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Managing sleep disorders in ADHD: identification, consequences and clinical management
Published online by Cambridge University Press: 19 July 2023
Abstract
Adequate sleep quality and quantity are essential for optimal occupational and psychological health as well as cognitive function. In up to 78% of adults with ADHD, several sleep disorders are associated.1,2 These include delayed circadian rhythm, insomnia, sleep-related movement and breathing disorders and altered sleep duration.3,4 Such sleep problems have consequences in the family and somatic health spheres. In the workplace, adult ADHD coupled with untreated sleep disorder leads to significant occupational impairment. Low employment status, unpredictable behaviour, relationship difficulties, mood lability, risk of injury and accidents are all described as potential associations, with far-reaching consequences. When ADHD is coupled with sleep disorders, cognitive performance deteriorates further and sickness absence is more common. The clinical presentation of the sleep disorders commonly associated with ADHD will be described in detail. State-of-the-art therapeutic interventions will be dicussed based on clinical experience and research findings from our Expertise Centre.
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Van Veen MM, Kooij JJ, Boonstra AM et al. (2010). Delayed circadian rhythm in adults with attention-deficit/hyperactivity disorder and chronic sleep-onset insomnia. Biol Psychiatry. 1;67(11):1091-6.
Wynchank D, ten Have M, Bijlenga D et al. (2018). The association between insomnia and sleep duration in adults with attention-deficit hyperactivity disorder: results from a general population study. J Clin Sleep Med, 14(3):349–357.
Fayyad J, Sampson NA, Hwang I et al. (2017). The descriptive epidemiology of DSMIV Adult ADHD in the World Health Organization World Mental Health Surveys. Atten Defic Hyperact Disord, 91:47-65.
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- European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S16 - S17
- Creative Commons
- This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Copyright
- © The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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