Better Sleep in Psychiatric Care - ADHD. (BSIP-ADHD)

Karolinska Institute

Status: Completed

Conditions: Sleep Problem; ADHD

Treatments: Other: Treatment as Usual; Behavioral: Adjusted CBT-i for ADHD

Study type: Interventional

Funder types: Other

Identifiers

NCT03015636

2016/1988-31

Details and patient eligibility

About

Cognitive Behavioral Therapy (CBT) is treatment of choice for insomnia (CBT-i). Many patients in psychiatric care have sleep problems including insomnia, but are rarely given the choice to participate in CBT to improve their sleep. Patients with ADHD is a patient group with high levels of sleep difficulties. Sleep problems in this patient group can be both more general such as insomnia, but can also be related to the ADHD itself and to the use of ADHD medication. In a previous pilot study, the investigators developed a version of CBT-i that would target sleep problems in this population. The basis was CBT-i, but with more emphasis on sleep promoting behaviors specific to ADHD (e.g. appropriate timing of ADHD-medication), techniques that would also alleviate sleep phase problems, (e.g. the systematic use of light and darkness), and techniques to target more general sleep disturbing habits (e.g. not winding down before bed time), that are also common in patients with ADHD. This treatment was well tolerated and gave moderate effects on insomnia severity in the pilot study. In a naturalistic randomized controlled trial, the investigators now evaluate the effects of this psychological treatment on sleep and symptoms of ADHD in patients at the ADHD-clinics, Northern Stockholm Psychiatry, Sweden.

Enrollment: 58 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being a patient at the ADHD-clinics Northern Stockholm Psychiatry
• Experiencing sleep problems (subjective report)

Exclusion criteria

• None

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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58 participants in 2 patient groups

Behavioral: Adjusted CBT-i for ADHD

Experimental group

Description:

Cognitive Behavioral group intervention for sleep problems in ADHD, based on Cognitive Behavioral Therapy for insomnia and behavioral treatment for Sleep Phase Disorders.

Treatment:

Behavioral: Adjusted CBT-i for ADHD

Treatment as Usual

Other group

Description:

Treatment as Usual. (After about ten weeks, participants in this condition are offered the experimental group treatment.)

Treatment:

Other: Treatment as Usual