PsyQ, Expertise Center Adult ADHD, Carel Reinierszkade 197, 2593 HR The Hague, The Netherlands.
Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Da Costakade 45, 3521 VSUtrecht, The Netherlands.
Psychol Med. 2022 Jan;52(1):36-47. doi: 10.1017/S0033291720001592. Epub 2020 Jun 29.
Both attention-deficit/hyperactivity disorder (ADHD) and insomnia have been independently related to poorer quality of life (QoL), productivity loss, and increased health care use, although most previous studies did not take the many possible comorbidities into account. Moreover, ADHD and insomnia often co-occur. Symptoms of ADHD and insomnia together may have even stronger negative effects than they do separately. We investigated the combined effects of symptoms of ADHD and insomnia, in addition to their independent effects, on QoL, productivity, and health care use, thereby controlling for a wide range of possible comorbidities and confounders.
Data from the third wave of the Netherlands Mental Health Survey and Incidence Study-2 were used, involving = 4618 from the general population. Both the inattention and the hyperactivity ADHD symptom dimensions were studied, assessed by the ASRS Screener.
Mental functioning and productivity were negatively associated with the co-occurrence of ADHD and insomnia symptoms, even after adjusting for comorbidity and confounders. The results show no indication of differences between inattention and hyperactivity. Poorer physical functioning and health care use were not directly influenced by the interaction between ADHD and insomnia.
People with both ADHD and sleep problems have increased risk for poorer mental functioning and productivity loss. These results underscore the importance of screening for sleep problems when ADHD symptoms are present, and vice versa, and to target both disorders during treatment.
注意力缺陷/多动障碍（ADHD）和失眠症均与生活质量（QoL）降低、生产力下降和增加医疗保健使用相关，尽管大多数先前的研究并未考虑到许多可能的共病。此外，ADHD 和失眠症通常同时存在。ADHD 和失眠症的症状一起可能会产生比单独存在时更严重的负面影响。我们调查了 ADHD 和失眠症的症状除了独立影响外，对 QoL、生产力和医疗保健使用的综合影响，从而控制了广泛的可能的共病和混杂因素。
使用来自荷兰心理健康调查和发病率研究-2 的第三波数据，涉及来自普通人群的 = 4618 人。使用 ASRS 筛查器研究了注意力不集中和多动的 ADHD 症状维度。
即使在调整了共病和混杂因素后，ADHD 和失眠症症状的同时发生与心理功能和生产力的下降呈负相关。结果表明，注意力不集中和多动之间没有差异。较差的身体功能和医疗保健使用并不直接受到 ADHD 和失眠症之间相互作用的影响。
同时患有 ADHD 和睡眠问题的人，其心理功能下降和生产力下降的风险增加。这些结果强调了在存在 ADHD 症状时筛查睡眠问题的重要性，反之亦然，并且在治疗过程中应同时针对两种疾病。
