In a randomized case–control trial with 10-years olds suffering from attention deficit/hyperactivity disorder (ADHD) sleep and psychological functioning improved during a 12-week sleep-training program

Abstract

Objectives. We tested the hypothesis that sleep training would improve emotional, social and behavioural functioning in children with attention-deficit/hyperactivity disorder (ADHD) compared to children with ADHD without such intervention and to healthy controls. Methods. Forty children with ADHD were randomly assigned to intervention and control conditions. Parents of 20 children with ADHD were instructed and thoroughly supervised in improving their children's sleep schedules and sleep behaviour. Parents of the other 20 children with ADHD and parents of 20 healthy children received general information about sleep hygiene. At baseline and 12 weeks later, parents and children completed questionnaires related to children's sleep and psychological functioning. Results. Relative to the control groups, children in the intervention group improved sleep quantitatively and qualitatively (F values < 3.33, P values < 0.05). The intervention group children reported improvements in mood, emotions, and relationships (F values < 2.99, P values < 0.05). Parents reported that their children improved in physical and psychological wellbeing, mood, emotions, relationships, and social acceptance (F values < 3.02, P values < 0.05). Conclusions. Training and monitoring parents of children with ADHD in regulating and supervising children's sleep schedules leads to positive changes in the emotions, behaviour and social lives of these children.

Key words::

• ADHD
• sleep
• intervention
• behaviour
• emotions

Acknowledgements

We thank Nick Emler (University of Surrey, UK) for proofreading the manuscript.

Statement of Interest

None to declare.

Notes

¹These data are not reported in the present manuscript.

²However, the main aim of the routine contact was to balance contact with the study staff between the intervention and control conditions.

³In contrast, as indicated by research on creativity (Healey and Rucklidge 2006; Abraham et al. 2006) and on the basis of evolutionary approaches (Brüne 2008; Buss 2013), ADHD and ADHD-like behaviours are also associated with behavioural advantages.