Better Sleep in Psychiatric Care - ADHD Pilot Study

Karolinska Institutet19 enrolled

Overview

Comorbidities, including sleep problems, are common in adult Attention Deficit Hyperactivity Disorder (ADHD). Treatment of choice for insomnia is cognitive behavioral therapy (CBT-i), but evidence is lacking for CBT-i in patients with ADHD and sleep problems. The purpose of this study was to investigate if patients at a specialist clinic for ADHD benefit from a group delivered CBT-i treatment; whether insomnia severity improves following this treatment. This pragmatic within-group pilot study with a pre to post and three-month follow-up design was set at a specialist psychiatric out-patient clinic for adult ADHD. As an adjunct to care-as-usual at the clinic, a CBT-i-based group treatment targeting sleep problems prevalent in the ADHD-population, designed for patients with executive difficulties, was offered as 10 weekly 90-minute group sessions and scheduled telephone support. All outcome measures were subjectively reported by participants. Data analyzed with dependent t-tests according to intent-to-treat.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Attention Deficit Disorder Sleep Initiation and Maintenance Disorders

Outcomes

Primary Outcomes

Insomnia Severity Index (ISI)

7-item self-reported measure of insomnia severity, 0-28 Points. Higher values represents higher severity (worse outcome)

Time frame: Change from baseline to 10 weeks

Insomnia Severity Index (ISI)

7-item self-reported measure of insomnia severity, 0-28 Points. Higher values represents higher severity (worse outcome)

Time frame: Change from baseline to 24 weeks

Secondary Outcomes

Adult ADHD Self-Report Scale (ASRS)

18-item self-reported measure of inattention and hyperactivity symptoms. Total score 0-72. Subscale inattention/hyperactivity 0-36 points per scale. Higher scores represents more severe symptoms (worse outcome).