@article{ref1,
title="The role of sleep disturbances in attention deficit disorder symptoms: a case study",
journal="Journal of pediatric psychology",
year="1991",
author="Dahl, R. E. and Pelham, William E. and Wierson, Michelle",
volume="16",
number="2",
pages="229-239",
abstract="Identified a 10-year-old girl with ADD and a 5-year history of sleep difficulties. Sleep difficulties (delayed sleep phase insomnia) were corrected while performing blind assessments of behavioral symptoms. The intervention (chronotherapy combined with a behavior modification program) resulted in an increase of sleep from 7.2 to 9.2 hours per night. Pre/postintervention behavioral measures indicated significant improvement in positive interactions with peers, increased productivity on a timed arithmetic task, and significantly increased percentage of assigned seatwork completed. Four-month follow-up in the natural school setting indicated improvement in teacher ratings and classroom performance. Despite the persistence of ADD symptomatology, the improvement in sleep apparently contributed to a clinically significant reduction in ADD.<p /> <p>Language: en</p>",
language="en",
issn="0146-8693",
doi="",
url="http://dx.doi.org/"
}