Evidence map›Paper›PMID 27969004›Full record

ReviewClinical psychology review2016

Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research.

Jessica R Lunsford-Avery, Andrew D Krystal, Scott H Kollins

Open access · greenAbstract readReview
In one paragraph

Review in Clinical psychology review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  6. Longitudinal associations between preschool executive control and adolescent sleep: exploring the possible moderating role of negative affectivity.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2026
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  15. Clinical characterization of children and adolescents with ADHD and sleep disturbances.European archives of psychiatry and clinical neuroscience · 2025
    Article
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  20. Sleep Physiology and Neurocognition Among Adolescents With Attention-Deficit/Hyperactivity Disorder.Journal of the American Academy of Child and Adolescent Psychiatry · 2025
    Observational

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jessica R Lunsford-AveryDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2608 Erwin Road Suite 300, Durham, NC 27705, United States. Electronic address: jessica.r.avery@duke.edu.
Andrew D KrystalDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2608 Erwin Road Suite 300, Durham, NC 27705, United States; Departments of Psychiatry and Neurology, University of California San Francisco School of Medicine, 401 Parnassus Avenue, San Francisco, CA 94143, United States.
Scott H KollinsDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2608 Erwin Road Suite 300, Durham, NC 27705, United States.
Duke University · USDuke Medical Center · US

Funding

Smoking/Nicotine Dependence in Attention Deficit Hyperactivity Disorder (ADHD)K24DA023464 · NIDA · DUKE UNIVERSITY · PI KOLLINS, SCOTT H · 2008 to 2018
$1.5M
Sleep Dysfunction and Neurocognitive Outcomes in Adolescent ADHDK23MH108704 · NIMH · DUKE UNIVERSITY · PI LUNSFORD-AVERY, JESSICA RUTH · 2016 to 2022
$837k
NIDA NIH HHS K24 DA023464NIMH NIH HHS K23 MH108704
6 · The paper itself

Abstract

backgroundBiological mechanisms underlying symptom and prognostic heterogeneity in Attention-Deficit/Hyperactivity Disorder (ADHD) are unclear. Sleep impacts neurocognition and daytime functioning and is disrupted in ADHD, yet little is known about sleep in ADHD during adolescence, a period characterized by alterations in sleep, brain structure, and environmental demands as well as diverging ADHD trajectories.

methodsA systematic review identified studies published prior to August 2016 assessing sleep in adolescents (aged 10-19years) with ADHD or participating in population-based studies measuring ADHD symptoms.

resultsTwenty-five studies were identified (19 subjective report, 6 using actigraphy/polysomnography). Findings are mixed but overall suggest associations between sleep disturbances and 1) ADHD symptoms in the population and 2) poorer clinical, neurocognitive, and functional outcomes among adolescents with ADHD. Common limitations of studies included small or non-representative samples, non-standardized sleep measures, and cross-sectional methodology.

conclusionsCurrent data on sleep in adolescent ADHD are sparse and limited by methodological concerns. Future studies are critical for clarifying a potential role of sleep in contributing to heterogeneity of ADHD presentation and prognosis. Potential mechanisms by which sleep disturbances during adolescence may contribute to worsened symptom severity and persistence of ADHD into adulthood and an agenda to guide future research are discussed.

Indexed as

ADHDAdolescenceAdolescentsDevelopmentNeurocognitionSleep disturbances

Identifiers

PMID27969004
PMCPMC5401800
OpenAlexW2537577915

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.