Türk Uyku Tıbbı Dergisi (Jun 2023)
Relationship of Sleep Quality with Impulsivity, Aggression Levels, and Quality of Life in Adult Attention Deficit Hyperactivity Disorder
Abstract
Objective:Sleep problems are frequently reported in Attention Deficit Hyperactivity Disorder (ADHD). In our study, we evaluated sleep quality,impulsivity, aggression levels and quality of life in adult ADHD, and to investigate the effects of sleep quality on impulsivity, aggression levels and quality of life.Materials and Methods:Our study included 50 patients with ADHD who applied to a psychiatry outpatient clinic and 50 healthy controls. Two interviews were conducted with the participants. In the first interview, Diagnostic Interview for ADHD 2.0, Structured Clinical Interview-1 were applied and socio-demographic data were obtained. In the second interview, Pittsburgh Sleep Quality Index, Barratt Impulsivity Scale-11, Buss-Perry Aggression Scale, and World Health Organization Quality of Life Brief Form were filled in by the participants.Results:The incidence of sleep problems in the patients was 84% (p<0.005). The patients’ sleep and quality of life were worse (p<0.05), and their impulsivity and aggression levels were higher (p<0.05). Sleep quality was better and daytime sleepiness was less in patients using methylphenidate (p<0.05). The impulsivity and aggression levels of the patients who didn’t receive treatment were high (p<0.05). Impairment of sleep quality in patients; it was associated with high impulsivity levels and deterioration in quality of life (p<0.05). Increased levels of impulsivity and deterioration in quality of life in patients; we found it to be a predictor of deterioration in sleep quality.Conclusion:We can say that patients have worse sleep quality, increased impulsivity and aggression levels, and impaired quality of life. Additionally, we determined that the increase in the severity of impulsivity and the deterioration in the quality of life were predictors of the deterioration in sleep quality. We can say that the curative effects of methylphenidate include sleep quality,impulsivity, and aggression levels. In this sense, such as attention deficit, hyperactivity, and impulsivity; it can be thought that sleep problems are neurodevelopmentally included in the ADHD clinic.
Keywords
