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

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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

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

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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