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- Title
Exploring the Mediating Role of Sleep Disturbances in Association Between ADHD and Self-harm.
- Authors
ALTINTAŞ, İdil; DERİN, Songül
- Abstract
Introduction: While previous research has established a link between attention deficit hyperactivity disorder (ADHD) and self-harm, the underlying mechanisms remain insufficiently understood. This study explored the mediating role of sleep disturbances in the association between ADHD diagnosis and self-harm behaviors. Method: The study included 90 youth aged between 12 and 19 years, divided into two groups: a case group of 45 youth diagnosed with ADHD and a control group of 45 youth without ADHD. Both groups completed the inventory of statements about self-injury and the sleep disturbance scale. Results: Findings revealed a significant positive association between ADHD and sleep disturbances (B=0.39, p<0.001) and between sleep disturbances and self-harm (B=0.53, p=0.002). ADHD directly predicted selfharm (B=0.41, p=0.007). The indirect effect of ADHD on self-harm through sleep disturbances was significant (B=0.22, p=0.002), similar to the total effect (B=0.62, p=0.002). The analysis included gender, youth education, family income, maternal education, and overall anxiety and depression scores of the youth. Conclusion: There is a significant gap in the literature regarding the combined role of ADHD, sleep difficulties, and self-harm. While prior research has delved into the intricate causes of self-injurious behaviors in ADHD populations, none have specifically addressed how sleep difficulties might mediate the ADHD-self-harm association. The current study aims to fill this gap by illuminating the significant role of sleep difficulties in this relationship. Our findings suggest a direct link between ADHD and self-harm and reveal a notable indirect effect through sleep disturbances. Prioritizing the effective management of ADHD and sleep disturbances is crucial for minimizing self-harm risk in this population. This insight has significant clinical implications for managing self-harm risk in adolescents with ADHD.
- Subjects
SLEEP interruptions; YOUTH with attention-deficit hyperactivity disorder; ATTENTION-deficit hyperactivity disorder; INCOME; SELF-injurious behavior
- Publication
Bezmialem Science, 2024, Vol 13, pS42
- ISSN
2148-2373
- Publication type
Article