleep problems and impairment. Thus, reducing sleep problems is an important intervention target. However, to date there is no evidence-based cognitive behavioral sleep treatment available. Sleep-focused treatments need adaptation towards this developmental phase/disorder for effectiveness, as ADHD and sleep problems are bi-directional. Therefore, a blended treatment targeting the core deficits integrating motivational interviewing, planning skills and sleep interventions is needed. Thus, the aim of this project is testing the short and 3 months follow-up effectiveness of the blended CBT sleep intervention in adolescents with ADHD.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 92
-
Attending secondary education and between 13-17 years old
-
prior diagnosis of ADHD (any presentation) and confirmation of DSM-5 criteria of ADHD in current study
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Displaying sleep problems for at least 3 nights per week for at least 3 months
- sleep onset latency of at least 20-30 minutes
- and/or wake after sleep onset greater than 30 min
- and/or an average sleep time of less than 7 hours
- and at least one poor sleep hygiene practice
- and experienced distress as indicated by parent/guardian and/or adolescent.
-
estimated IQ≥80
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stable ADHD medication use at least 4 weeks before start of treatment and no dose or medication type changes planned during active treatment
- the following comorbidities: sleep-breathing disorder, restless leg syndrome, narcolepsy, conduct disorder, depressive disorder with suicide risk or active suicidality, autism spectrum disorder, or substance use disorder, with an exception for nicotine
- acute crisis situation at home
- physical problems that interfere with sleep (e.g. pain) or medical disorders and related medication that could affect sleep
- participation in a behaviorally based sleep intervention in the 6 months prior to our study
- currently taking pharmacological medication for sleep (including melatonin), anxiety or depression. Participation will be allowed after a two-week wash-out period of the medication
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description SIESTA training + treatment as usual for ADHD SIESTA We developed a cognitive behavioral therapy for sleep problems in adolescents with ADHD. This includes seven individual sessions with the adolescent and two individual sessions with the parent(s)/guardian(s). Participants receive this CBT training called SIESTA next to their treatment as usual for ADHD symptomatology (mostly ADHD-medication). Treatment as usual for ADHD only Treatment as usual for ADHD Participants continue their treatment as usual for ADHD (mostly ADHD-medication). SIESTA training + treatment as usual for ADHD Treatment as usual for ADHD We developed a cognitive behavioral therapy for sleep problems in adolescents with ADHD. This includes seven individual sessions with the adolescent and two individual sessions with the parent(s)/guardian(s). Participants receive this CBT training called SIESTA next to their treatment as usual for ADHD symptomatology (mostly ADHD-medication).
- Primary Outcome Measures
Name Time Method Sleep problems CSRQ pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective sleep problems assessed by questionnaires (CSRQ)
Sleep problems CSHQ pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective sleep problems assessed by questionnaires (CSHQ)
Sleep architecture objective TST pre-test to post-test From pre-test to post-test (+- 8 weeks) objective (actigraphy) sleep architecture (specified as TST in hours and minutes)
Sleep architecture objective SE pre-test to post-test From pre-test to post-test (+- 8 weeks) objective (actigraphy) sleep architecture (specified as SE = TST/time in bed in percentage)
Sleep architecture objective NoA pre-test to post-test From pre-test to post-test (+- 8 weeks) objective (actigraphy) sleep architecture (specified as NoA)
Sleep architecture subjective TST pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective (sleep logs) sleep architecture (specified as TST in hours and minutes)
Sleep problems SSHS pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective sleep problems assessed by questionnaires (SSHS)
Sleep architecture objective SOL pre-test to post-test From pre-test to post-test (+- 8 weeks) objective (actigraphy) sleep architecture (specified as SOL in hours and minutes)
Sleep architecture subjective SOL pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective (sleep logs) sleep architecture (specified as SOL in hours and minutes)
Sleep architecture subjective SE pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective (sleep logs) sleep architecture (specified as SE = TST/time in bed in percentage)
Sleep architecture objective SOL pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) objective (actigraphy) sleep architecture (specified as SOL in hours and minutes)
Sleep architecture subjective TST pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective (sleep logs) sleep architecture (specified as TST in hours and minutes)
Sleep architecture objective TST pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) objective (actigraphy) sleep architecture (specified as TST in hours and minutes)
Sleep architecture subjective SE pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective (sleep logs) sleep architecture (specified as SE = TST/time in bed in percentage)
Sleep architecture subjective NoA pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective (sleep logs) sleep architecture (specified as NoA)
Sleep problems SSHS pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective sleep problems assessed by questionnaires (SSHS)
Sleep hygiene pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective sleep hygiene assessed by questionnaires (ASHSr)
Sleep hygiene pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective sleep hygiene assessed by questionnaires (ASHSr)
Sleep architecture subjective NoA pre-test to post-test From pre-test to post-test (+- 8 weeks) subjective (sleep logs) sleep architecture (specified as NoA)
Sleep architecture objective SE pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) objective (actigraphy) sleep architecture (specified as SE = TST/time in bed in percentage)
Sleep architecture objective NoA pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) objective (actigraphy) sleep architecture (specified as NoA)
Sleep architecture subjective SOL pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective (sleep logs) sleep architecture (specified as SOL in hours and minutes)
Sleep problems CSRQ pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective sleep problems assessed by questionnaires (CSRQ)
Sleep problems CSHQ pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) subjective sleep problems assessed by questionnaires (CSHQ)
- Secondary Outcome Measures
Name Time Method Comorbidities: anxiety pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by adolescent (SCARED-R)
Comorbidities: anxiety pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by adolescent (SCARED-R)
ADHD symptoms pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by parents (DBDRS)
Academic competence pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by teacher (CPS)
Comorbidities: oppositional-defiant disorder pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by parents (DBDRS)
Comorbidities: oppositional-defiant disorder pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by parents (DBDRS)
Parent-adolescent conflict pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by parents (CBQ)
Parent-adolescent conflict pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by parents (CBQ)
Homework problems pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by parents (HPC)
Academic competence pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by teacher (CPS)
Homework problems pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by parents (HPC)
Comorbidities: depression pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by adolescent (CDI-2)
Comorbidities: depression pre-test to follow-up From pre-test to follow-up (+-3 months after posttest) Assessed by adolescent (CDI-2)
ADHD symptoms pre-test to post-test From pre-test to post-test (+- 8 weeks) Assessed by parents (DBDRS)
Trial Locations
- Locations (1)
UPC Leuven
🇧🇪Leuven, Vlaams Brabant, Belgium