Submission 661
Parameters of Visual Attention and Their Associations with Objective and Subjective Sleep Parameters in Adult ADHD
SymposiumTalk-04
Presented by: Solveig Menrad
Aims: Adults with ADHD often report poor sleep quality, which may contribute to their attentional deficits. However, polysomnographic evidence of sleep alterations remains sparse. We examined 1) whether objective and subjective sleep measures differ between adults with and without ADHD, and 2) how they relate to attentional performance -specifically visual processing speed C and visual short-term memory (vSTM) capacity K based on the Theory of Visual Attention (TVA).
Methods: 35 unmedicated adults with ADHD and 37 healthy controls (HC) completed 84 whole-report trials of brief letter arrays, sleep questionnaires, and one night of polysomnography. TVA-based modelling of whole-report performance estimated vSTM capacity K and processing speed C. Group differences were tested using one-way MANOVAs. Correlations and regressions examined group-related associations between sleep and attentional parameters.
Results: The groups did not differ in polysomnographic measures, but subjective sleep quality was significantly worse in adults with ADHD than in HC. Two regression analyses showed that (a) subjective sleep quality and ADHD status, and (b) subjective sleep efficiency, ADHD status, and their interaction, each significantly predicted vSTM capacity K. REM duration significantly predicted processing speed C, whereas ADHD status and their interaction did not.
Conclusions: Adults with ADHD report poorer sleep quality than HC, which is not reflected in polysomnographic macrostructure. Investigating sleep microstructure may clarify this discrepancy. Subjective sleep disturbances in adults with ADHD are associated with reduced vSTM capacity K, suggesting a link between sleep and attentional functioning in ADHD. Sleep interventions may complement ADHD treatment.