RT Journal Article T1 Sleep in adults with ADHD: Systematic review and meta-analysis of subjective and objective studies A1 Díaz-Román, Amparo A1 Mitchell, Raziya A1 Cortese, Samuele K1 Sueño - Trastornos K1 Trastornos por déficit de atención con hiperactividad AB Sleep alterations associated with adulthood ADHD are poorly understood. Here, we conducted the first meta-analysis of sleep studies in adults with ADHD. Based on a pre-registered protocol (PROSPERO-CRD42017065407), we searched Pubmed, Ovid and Web of Knowledge databases through August 3rd, 2017, with no language or publication type restrictions, and contacted study authors for unpublished data/information. From a pool of 8812 references, we retained 13 studies. Random-effects models were performed and study quality was rated using the Newcastle-Ottawa Scale. Compared to adults without ADHD, those with ADHD significantly differed in seven out of nine subjective parameters (Standardized Mean Difference, SMD, ranging from 0.56 to 1.55) and two out of five actigraphic parameters [SMD (95% CI): sleep onset latency: 0.80 (0.46-1.14); sleep efficiency: -0.68 (-1.03, -0.34)]. No significant differences were detected for polysomnographic parameters. We conclude that, whereas subjectively reported sleep problems are significantly associated with ADHD in adults and should be systematically screened during the clinical interview, additional research is needed to understand if they are underpinned by objective sleep alterations. PB Elsevier YR 2018 FD 2018-03-02 LK https://hdl.handle.net/10630/46283 UL https://hdl.handle.net/10630/46283 LA eng NO Díaz-Román, A., Mitchell, R., & Cortese, S. (2018). Sleep in adults with ADHD: Systematic review and meta-analysis of subjective and objective studies. Neuroscience and Biobehavioral Reviews, 89, 61–71. https://doi.org/10.1016/j.neubiorev.2018.02.014 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 14 may 2026