Effectiveness of Sleep-Based Cognitive Behavioral Interventions on Emotion Regulation and Sleep Quality in Children Aged 7 to 12 with Combined Type Attention-Deficit/Hyperactivity Disorder
Keywords:
Sleep quality, attention, deficit/hyperactivity disorder, emotion regulationAbstract
Purpose: The present study aimed to investigate the effect of sleep-based cognitive behavioral interventions on children aged 7 to 12 with combined type attention-deficit/hyperactivity disorder (ADHD) regarding emotion regulation and sleep quality. This study examined the impact of these interventions on two primary domains: emotion regulation and ADHD/hyperactivity symptoms.
Methods and Materials: This experimental study employed a pretest-posttest design. Participants included 34 children diagnosed with ADHD (17 per group) who received sleep-based cognitive behavioral interventions. Data were collected using standardized instruments, including the Emotion Regulation Checklist – Parent Form (Shields & Cicchetti, 1995), the Pittsburgh Sleep Quality Index (PSQI) (Buysse et al., 1989), and the Conners’ Rating Scale (Conners, 2008). Analyses were conducted using analysis of covariance (ANCOVA) in SPSS version 26.
Findings: Findings indicated that sleep-based cognitive behavioral interventions improved overall sleep quality and its associated components, enhanced satisfaction with sleep, and positively affected daytime functioning (p<0.01). Additionally, these interventions contributed to improved emotion regulation performance and reduced emotional negativity/lability among the children.
Conclusion: The study demonstrated that sleep-based cognitive behavioral interventions can enhance emotion regulation processes in children with ADHD, while also increasing sleep quality and overall daily functioning.
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Copyright (c) 2025 Sarasadat Ghods Hosseini (Author); Mohamad Mahdi Shariat Bagheri (Corresponding author); Parisa Tajali (Author)
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