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Prevalence and clinical correlates of insomnia in adults with attention-deficit hyperactivity disorder.
Acta Psychiatr Scand 2017; 136(2):220-227AP

Abstract

OBJECTIVE

To investigate the prevalence of insomnia in adults with Attention-deficit hyperactivity disorder (ADHD) and its association with clinical subtypes, current ADHD symptoms, and stimulant treatment.

METHOD

We obtained diagnostic information, symptom rating scales and treatment history from clinically ascertained adult ADHD patients diagnosed according to DSM-IV criteria (n = 268, mean age 38.1 years) and randomly selected population controls (n = 202, mean age 36.5 years). The Bergen Insomnia Scale (BIS) was used to measure insomnia. ADHD symptom domains were self-rated using the Adult ADHD Self-Rating Scale.

RESULTS

Insomnia was far more frequent among adults with ADHD (66.8%) than in the population controls (28.8%) (P < 0.001). Insomnia was more common in adults with the combined subtype than in those with the inattentive subtype (79.7% and 55.6%, respectively) (P = 0.003). For self-reported current ADHD symptoms, inattention was strongly correlated to insomnia. Patients currently using stimulant treatment for ADHD reported a lower total insomnia score compared to patients without medication (P < 0.05).

CONCLUSION

Insomnia was highly prevalent among adults with ADHD. The lower insomnia score in patients on current stimulant treatment suggests that stimulant treatment is not associated with worsening of insomnia symptoms in adult ADHD patients.

Authors+Show Affiliations

Division of Psychiatry, Haukeland University Hospital, Bergen, Norway. K.G. Jebsen Centre for Neuropsychiatric Disorders, Department of Biomedicine, University of Bergen, Bergen, Norway. Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway.K.G. Jebsen Centre for Neuropsychiatric Disorders, Department of Biomedicine, University of Bergen, Bergen, Norway. Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway.Division of Psychiatry, Haukeland University Hospital, Bergen, Norway. K.G. Jebsen Centre for Neuropsychiatric Disorders, Department of Biomedicine, University of Bergen, Bergen, Norway.Division of Psychiatry, Haukeland University Hospital, Bergen, Norway. K.G. Jebsen Centre for Neuropsychiatric Disorders, Department of Biomedicine, University of Bergen, Bergen, Norway.K.G. Jebsen Centre for Neuropsychiatric Disorders, Department of Biomedicine, University of Bergen, Bergen, Norway. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway.Division of Psychiatry, Haukeland University Hospital, Bergen, Norway. K.G. Jebsen Centre for Neuropsychiatric Disorders, Department of Biomedicine, University of Bergen, Bergen, Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28547881

Citation

Brevik, E J., et al. "Prevalence and Clinical Correlates of Insomnia in Adults With Attention-deficit Hyperactivity Disorder." Acta Psychiatrica Scandinavica, vol. 136, no. 2, 2017, pp. 220-227.
Brevik EJ, Lundervold AJ, Halmøy A, et al. Prevalence and clinical correlates of insomnia in adults with attention-deficit hyperactivity disorder. Acta Psychiatr Scand. 2017;136(2):220-227.
Brevik, E. J., Lundervold, A. J., Halmøy, A., Posserud, M. B., Instanes, J. T., Bjorvatn, B., & Haavik, J. (2017). Prevalence and clinical correlates of insomnia in adults with attention-deficit hyperactivity disorder. Acta Psychiatrica Scandinavica, 136(2), pp. 220-227. doi:10.1111/acps.12756.
Brevik EJ, et al. Prevalence and Clinical Correlates of Insomnia in Adults With Attention-deficit Hyperactivity Disorder. Acta Psychiatr Scand. 2017;136(2):220-227. PubMed PMID: 28547881.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and clinical correlates of insomnia in adults with attention-deficit hyperactivity disorder. AU - Brevik,E J, AU - Lundervold,A J, AU - Halmøy,A, AU - Posserud,M-B, AU - Instanes,J T, AU - Bjorvatn,B, AU - Haavik,J, Y1 - 2017/05/26/ PY - 2017/04/28/accepted PY - 2017/5/27/pubmed PY - 2018/1/27/medline PY - 2017/5/27/entrez KW - attention-deficit hyperactivity disorder KW - clinical aspects KW - neuropsychiatry KW - psychostimulants KW - sleep SP - 220 EP - 227 JF - Acta psychiatrica Scandinavica JO - Acta Psychiatr Scand VL - 136 IS - 2 N2 - OBJECTIVE: To investigate the prevalence of insomnia in adults with Attention-deficit hyperactivity disorder (ADHD) and its association with clinical subtypes, current ADHD symptoms, and stimulant treatment. METHOD: We obtained diagnostic information, symptom rating scales and treatment history from clinically ascertained adult ADHD patients diagnosed according to DSM-IV criteria (n = 268, mean age 38.1 years) and randomly selected population controls (n = 202, mean age 36.5 years). The Bergen Insomnia Scale (BIS) was used to measure insomnia. ADHD symptom domains were self-rated using the Adult ADHD Self-Rating Scale. RESULTS: Insomnia was far more frequent among adults with ADHD (66.8%) than in the population controls (28.8%) (P < 0.001). Insomnia was more common in adults with the combined subtype than in those with the inattentive subtype (79.7% and 55.6%, respectively) (P = 0.003). For self-reported current ADHD symptoms, inattention was strongly correlated to insomnia. Patients currently using stimulant treatment for ADHD reported a lower total insomnia score compared to patients without medication (P < 0.05). CONCLUSION: Insomnia was highly prevalent among adults with ADHD. The lower insomnia score in patients on current stimulant treatment suggests that stimulant treatment is not associated with worsening of insomnia symptoms in adult ADHD patients. SN - 1600-0447 UR - https://www.unboundmedicine.com/medline/citation/28547881/Prevalence_and_clinical_correlates_of_insomnia_in_adults_with_attention_deficit_hyperactivity_disorder_ L2 - https://doi.org/10.1111/acps.12756 DB - PRIME DP - Unbound Medicine ER -