title: Daytime Sleepiness in Adults With ADHD: A Pilot Trial With a Multiple Sleep Latency Test.
abstract: OBJECTIVE
  To evaluate sleep latency (SL) during the multiple sleep latency test (MSLT) and subjective daytime sleepiness in adult ADHD and controls.
  
  
  METHODS
  Subjective daytime sleepiness was assessed by Epworth Sleepiness Scale (ESS) in 27 unmedicated adults with ADHD and in 182 controls. Thirteen ADHD patients and 26 controls underwent MSLT after one night of polysomnography (PSG).
  
  
  RESULTS
  Mean MSLT-SL was 10.6 ± 4.8 min in ADHD and 12.2 ± 4.2 min in controls (n.s.). Mean ESS score was 9.3 ± 4.9 points in ADHD and 6.9 ± 3.4 points in controls (p < .005). MSLT-SL and ESS scores correlated inversely by trend (r = -.45, p < .1) but not with ADHD symptoms or ADHD subtype.
  
  
  CONCLUSIONS
  Adults with ADHD do not differ from controls in mean MSLT-SL but experience increased subjective daytime sleepiness. Patients with subjective higher daytime tiredness fell asleep faster during MSLT.
authors.affiliation: Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany esther.sobanski@zi-mannheim.de.
authors.forename: Esther
authors.initials: E
authors.lastname: Sobanski
authors.affiliation: Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Barbara
authors.initials: B
authors.lastname: Alm
authors.affiliation: Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Oliver
authors.initials: O
authors.lastname: Hennig
authors.affiliation: University Medical Center Freiburg, Germany.
authors.forename: Dieter
authors.initials: D
authors.lastname: Riemann
authors.affiliation: University Medical Center Freiburg, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Feige
authors.affiliation: Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Schredl
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000503:physiopathology; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D012890:Sleep; D012894:Sleep Stages; D012893:Sleep Wake Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D014851:Wakefulness
keywords: ADHD; adults; arousal; daytime sleepiness; multiple sleep latency onset test