The management of sleep disturbances in children with attention-deficit/hyperactivity disorder (ADHD): an update of the literature.

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Expert Review of Neurotherapeutics Pub Date : 2024-06-01 Epub Date: 2024-05-13 DOI:10.1080/14737175.2024.2353692
Samuele Cortese, Guilherme Fusetto Veronesi, Alessandra Gabellone, Anna Margari, Lucia Marzulli, Emilia Matera, Maria Giuseppina Petruzelli, Francesco Maria Piarulli, Fabio Tarantino, Alessio Bellato, Valeria Parlatini, Ebba Du Rietz, Henrik Larsson, Samantha Hornsey, Cathy Hill, Lucia Margari
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Abstract

Introduction: Sleep disorders represent an important comorbidity in individuals with ADHD. While the links between ADHD and sleep disturbances have been extensively investigated, research on the management of sleep disorders in individuals with ADHD is relatively limited, albeit expanding.

Areas covered: The authors searched PubMed, Medline, PsycInfo, Embase+Embase Classic, Web of Sciences databases, and clinicaltrials.gov up to 4 January 2024, for randomized controlled trials (RCTs) of any intervention for sleep disorders associated with ADHD. They retained 16 RCTs (eight on pharmacological and eight on non-pharmacological interventions), supporting behavioral intervention and melatonin, and nine ongoing RCTs registered on clinicaltrials.gov.

Expert opinion: The pool of RCTs testing interventions for sleep disorders in individuals with ADHD is expanding. However, to inform clinical guidelines, there is a need for additional research in several areas, including 1) RCTs based on a precise phenotyping of sleep disorders; 2) pragmatic RCTs recruiting neurodevelopmental populations representative of those seen in clinical services; 3) trials testing alternative interventions (e.g. suvorexant or light therapy) or ways to deliver them (e.g. online); 4) sequential and longer-term RCTs; 5) studies testing the impact of sleep interventions on outcomes other than sleep; 6) and implementation of advanced evidence synthesis and precision medicine approaches.

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对注意力缺陷/多动症(ADHD)儿童睡眠障碍的管理:最新文献。
简介睡眠障碍是多动症患者的一个重要合并症。虽然对多动症与睡眠障碍之间的联系进行了广泛的研究,但有关多动症患者睡眠障碍管理的研究相对有限,尽管研究范围在不断扩大:作者检索了PubMed、Medline、PsycInfo、Embase+Embase Classic、Web of Sciences数据库和clinicaltrials.gov(截至2024年1月4日),以寻找针对与ADHD相关的睡眠障碍的任何干预措施的随机对照试验(RCT)。他们保留了 16 项支持行为干预和褪黑素的 RCT(8 项关于药物干预,8 项关于非药物干预),以及 9 项在 clinicaltrials.gov.expert opinion 上注册的正在进行的 RCT:测试多动症患者睡眠障碍干预措施的 RCT 研究正在不断增加。然而,为了给临床指南提供信息,还需要在多个领域开展更多研究,包括:1)基于睡眠障碍精确表型的研究性试验;2)招募具有临床服务代表性的神经发育人群参与的务实性研究性试验;3)测试替代性干预措施的试验(如舒眠宁(suvorexant)或眠尔通(眠尔通))。4)连续和长期的 RCT;5)测试睡眠干预对睡眠以外的其他结果的影响的研究;6)实施先进的证据综合和精准医学方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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