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Examining daily stimulant medication use and sleep in adolescents with ADHD.

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Title: Examining daily stimulant medication use and sleep in adolescents with ADHD.
Authors: Wiggs, Kelsey K., Breaux, Rosanna, Langberg, Joshua M., Peugh, James L., Becker, Stephen P.
Source: European Child & Adolescent Psychiatry. Mar2024, Vol. 33 Issue 3, p821-832. 12p.
Subjects: Central nervous system stimulants, Methylphenidate, Sleep latency, Actigraphy, Sleep disorders, Attention-deficit hyperactivity disorder, Amphetamines, Sleep duration, Descriptive statistics, Research funding, Psychopharmacology, Disease complications, Adolescence
Abstract: Research has been inconclusive as to whether stimulant treatment causes or exacerbates sleep problems in adolescents with ADHD. This study examined sleep differences in adolescents with ADHD as a function of stimulant use. Participants were adolescents with ADHD (N = 159, ages 12–14). Parents reported on receipt of stimulant treatment (n = 92, 57.86%; n = 47 amphetamines, n = 45 methylphenidate). Adolescents wore actigraphs and completed daily diaries assessing sleep and daily use of stimulants for 2 weeks. Sleep parameters included daily-reported bedtime, sleep onset latency (SOL), sleep duration, daytime sleepiness, and difficulty waking the following morning; and actigraphy-measured sleep onset time, total time in bed, and sleep efficiency. We estimated between- and within-individual associations between stimulant medication use and sleep indices with all stimulants, after removing adolescents using sleep aids and weekend days, and as a function of stimulant type. Adolescent sleep did not differ between those receiving and not receiving stimulant treatment. Within individuals using stimulants, we largely observed no significant differences between medicated and unmedicated days, though findings were most often significant for school days only. Small effects were found indicating longer SOL, later sleep onset time, and more daytime sleepiness related to medication use. In contrast, there were slight improvements to sleep duration and sleep efficiency related to methylphenidate use, though methylphenidate was also associated with later sleep onset time and more daytime sleepiness. Given the inconsistent and small effects, findings suggest that stimulant medication may impact sleep, but does not appear to be a primary contributor to sleep problems in adolescents with ADHD. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Examining daily stimulant medication use and sleep in adolescents with ADHD.
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  Data: <searchLink fieldCode="AR" term="%22Wiggs%2C+Kelsey+K%2E%22">Wiggs, Kelsey K.</searchLink><br /><searchLink fieldCode="AR" term="%22Breaux%2C+Rosanna%22">Breaux, Rosanna</searchLink><br /><searchLink fieldCode="AR" term="%22Langberg%2C+Joshua+M%2E%22">Langberg, Joshua M.</searchLink><br /><searchLink fieldCode="AR" term="%22Peugh%2C+James+L%2E%22">Peugh, James L.</searchLink><br /><searchLink fieldCode="AR" term="%22Becker%2C+Stephen+P%2E%22">Becker, Stephen P.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Mar2024, Vol. 33 Issue 3, p821-832. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Central+nervous+system+stimulants%22">Central nervous system stimulants</searchLink><br /><searchLink fieldCode="DE" term="%22Methylphenidate%22">Methylphenidate</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+latency%22">Sleep latency</searchLink><br /><searchLink fieldCode="DE" term="%22Actigraphy%22">Actigraphy</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Amphetamines%22">Amphetamines</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+duration%22">Sleep duration</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Psychopharmacology%22">Psychopharmacology</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: Research has been inconclusive as to whether stimulant treatment causes or exacerbates sleep problems in adolescents with ADHD. This study examined sleep differences in adolescents with ADHD as a function of stimulant use. Participants were adolescents with ADHD (N = 159, ages 12–14). Parents reported on receipt of stimulant treatment (n = 92, 57.86%; n = 47 amphetamines, n = 45 methylphenidate). Adolescents wore actigraphs and completed daily diaries assessing sleep and daily use of stimulants for 2 weeks. Sleep parameters included daily-reported bedtime, sleep onset latency (SOL), sleep duration, daytime sleepiness, and difficulty waking the following morning; and actigraphy-measured sleep onset time, total time in bed, and sleep efficiency. We estimated between- and within-individual associations between stimulant medication use and sleep indices with all stimulants, after removing adolescents using sleep aids and weekend days, and as a function of stimulant type. Adolescent sleep did not differ between those receiving and not receiving stimulant treatment. Within individuals using stimulants, we largely observed no significant differences between medicated and unmedicated days, though findings were most often significant for school days only. Small effects were found indicating longer SOL, later sleep onset time, and more daytime sleepiness related to medication use. In contrast, there were slight improvements to sleep duration and sleep efficiency related to methylphenidate use, though methylphenidate was also associated with later sleep onset time and more daytime sleepiness. Given the inconsistent and small effects, findings suggest that stimulant medication may impact sleep, but does not appear to be a primary contributor to sleep problems in adolescents with ADHD. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s00787-023-02204-w
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        Text: English
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        PageCount: 12
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    Subjects:
      – SubjectFull: Central nervous system stimulants
        Type: general
      – SubjectFull: Methylphenidate
        Type: general
      – SubjectFull: Sleep latency
        Type: general
      – SubjectFull: Actigraphy
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      – SubjectFull: Sleep disorders
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
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      – SubjectFull: Amphetamines
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      – SubjectFull: Sleep duration
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research funding
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      – SubjectFull: Psychopharmacology
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      – SubjectFull: Disease complications
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      – SubjectFull: Adolescence
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    Titles:
      – TitleFull: Examining daily stimulant medication use and sleep in adolescents with ADHD.
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              Text: Mar2024
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              Y: 2024
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