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<p><b>Objective</b>: Sleep problems are frequent and impairing in adolescents with ADHD. This randomized controlled trial investigates the effectiveness of a newly developed CBT sleep hygiene intervention for adolescents with ADHD – SIESTA. <b>Method</b>: Adolescents with ADHD and sleep problems (N = 92, M<sub>age</sub> = 14.36, SD = 1.43, 47% males) were randomized to receive SIESTA next to treatment as usual targeting ADHD (SIESTA+TAU) or TAU only. Adolescent and parent ratings, actigraphy and sleep diaries, were collected at pre-, post-, and at 4 month follow-up test. A linear mixed effects model was used with an intent-to-treat approach.<b>Results</b>: Results indicated significant improvement in SIESTA+TAU compared to TAU from pre- to post-test on sleep hygiene (<InlineEquation ID="IEq734353"> <EquationSource Format="TEX">\(\:{\eta\:}_{p}^{2}\)</EquationSource> </InlineEquation> =.21), chronic sleep reduction (<InlineEquation ID="IEq73556"> <EquationSource Format="TEX">\(\:{\eta\:}_{p}^{2}\)</EquationSource> </InlineEquation> =.15), and sleep-wake problem behaviors (<InlineEquation ID="IEq7354"> <EquationSource Format="TEX">\(\:{\eta\:}_{p}^{2}\)</EquationSource> </InlineEquation> =.05). Actigraphy and sleep diaries showed no significant differences, with both groups improving on sleep diaries. The improvements in sleep hygiene were maintained at follow-up (<InlineEquation ID="IEq24337"> <EquationSource Format="TEX">\(\:{\eta\:}_{p}^{2}\)</EquationSource> </InlineEquation> =.09). Of secondary outcomes, depressive symptoms reduced significantly more from pre- to post-test in SIESTA+TAU than in TAU only (<InlineEquation ID="IEq122347"> <EquationSource Format="TEX">\(\:{\eta\:}_{p}^{2}\)</EquationSource> </InlineEquation> =.09).<b>Conclusions</b>: This study indicates that SIESTA is effective at improving sleep hygiene, perceived sleep problems, and depressive symptoms in adolescents with ADHD. However, to maintain long-term effects, booster sessions may be beneficial.</p>

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Effectiveness of a cognitive-behavioral sleep hygiene intervention for adolescents with ADHD: a randomized controlled trial

  • 期刊论文

  • 发表日期：

    2025年5月27日

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  • Lena Keuppens,
  • Finja Marten,
  • Dieter Baeyens,
  • Bianca Boyer,
  • Annelore Roose,
  • Stephen Becker,
  • Marina Danckaerts,
  • Saskia Van der Oord

摘要

Objective: Sleep problems are frequent and impairing in adolescents with ADHD. This randomized controlled trial investigates the effectiveness of a newly developed CBT sleep hygiene intervention for adolescents with ADHD – SIESTA. Method: Adolescents with ADHD and sleep problems (N = 92, Mage = 14.36, SD = 1.43, 47% males) were randomized to receive SIESTA next to treatment as usual targeting ADHD (SIESTA+TAU) or TAU only. Adolescent and parent ratings, actigraphy and sleep diaries, were collected at pre-, post-, and at 4 month follow-up test. A linear mixed effects model was used with an intent-to-treat approach.Results: Results indicated significant improvement in SIESTA+TAU compared to TAU from pre- to post-test on sleep hygiene ( \(\:{\eta\:}_{p}^{2}\) =.21), chronic sleep reduction ( \(\:{\eta\:}_{p}^{2}\) =.15), and sleep-wake problem behaviors ( \(\:{\eta\:}_{p}^{2}\) =.05). Actigraphy and sleep diaries showed no significant differences, with both groups improving on sleep diaries. The improvements in sleep hygiene were maintained at follow-up ( \(\:{\eta\:}_{p}^{2}\) =.09). Of secondary outcomes, depressive symptoms reduced significantly more from pre- to post-test in SIESTA+TAU than in TAU only ( \(\:{\eta\:}_{p}^{2}\) =.09).Conclusions: This study indicates that SIESTA is effective at improving sleep hygiene, perceived sleep problems, and depressive symptoms in adolescents with ADHD. However, to maintain long-term effects, booster sessions may be beneficial.