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Sleep parameters and problems in adolescents with and without ADHD: A systematic review and meta-analysis
Adolescence is characterized by an increase in the rate of sleep problems, which might be even more pronounced in adolescents with ADHD. This systematic review with meta-analysis aimed to compare sleep in adolescents with and without ADHD, including sleep parameters, both subjectively and objectivel...
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| Published in: | JCPP advances 2023-09, Vol.3 (3), p.e12151-n/a |
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| container_issue | 3 |
| container_start_page | e12151 |
| container_title | JCPP advances |
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| creator | Marten, Finja Keuppens, Lena Baeyens, Dieter Boyer, Bianca E Danckaerts, Marina Cortese, Samuele Van der Oord, Saskia |
| description | Adolescence is characterized by an increase in the rate of sleep problems, which might be even more pronounced in adolescents with ADHD. This systematic review with meta-analysis aimed to compare sleep in adolescents with and without ADHD, including sleep parameters, both subjectively and objectively measured, sleep problems and sleep hygiene.
Medline, CINAHL, PsycINFO, EMBASE, ERIC, Web of Science, and PubMed databases were searched for studies with case-control designs (published between 1980 and 2022) directly comparing sleep in adolescents (12-25 years) with ADHD to typically developing controls. Standardized mean differences were calculated and a random-effects model was implemented using RevMan.
Overall, 6974 titles/abstracts and 205 full texts were screened, resulting in 13 eligible studies. The sample sizes range from 35 to 9846 with in total 2465 adolescents with ADHD and 18,417 controls. The data suggests that adolescents with ADHD report significantly more disturbed subjective sleep parameters (e.g., total sleep time;
= 7, SMD = 0.47,
|
| doi_str_mv | 10.1002/jcv2.12151 |
| format | article |
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Medline, CINAHL, PsycINFO, EMBASE, ERIC, Web of Science, and PubMed databases were searched for studies with case-control designs (published between 1980 and 2022) directly comparing sleep in adolescents (12-25 years) with ADHD to typically developing controls. Standardized mean differences were calculated and a random-effects model was implemented using RevMan.
Overall, 6974 titles/abstracts and 205 full texts were screened, resulting in 13 eligible studies. The sample sizes range from 35 to 9846 with in total 2465 adolescents with ADHD and 18,417 controls. The data suggests that adolescents with ADHD report significantly more disturbed subjective sleep parameters (e.g., total sleep time;
= 7, SMD = 0.47,
< .001) and experience more sleep problems compared to typically developing peers (e.g., daytime sleepiness;
= 5, SMD = 0.54,
= .01). Only few studies objectively measured sleep and no significant differences were found between both groups (
= 3) in any parameter. Differences in sleep hygiene could not be examined due to a limited number of studies.
Adolescents with ADHD report significantly worsened subjectively sleep parameters and more sleep problems compared to controls. These findings are still preliminary as a limited number of studies was identified. Nevertheless, it is advised to routinely include sleep assessment in the ADHD diagnostic process. More research is needed with a focus on objective measurement and sleep hygiene in ADHD.</description><identifier>ISSN: 2692-9384</identifier><identifier>EISSN: 2692-9384</identifier><identifier>DOI: 10.1002/jcv2.12151</identifier><identifier>PMID: 37720581</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>ADHD ; adolescence ; Attention deficit hyperactivity disorder ; Caffeine ; Child development ; Comorbidity ; Hygiene ; Hyperactivity ; Insomnia ; Meta-analysis ; Questionnaires ; Research Review ; Research Reviews ; Sleep ; Systematic review ; Teenagers</subject><ispartof>JCPP advances, 2023-09, Vol.3 (3), p.e12151-n/a</ispartof><rights>2023 The Authors. JCPP Advances published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.</rights><rights>2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-c20ee716b9ef6a44254513caa989a3c6fef54310eb0c94632d81260d675e4163</citedby><cites>FETCH-LOGICAL-c470t-c20ee716b9ef6a44254513caa989a3c6fef54310eb0c94632d81260d675e4163</cites><orcidid>0000-0002-4425-776X ; 0000-0002-7168-963X ; 0000-0003-2771-0187 ; 0000-0001-5877-8075 ; 0000-0002-3875-687X ; 0000-0002-0241-0877 ; 0000-0003-2344-7334</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501691/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3090611195?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37720581$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marten, Finja</creatorcontrib><creatorcontrib>Keuppens, Lena</creatorcontrib><creatorcontrib>Baeyens, Dieter</creatorcontrib><creatorcontrib>Boyer, Bianca E</creatorcontrib><creatorcontrib>Danckaerts, Marina</creatorcontrib><creatorcontrib>Cortese, Samuele</creatorcontrib><creatorcontrib>Van der Oord, Saskia</creatorcontrib><title>Sleep parameters and problems in adolescents with and without ADHD: A systematic review and meta-analysis</title><title>JCPP advances</title><addtitle>JCPP Adv</addtitle><description>Adolescence is characterized by an increase in the rate of sleep problems, which might be even more pronounced in adolescents with ADHD. This systematic review with meta-analysis aimed to compare sleep in adolescents with and without ADHD, including sleep parameters, both subjectively and objectively measured, sleep problems and sleep hygiene.
Medline, CINAHL, PsycINFO, EMBASE, ERIC, Web of Science, and PubMed databases were searched for studies with case-control designs (published between 1980 and 2022) directly comparing sleep in adolescents (12-25 years) with ADHD to typically developing controls. Standardized mean differences were calculated and a random-effects model was implemented using RevMan.
Overall, 6974 titles/abstracts and 205 full texts were screened, resulting in 13 eligible studies. The sample sizes range from 35 to 9846 with in total 2465 adolescents with ADHD and 18,417 controls. The data suggests that adolescents with ADHD report significantly more disturbed subjective sleep parameters (e.g., total sleep time;
= 7, SMD = 0.47,
< .001) and experience more sleep problems compared to typically developing peers (e.g., daytime sleepiness;
= 5, SMD = 0.54,
= .01). Only few studies objectively measured sleep and no significant differences were found between both groups (
= 3) in any parameter. Differences in sleep hygiene could not be examined due to a limited number of studies.
Adolescents with ADHD report significantly worsened subjectively sleep parameters and more sleep problems compared to controls. These findings are still preliminary as a limited number of studies was identified. Nevertheless, it is advised to routinely include sleep assessment in the ADHD diagnostic process. More research is needed with a focus on objective measurement and sleep hygiene in ADHD.</description><subject>ADHD</subject><subject>adolescence</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Caffeine</subject><subject>Child development</subject><subject>Comorbidity</subject><subject>Hygiene</subject><subject>Hyperactivity</subject><subject>Insomnia</subject><subject>Meta-analysis</subject><subject>Questionnaires</subject><subject>Research Review</subject><subject>Research Reviews</subject><subject>Sleep</subject><subject>Systematic review</subject><subject>Teenagers</subject><issn>2692-9384</issn><issn>2692-9384</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1r3DAQhk1paEKSS39AEfRSCk5Hn7Z6KUvSNoFAD81djO1x4sW2XMnesP--2t00JAWBhtHDw8tosuw9hwsOIL6s64244IJr_iY7EcaK3MpSvX1RH2fnMa4hwZpLrvW77FgWhQBd8pOs-90TTWzCgAPNFCLDsWFT8FVPQ2TdyLDxPcWaxjmyx25-2AO7wi8zW11dX31lKxa3caYB565mgTYdPe6pZMQcR-y3sYtn2VGLfaTzp_s0u_vx_e7yOr_99fPmcnWb16qAOa8FEBXcVJZag0oJrVLsGtGWFmVtWmq1khyogtoqI0VTcmGgMYUmxY08zW4O2sbj2k2hGzBsncfO7Rs-3DsMKWdPzlTKNlVSArYKWo1CtkAFVVhVKp3k-nZwTUs1ULObQcD-lfT1y9g9uHu_cRw0cGN5Mnx6MgT_Z6E4u6FLs-x7HMkv0YnSGM7BlpDQj_-ha7-ENLzoJFhIGLc6UZ8PVB18jIHa5zQc3G4h3G4h3H4hEvzhZf5n9N_3y7_tFLF0</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Marten, Finja</creator><creator>Keuppens, Lena</creator><creator>Baeyens, Dieter</creator><creator>Boyer, Bianca E</creator><creator>Danckaerts, Marina</creator><creator>Cortese, Samuele</creator><creator>Van der Oord, Saskia</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4425-776X</orcidid><orcidid>https://orcid.org/0000-0002-7168-963X</orcidid><orcidid>https://orcid.org/0000-0003-2771-0187</orcidid><orcidid>https://orcid.org/0000-0001-5877-8075</orcidid><orcidid>https://orcid.org/0000-0002-3875-687X</orcidid><orcidid>https://orcid.org/0000-0002-0241-0877</orcidid><orcidid>https://orcid.org/0000-0003-2344-7334</orcidid></search><sort><creationdate>20230901</creationdate><title>Sleep parameters and problems in adolescents with and without ADHD: A systematic review and meta-analysis</title><author>Marten, Finja ; 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This systematic review with meta-analysis aimed to compare sleep in adolescents with and without ADHD, including sleep parameters, both subjectively and objectively measured, sleep problems and sleep hygiene.
Medline, CINAHL, PsycINFO, EMBASE, ERIC, Web of Science, and PubMed databases were searched for studies with case-control designs (published between 1980 and 2022) directly comparing sleep in adolescents (12-25 years) with ADHD to typically developing controls. Standardized mean differences were calculated and a random-effects model was implemented using RevMan.
Overall, 6974 titles/abstracts and 205 full texts were screened, resulting in 13 eligible studies. The sample sizes range from 35 to 9846 with in total 2465 adolescents with ADHD and 18,417 controls. The data suggests that adolescents with ADHD report significantly more disturbed subjective sleep parameters (e.g., total sleep time;
= 7, SMD = 0.47,
< .001) and experience more sleep problems compared to typically developing peers (e.g., daytime sleepiness;
= 5, SMD = 0.54,
= .01). Only few studies objectively measured sleep and no significant differences were found between both groups (
= 3) in any parameter. Differences in sleep hygiene could not be examined due to a limited number of studies.
Adolescents with ADHD report significantly worsened subjectively sleep parameters and more sleep problems compared to controls. These findings are still preliminary as a limited number of studies was identified. Nevertheless, it is advised to routinely include sleep assessment in the ADHD diagnostic process. More research is needed with a focus on objective measurement and sleep hygiene in ADHD.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>37720581</pmid><doi>10.1002/jcv2.12151</doi><orcidid>https://orcid.org/0000-0002-4425-776X</orcidid><orcidid>https://orcid.org/0000-0002-7168-963X</orcidid><orcidid>https://orcid.org/0000-0003-2771-0187</orcidid><orcidid>https://orcid.org/0000-0001-5877-8075</orcidid><orcidid>https://orcid.org/0000-0002-3875-687X</orcidid><orcidid>https://orcid.org/0000-0002-0241-0877</orcidid><orcidid>https://orcid.org/0000-0003-2344-7334</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | JCPP advances, 2023-09, Vol.3 (3), p.e12151-n/a |
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| language | eng |
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| source | Wiley-Blackwell Open Access Collection; Publicly Available Content Database (Proquest) (PQ_SDU_P3); PubMed Central |
| subjects | ADHD adolescence Attention deficit hyperactivity disorder Caffeine Child development Comorbidity Hygiene Hyperactivity Insomnia Meta-analysis Questionnaires Research Review Research Reviews Sleep Systematic review Teenagers |
| title | Sleep parameters and problems in adolescents with and without ADHD: A systematic review and meta-analysis |
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