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Sleep hygiene and melatonin treatment for children and adolescents with ADHD and initial insomnia.

2006· review· en· 1,240 citations· W2122959891 on OpenAlex· 10.1097/01chi.0000205706.78818.ef

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Canadian affiliationAn author listed a Canadian institution. This is the only route the usual frame has.

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Opus teacher head0.059
GPT teacher head0.326
Teacher spread
0.267 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

OBJECTIVE: To evaluate the efficacy of sleep hygiene and melatonin treatment for initial insomnia in children with attention-deficit/hyperactivity disorder (ADHD). METHOD: Twenty-seven stimulant-treated children (6-14 years of age) with ADHD and initial insomnia (>60 minutes) received sleep hygiene intervention. Nonresponders were randomized to a 30-day double-blind, placebo-controlled, crossover trial of 5-mg pharmaceutical-grade melatonin provided by the study's sponsor. RESULTS: Sleep hygiene reduced initial insomnia to <60 minutes in 5 cases, with an overall effect size in the group as a whole of 0.67. Analysis of the trial data able to be evaluated showed a significant reduction in initial insomnia of 16 minutes with melatonin relative to placebo, with an effect size of 0.6. Adverse events were generally mild and not different from those recorded with placebo treatment. The effect size of the combined sleep hygiene and melatonin intervention from baseline to 90 days' posttrial was 1.7, with a mean decrease in initial insomnia of 60 minutes. Improved sleep had no demonstrable effect on ADHD symptoms. CONCLUSION: Combined sleep hygiene and melatonin was a safe and effective treatment for initial insomnia in children with ADHD taking stimulant medication.

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The record

Venue
PubMed
Topic
Attention Deficit Hyperactivity Disorder
Field
Medicine
Canadian institutions
BC Children's HospitalChildren's & Women's Health Centre of British ColumbiaUniversity of British Columbia
Funders
Keywords
MedicineCervical collarSurgeryCervical vertebraeRetrospective cohort studyCervical spine
Has abstract in OpenAlex
yes