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Combined impact of ADHD and insomnia symptoms on quality of life, productivity, and health care use in the general population

Published online by Cambridge University Press:  29 June 2020

Emma van Andel Open the ORCID record for Emma van Andel [Opens in a new window] ,
Margreet ten Have ,
Denise Bijlenga ,
Aartjan T. F. Beekman ,
Ron de Graaf  and
J. J. Sandra Kooij
Emma van Andel*
Affiliation:
PsyQ, Expertise Center Adult ADHD, Carel Reinierszkade 197, 2593 HR The Hague, The Netherlands
Margreet ten Have
Affiliation:
Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Da Costakade 45, 3521 VSUtrecht, The Netherlands
Denise Bijlenga
Affiliation:
PsyQ, Expertise Center Adult ADHD, Carel Reinierszkade 197, 2593 HR The Hague, The Netherlands
Aartjan T. F. Beekman
Affiliation:
Department of Psychiatry, Amsterdam Public Health Research Institute, VU University Medical Center, A.J. Ernststraat 1187, 1081 HLAmsterdam, The Netherlands
Ron de Graaf
Affiliation:
Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Da Costakade 45, 3521 VSUtrecht, The Netherlands
J. J. Sandra Kooij
Affiliation:
PsyQ, Expertise Center Adult ADHD, Carel Reinierszkade 197, 2593 HR The Hague, The Netherlands Department of Psychiatry, Amsterdam Public Health Research Institute, VU University Medical Center, A.J. Ernststraat 1187, 1081 HLAmsterdam, The Netherlands
*
Author for correspondence: Emma van Andel, E-mail: [email protected]
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Abstract

Background

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.

Methods

Data from the third wave of the Netherlands Mental Health Survey and Incidence Study-2 were used, involving N = 4618 from the general population. Both the inattention and the hyperactivity ADHD symptom dimensions were studied, assessed by the ASRS Screener.

Results

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.

Conclusions

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.

Keywords

ADHDgeneral populationhealth care useinsomniaproductivityquality of life
Type
Original Article
Information
Psychological Medicine , Volume 52 , Issue 1 , January 2022 , pp. 36 - 47
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Agarwal, R., Goldenberg, M., Perry, R., & IsHak, W. W. (2012). The quality of life of adults with attention deficit hyperactivity disorder: A systematic review. Innovations in Clinical Neuroscience, 9(5–6), 10–21. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3398685/.Google ScholarPubMed
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.; DSM-5) (5th ed.). Washington, DC: American Psychiatric Association.Google Scholar
Ancoli-Israel, S. (2006). The impact and prevalence of chronic insomnia and other sleep disturbances associated with chronic illness. The American Journal of Managed Care, 12(Suppl 8), S221–S229. Retrieved from https://europepmc.org/abstract/med/16686592.Google ScholarPubMed
Baldwin, C. M., Griffith, K. A., Nieto, F. J., O'connor, G. T., Walsleben, J. A., & Redline, S. (2001). The association of sleep-disordered breathing and sleep symptoms with quality of life in the sleep heart health study. Sleep, 24(1), 96–105. https://doi.org/10.1093/sleep/24.1.96.CrossRefGoogle ScholarPubMed
Bamer, A. M., Johnson, K. L., Amtmann, D., & Kraft, G. H. (2008). Prevalence of sleep problems in individuals with multiple sclerosis. Multiple Sclerosis Journal, 14(8), 1127–1130. https://doi.org/10.1177/1352458508092807.CrossRefGoogle ScholarPubMed
Biederman, J., Mick, E., & Faraone, S. V. (2000). Age-dependent decline of symptoms of attention deficit hyperactivity disorder: Impact of remission definition and symptom type. American Journal of Psychiatry, 157(5), 816–818. https://doi.org/10.1176/appi.ajp.157.5.816.CrossRefGoogle ScholarPubMed
Bijlenga, D., Vollebregt, M. A., Kooij, J. J. S., & Arns, M. (2019). The role of the circadian system in the etiology and pathophysiology of ADHD: Time to redefine ADHD? ADHD Attention Deficit and Hyperactivity Disorders, 11(1), 5–19. https://doi.org/10.1007/s12402-018-0271-z.CrossRefGoogle ScholarPubMed
Bin, Y. S., Marshall, N. S., & Glozier, N. (2012). The burden of insomnia on individual function and healthcare consumption in Australia. Australian and New Zealand Journal of Public Health, 36(5), 462–468. https://doi.org/10.1111/j.1753-6405.2012.00845.x.CrossRefGoogle ScholarPubMed
Brevik, E. J., Lundervold, A. J., Halmoy, A., Posserud, M. B., Instanes, J. T., Bjorvatn, B., & Haavik, J. (2017). Prevalence and clinical correlates of insomnia in adults with attention-deficit hyperactivity disorder. Acta Psychiatrica Scandinavica, 136(2), 220–227. https://doi.org/10.1111/acps.12756.CrossRefGoogle ScholarPubMed
Das, D., Cherbuin, N., Butterworth, P., Anstey, K. J., & Easteal, S. (2012). A population-based study of attention deficit/hyperactivity disorder symptoms and associated impairment in middle-aged adults. PLoS ONE, 7(2), e31500. https://doi.org/10.1371/journal.pone.0031500.CrossRefGoogle ScholarPubMed
Da Silva, M. A., Chaim, T. M., Cavalett, M., Serpa, M. H., Zanetti, M. V, Vieira, G. F., … Louzã, M. R. (2014). Health-related quality of life in adults with attention-deficit and hyperactivity disorder. MedicalExpress, 1(1), 43–46. https://doi.org/10.5935/MedicalExpress.2014.01.10.Google Scholar
De Graaf, R., Ten Have, M., & Van Dorsselaer, S. (2010). The Netherlands mental health survey and incidence study-2 (NEMESIS-2): Design and methods. International Journal of Methods in Psychiatric Research, 19(3), 125–141. https://doi.org/10.1002/mpr.317.CrossRefGoogle ScholarPubMed
Doshi, J. A., Hodgkins, P., Kahle, J., Sikirica, V., Cangelosi, M. J., Setyawan, J., … Neumann, P. J. (2012). Economic impact of childhood and adult attention-deficit/hyperactivity disorder in the United States. Journal of the American Academy of Child & Adolescent Psychiatry, 51(10), 990–1002.e2. https://doi.org/10.1016/j.jaac.2012.07.008.CrossRefGoogle ScholarPubMed
Estevez, N., Eich-Hochli, D., Dey, M., Gmel, G., Studer, J., & Mohler-Kuo, M. (2014). Prevalence of and associated factors for adult attention deficit hyperactivity disorder in young Swiss men. PLoS ONE, 9(2), e89298. https://doi.org/10.1371/journal.pone.0089298.CrossRefGoogle ScholarPubMed
Faraone, S. V, Biederman, J., & Mick, E. (2006). The age-dependent decline of attention deficit hyperactivity disorder: A meta-analysis of follow-up studies. Psychological Medicine, 36(2), 159–165. https://doi.org/10.1017/S003329170500471X.CrossRefGoogle ScholarPubMed
Fargason, R. E., Fobian, A. D., Hablitz, L. M., Paul, J. R., White, B. A., Cropsey, K. L., & Gamble, K. L. (2017). Correcting delayed circadian phase with bright light therapy predicts improvement in ADHD symptoms: A pilot study. Journal of Psychiatric Research, 91, 105–110. https://doi.org/10.1016/j.jpsychires.2017.03.004.CrossRefGoogle ScholarPubMed
Fayyad, J., Sampson, N. A., Hwang, I., Adamowski, T., Aguilar-Gaxiola, S., & Al-Hamzawi, A., … Collaborators, W. H. O. W. M. H. S. (2017). The descriptive epidemiology of DSM-IV adult ADHD in the world health organization world mental health surveys. Attention Deficit and Hyperactivity Disorders., 9(1), 47–65. https://doi.org/10.1007/s12402-016-0208-3.CrossRefGoogle ScholarPubMed
Fisher, B. C., Garges, D. M., Yoon, S. Y. R., Maguire, K., Zipay, D., & Gambino, M. (2014). Sex differences and the interaction of Age and sleep issues in neuropsychological testing performance across the lifespan in an Add/Adhd sample from the years 1989 to 2009. Psychological Reports, 114(2), 404–438E. https://doi.org/10.2466/15.10.PR0.114k23w0.CrossRefGoogle Scholar
Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? The Journal of the American Medical Association, 262(11), 1479–1484. https://doi.org/10.1001/jama.1989.03430110069030.CrossRefGoogle ScholarPubMed
Fuller-Thomson, E., Lewis, D. A., & Agbeyaka, S. K. (2016). Attention-deficit/hyperactivity disorder casts a long shadow: Findings from a population-based study of adult women with self-reported ADHD. Child: Care, Health & Development, 42(6), 918–927. https://doi.org/10.1111/cch.12380.CrossRefGoogle Scholar
Gregory, A. M., Agnew-Blais, J. C., Matthews, T., Moffitt, T. E., & Arseneault, L. (2017). ADHD And sleep quality: Longitudinal analyses from childhood to early adulthood in a twin cohort. Journal of Clinical Child and Adolescent Psychology, 46(2), 284–294. https://doi.org/10.1080/15374416.2016.1183499.CrossRefGoogle Scholar
Gudjonsson, G. H., Sigurdsson, J. F., Smari, J., & Young, S. (2009). The relationship between satisfaction with life, ADHD symptoms, and associated problems among university students. Journal of Attention Disorders, 12(6), 507–515. https://doi.org/10.1177/1087054708323018.CrossRefGoogle ScholarPubMed
Haro, J. M., Arbabzadeh-Bouchez, S., Brugha, T. S., de Girolamo, G., Guyer, M. E., Jin, R., … Kessler, R. C. (2006). Concordance of the composite international diagnostic interview version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO world mental health surveys. International Journal of Methods in Psychiatric Research, 15(4), 167–180. https://doi.org/10.1002/mpr.196.CrossRefGoogle ScholarPubMed
Hvolby, A. (2015). Associations of sleep disturbance with ADHD: Implications for treatment. Attention Deficit and Hyperactivity Disorders, 7(1), 1–18. https://doi.org/10.1007/s12402-014-0151-0.CrossRefGoogle ScholarPubMed
Instanes, J. T., Klungsoyr, K., Halmoy, A., Fasmer, O. B., & Haavik, J. (2016). Adult ADHD and comorbid somatic disease: A systematic literature review. Journal of Attention Disorders, 22(3), 203–228. https://doi.org/10.1177/1087054716669589.CrossRefGoogle ScholarPubMed
IsHak, W. W., Bagot, K., Thomas, S., Magakian, N., Bedwani, D., Larson, D., … Zaky, C. (2012). Quality of life in patients suffering from insomnia. Innovations in Clinical Neuroscience, 9(10), 13. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508958/.Google ScholarPubMed
Katz, D. A., & McHorney, C. A. (2002). The relationship between insomnia and health-related quality of life in patients with chronic illness. Journal of Family Practice, 51(3), 229–234. Retrieved from https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/Document/September-2017/5103JFP_OriginalResearch3.pdf.Google ScholarPubMed
Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., … Walters, E. E. (2005). The world health organization adult ADHD self-report scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256. https://doi.org/10.1017/S0033291704002892.CrossRefGoogle Scholar
Kessler, R. C., Adler, L. A., Gruber, M. J., Sarawate, C. A., Spencer, T., & Van Brunt, D. L. (2007). Validity of the world health organization adult ADHD self-report scale (ASRS) screener in a representative sample of health plan members. International Journal of Methods in Psychiatric Research, 16(2), 52–65. https://doi.org/10.1002/mpr.208.CrossRefGoogle Scholar
Kessler, R. C., Berglund, P. A., Coulouvrat, C., Hajak, G., Roth, T., Shahly, V., … Walsh, J. K. (2011). Insomnia and the performance of US workers: Results from the America insomnia survey. Sleep, 34(9), 1161–1171. https://doi.org/10.5665/SLEEP.1230.CrossRefGoogle ScholarPubMed
Kessler, R. C., Green, J. G., Adler, L. A., Barkley, R. A., Chatterji, S., Faraone, S. V, … Van Brunt, D. L. (2010). Structure and diagnosis of adult attention-deficit/hyperactivity disorder: Analysis of expanded symptom criteria from the adult ADHD clinical diagnostic scale. Archives of General Psychiatry, 67(11), 1168–1178. https://doi.org/10.1001/archgenpsychiatry.2010.146.CrossRefGoogle ScholarPubMed
Kessler, R. C., & Üstün, T. B. (2004). The world mental health (WMH) survey initiative version of the world health organization (WHO) composite international diagnostic interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93–121. https://doi.org/10.1002/mpr.168.CrossRefGoogle Scholar
Kettaneh, A. A. (2015). Quality of Life Among Adults with Attention Deficit Hyperactivity Disorder (ADHD): Comparative Study Between the Three Presentations of ADHD. Retrieved from http://uknowledge.uky.edu/cgi/viewcontent.cgi?article=1020&context=edsrc_etds.Google Scholar
Kooij, J. J. S., Buitelaar, J. K., van den Oord, E. J., Furer, J. W., Rijnders, C. A. T., & Hodiamont, P. P. G. (2005). Internal and external validity of attention-deficit hyperactivity disorder in a population-based sample of adults. Psychological Medicine., 35(6), 817–827. https://doi.org/10.1017/S003329170400337X.CrossRefGoogle Scholar
Kyle, S. D., Morgan, K., & Espie, C. A. (2010). Insomnia and health-related quality of life. Sleep Medicine Reviews, 14(1), 69–82. https://doi.org/10.1016/j.smrv.2009.07.004.CrossRefGoogle ScholarPubMed
Lallukka, T., Sivertsen, B., Kronholm, E., Bin, Y. S., Øverland, S., & Glozier, N. (2018). Association of sleep duration and sleep quality with the physical, social, and emotional functioning among Australian adults. Sleep Health: Journal of the National Sleep Foundation, 4(2), 194–200. https://doi.org/10.1016/j.sleh.2017.11.006.CrossRefGoogle ScholarPubMed
LeBlanc, M., Beaulieu-Bonneau, S., Mérette, C., Savard, J., Ivers, H., & Morin, C. M. (2007). Psychological and health-related quality of life factors associated with insomnia in a population-based sample. Journal of Psychosomatic Research, 63(2), 157–166. https://doi.org/10.1016/j.jpsychores.2007.03.004.CrossRefGoogle Scholar
Léger, D., Scheuermaier, K., Philip, P., Paillard, M., & Guilleminault, C. (2001). SF-36: Evaluation of quality of life in severe and mild insomniacs compared with good sleepers. Psychosomatic Medicine, 63(1), 49–55. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.486.1181&rep=rep1&type=pdf.CrossRefGoogle ScholarPubMed
Levine, D. W., Kaplan, R. M., Kripke, D. F., Bowen, D. J., Naughton, M. J., & Shumaker, S. A. (2003a). Factor structure and measurement invariance of the women's health initiative insomnia rating scale. Psychological Assessment, 15(2), 123–136. https://doi.org/10.1037/1040-3590.15.2.123.CrossRefGoogle Scholar
Levine, D. W., Kripke, D. F., Kaplan, R. M., Lewis, M. A., Naughton, M. J., Bowen, D. J., & Shumaker, S. A. (2003b). Reliability and validity of the women's health initiative insomnia rating scale. Psychological Assessment, 15(2), 137–148. https://doi.org/10.1037/1040-3590.15.2.137.CrossRefGoogle Scholar
Mai, E., & Buysse, D. J. (2008). Insomnia: Prevalence, impact, pathogenesis, differential diagnosis, and evaluation. Sleep Medicine Clinics, 3(2), 167–174. https://doi.org/10.1016/j.jsmc.2008.02.001.CrossRefGoogle ScholarPubMed
Marcus, D. K., & Barry, T. D. (2011). Does attention-deficit/hyperactivity disorder have a dimensional latent structure? A taxometric analysis. Journal of Abnormal Psychology, 120(2), 427. https://doi.org/10.1037/a0021405.CrossRefGoogle ScholarPubMed
McCall, W. V. (2001). A psychiatric perspective on insomnia. The Journal of Clinical Psychiatry, 62(Suppl 10), 27–32.Google ScholarPubMed
Oerbeck, B., Overgaard, K., Pripp, A. H., Aase, H., Reichborn-Kjennerud, T., & Zeiner, P. (2015). Adult ADHD symptoms and satisfaction with life: Does Age and Sex matter? Journal of Attention Disorders, 23(1), 3–11. https://doi.org/10.1177/1087054715612257.CrossRefGoogle ScholarPubMed
Ohayon, M. M. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Medicine Reviews, 6(2), 97–111. https://doi.org/10.1053/smrv.2002.0186.CrossRefGoogle Scholar
Roth, T. (2007). Insomnia: Definition, prevalence, etiology, and consequences. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, 3(Suppl 5), S7. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1978319/.Google Scholar
Roth, T., & Ancoli-Israel, S. (1999). Daytime consequences and correlates of insomnia in the United States: Results of the 1991 national sleep foundation survey. II. Sleep: Journal of Sleep Research & Sleep Medicine, 22(Suppl 2), S354–S358. https://psycnet.apa.org/record/1999-03090-001.Google ScholarPubMed
Roth, T., Jaeger, S., Jin, R., Kalsekar, A., Stang, P. E., & Kessler, R. C. (2006). Sleep problems, comorbid mental disorders, and role functioning in the national comorbidity survey replication. Biological Psychiatry, 60(12), 1364–1371. https://doi.org/10.1016/j.biopsych.2006.05.039.CrossRefGoogle ScholarPubMed
Rybak, Y. E., McNeely, H. E., Mackenzie, B. E., Jain, U. R., Levitan, R. D., Umesh, B. A., … Levitan, R. D. (2006). An open trial of light therapy in adult attention-deficit/hyperactivity disorder. Journal of Clinical Psychiatry, 67(10), 1527–1535. https://doi.org/10.4088/JCP.v67n1006.CrossRefGoogle ScholarPubMed
Scalo, J., Desai, P., & Rascati, K. (2015). Insomnia, hypnotic use, and health-related quality of life in a nationally representative sample. Quality of Life Research, 24(5), 1223–1233. Retrieved from https://link.springer.com/article/10.1007/s11136-014-0842-1.10.1007/s11136-014-0842-1CrossRefGoogle Scholar
Soehner, A. M., & Harvey, A. G. (2012). Prevalence and functional consequences of severe insomnia symptoms in mood and anxiety disorders: Results from a nationally representative sample. Sleep, 35(10), 1367–1375. https://doi.org/10.5665/sleep.2116.CrossRefGoogle ScholarPubMed
Stewart, R., Besset, A., Bebbington, P., Brugha, T., Lindesay, J., Jenkins, R., … Meltzer, H. (2006). Insomnia comorbidity and impact and hypnotic use by age group in a national survey population aged 16 to 74 years. Sleep, 29(11), 1391–1397. https://doi.org/10.1093/sleep/29.11.1391.CrossRefGoogle Scholar
Taylor, D. J., Lichstein, K. L., & Durrence, H. H. (2003). Insomnia as a health risk factor. Behavioral Sleep Medicine, 1(4), 227–247. https://doi.org/10.1207/S15402010BSM0104_5.CrossRefGoogle ScholarPubMed
Ten Have, M., Penninx, B. W., Van Dorsselaer, S., Tuithof, M., Kleinjan, M., & De Graaf, R. (2016). Insomnia among current and remitted common mental disorders and the association with role functioning: Results from a general population study. Sleep Medicine, 25, 34–41. https://doi.org/10.1016/j.sleep.2016.07.015.CrossRefGoogle ScholarPubMed
Uneri, O. S., Senses-Dinc, G., & Goker, Z. (2015). The quality of life (QoL) in attention deficit hyperactivity disorder (ADHD). In ADHD-New Directions in diagnosis and treatment (p. 197). InTech. https://doi.org/10.5772/60955.Google Scholar
Van Mill, J. G., Hoogendijk, W. J. G., Vogelzangs, N., Van Dyck, R., & Penninx, B. W. J. H. (2010). Insomnia and sleep duration in a large cohort of patients with major depressive disorder and anxiety disorders. Journal of Clinical Psychiatry, 71(3), 239–246. https://doi.org/10.4088/JCP.09m05218gry.CrossRefGoogle Scholar
Van Mill, J. G., Vogelzangs, N., Hoogendijk, W. J. G., & Penninx, B. W. J. H. (2013). Sleep disturbances and reduced work functioning in depressive or anxiety disorders. Sleep Medicine, 14(11), 43–62. https://doi.org/10.1016/j.sleep.2013.04.016.CrossRefGoogle ScholarPubMed
Van Veen, M. M., Kooij, J. J. S., Boonstra, A. M., Gordijn, M. C. M., & Van Someren, E. J. W. (2010). Delayed circadian rhythm in adults with attention-deficit/hyperactivity disorder and chronic sleep-onset insomnia. Biological Psychiatry, 67(11), 1091–1096. https://doi.org/10.1016/j.biopsych.2009.12.032.CrossRefGoogle ScholarPubMed
Vogel, S. W., Ten Have, M., Bijlenga, D., De Graaf, R., Beekman, A. T., & Kooij, J. J. (2018). Distribution of ADHD symptoms, and associated comorbidity, exposure to risk factors and disability: Results from a general population study. Psychiatry Research, 267, 256–265. https://doi.org/10.1016/j.psychres.2018.06.017.CrossRefGoogle ScholarPubMed
Voinescu, B. I., Szentagotai, A., & David, D. (2012). Sleep disturbance, circadian preference and symptoms of adult attention deficit hyperactivity disorder (ADHD). Journal of Neural Transmission (Vienna), 119(10), 1195–1204. https://doi.org/10.1007/s00702-012-0862-3.CrossRefGoogle Scholar
Von Korff, M., Crane, P. K., Alonso, J., Vilagut, G., Angermeyer, M. C., Bruffaerts, R., … Ormel, J. (2008). Modified WHODAS-II provides valid measure of global disability but filter items increased skewness. Journal of Clinical Epidemiology, 61(11), 1132–1143. https://doi.org/10.1016/j.jclinepi.2007.12.009.CrossRefGoogle ScholarPubMed
Ware, J. E. Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/1593914.10.1097/00005650-199206000-00002CrossRefGoogle ScholarPubMed
Weiss, M. D., Gibbins, C., Goodman, D. W., Hodgkins, P. S., Landgraf, J. M., & Faraone, S. V. (2010). Moderators and mediators of symptoms and quality of life outcomes in an open-label study of adults treated for attention-deficit/hyperactivity disorder. Journal of Clinical Psychiatry, 71(4), 381–390. Retrieved from https://pdfs.semanticscholar.org/fee3/09d3472c4261f99c10daaf1455079cbbba3f.pdf.CrossRefGoogle Scholar
Wynchank, D., Bijlenga, D., Beekman, A. T., Kooij, J. J. S., & Penninx, B. W. (2017). Adult attention-deficit/hyperactivity disorder (ADHD) and insomnia: An update of the literature. Current Psychiatry Reports, 19(12), 98. https://doi.org/10.1007/s11920-017-0860-0.CrossRefGoogle ScholarPubMed
Wynchank, D, Ten Have, M., Bijlenga, D., Penninx, B. W., Beekman, A. T., Lamers, F., … Kooij, J. J. S. (2018). The association between insomnia and sleep duration in adults with attention-deficit hyperactivity disorder: Results from a general population study. Journal of Clinical Sleep Medicine, 14(3), 349–357. https://doi.org/10.5664/jcsm.6976.CrossRefGoogle ScholarPubMed
Zammit, G. K., Weiner, J., Damato, N., Sillup, G. P., & McMillan, C. A. (1999). Quality of life in people with insomnia. Sleep: Journal of Sleep Research & Sleep Medicine, 22(Suppl 2), S379–S385. https://psycnet.apa.org/record/1999-03090-005.Google ScholarPubMed