Sleep Dysfunction and Neurocognitive Outcomes in Adolescent ADHD
Descripción general del estudio
Estado
Condiciones
Descripción detallada
This project will involve recruitment of 30 adolescents with ADHD and a control group of 30 healthy adolescents without psychiatric diagnoses. Participants will participate in 3 phases: Screening visit, Washout/In-Home Sleep Study, and Neurocognitive Assessment visit. To ensure consistency in sleep schedules, the three nights of the sleep study will occur on weeknights during the school year. The neurocognitive assessment will occur during the afternoon following the final night of sleep assessment.
The 2-hour screening visit will be conducted at the Duke ADHD Clinic at 2608 Erwin Road, Pavilion East, Suite 300, Durham, NC 27705. During the screening visit, participants will undergo screening to evaluate eligibility for the study.
Eligible participants will enter the 48-hour Washout from stimulant medication (if applicable) and/or a 7-day washout from melatonin (if applicable). Following this washout, subjects will enter a 3-night Sleep Study Phase (At Home). Subjects not taking stimulant medication or melatonin will initiate 3 consecutive nights of ambulatory (in-home) PSG recording, beginning on the a Monday evening within 4 weeks of the screening visit. Subjects will be instructed to maintain usual sleep routines/behaviors for all study nights. In addition, subjects will be asked to complete a "sleep diary" each morning.
If subject is currently taking stimulant medication, they will be instructed to initiate a 48-hour washout period. If subject is currently taking melatonin, they will be instructed to initiate a 7-day washout period. Subjects will be instructed to discuss this option with their prescribing physician prior to initiating the study.
Subjects will be asked to return for a three hour neurocognitive assessment on the afternoon directly following the final night of the sleep study. In order to reduce interference with school attendance, this visit will be scheduled in the afternoon. Subjects will take breaks throughout the assessment.
Subjects will restart their ADHD medications on the morning following the neurocognitive assessment (if applicable).
Tipo de estudio
Inscripción (Actual)
Contactos y Ubicaciones
Ubicaciones de estudio
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North Carolina
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Durham, North Carolina, Estados Unidos, 27705
- Duke Child and Family Study Center
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Método de muestreo
Población de estudio
Descripción
Inclusion Criteria:
- Male or Female
- Between the ages of 13-17 years, inclusive;
- Free from significant medical/psychiatric conditions
- Cognitive functioning > 80 as assessed by the KBIT-II
- Willingness to comply with all study requirements; and
- Ability of child and parent/guardian to communicate verbally and in written form in English.
Inclusion for the ADHD group only:
- Confirmed diagnosis of ADHD, any subtype as determined by the MINI-KID
- Willingness to delay/suspend medication use for the 4-day duration of the study and 2 days prior to the sleep study phase.
Exclusion Criteria:
- History of chronic/significant medical condition
- Use of prescription medications for ADHD during the 2-day washout and/or 4-day study
- Current prescribed use of any other psychotropics, including non-stimulant medications for ADHD
- Current substance abuse or dependence or history within the last 6 months
- Estimated IQ < 80 as assessed by the KBIT-II
- First degree relative with psychosis or bipolar disorder;
- Parent/Guardian or child unable to communicate verbally and in written form in English; and
- Unable to comply with study requirements or otherwise unsuitable for participation in the opinion of the principal investigator
Exclusion for the ADHD group only:
- Meets criteria for any other Axis I Disorder (determined by the MINI-KID) besides ADHD or Oppositional Defiant Disorder (ODD)
Exclusion for the HEALTHY CONTROL group only:
- Meets criteria for any Axis I Disorder
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
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Adolescents with ADHD
Adolescents, male or female, ages 13-17, confirmed diagnosis of Attention Deficit Hyperactivity Disorder (inattentive, hyperactive/impulsive, or combined presentations), medically healthy, no comorbid psychiatric diagnosis other than ODD, intelligence within normal limits.
Participants will complete 3 nights of ambulatory polysomnography at home and a neuropsychological assessment in the lab.
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Healthy Control Adolescents
Adolescents, male or female, ages 13-17, medically healthy, no psychiatric diagnoses, intelligence within normal limits.
Participants will complete 3 nights of ambulatory polysomnography at home and a neuropsychological assessment in the lab.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Objective sleep assessment
Periodo de tiempo: 3 consecutive nights
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Ambulatory polysomnographic measures of total sleep time, sleep onset latency, wake after sleep onset, and EEG spectral dynamics.
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3 consecutive nights
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Neurocognitive assessment
Periodo de tiempo: 1 day
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Computerized measure of neurocognition.
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1 day
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Executive functioning as measured by neurocognitive assessment
Periodo de tiempo: 1 day
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Measure of executive function
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1 day
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Jessica R Lunsford-Avery, PhD, Duke University
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- Pro00072033
- 1K23MH108704-01A1 (Subvención/contrato del NIH de EE. UU.)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
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