@article{oai:u-ryukyu.repo.nii.ac.jp:02019939,
 author = {Ishii, Miho and Ito, Wakako and Karube, Yuki and Ogawa, Yuko and Tagawa, Anna and Maeda, Shunta and Sato, Hideki and Takahashi, Toru and Inomata, Natsumi and Narisawa, Hajime and Takaesu, Yoshikazu and Watanabe, Koichiro and Okajima, Isa},
 journal = {Sleep and Biological Rhythms},
 month = {Nov},
 note = {Although adult patients with attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) often have sleep problems, few studies have verified the effect of a psychological approach specific to sleep–wake rhythms on these sleep disturbances. Therefore, the aim of this pilot study was to develop a trans-diagnostic approach with sleep scheduling and regularity of sleep duration as core modules, and to examine the effect of the intervention in adult ADHD and/or ASD subjects with sleep disturbances. This was a within-group pilot study. Ten patients with adult ADHD and/or ASD with sleep disturbances (10 males, age: 27.4 ± 5.6 years) took part in a 90-min weekly group intervention for 5 weeks. All participants were assessed on scales for sleep complaints, anxiety, depression, and symptoms of ADHD and ASD before and after the intervention, and at 3-month follow-up. The results showed that the intervention significantly improved sleep disturbances at post-intervention (p = 0.003, d = 1.30, 95% CI 0.31–2.28) and at the 3-month follow-up (p = 0.035, d = 0.41, 95% CI − 0.48 to 1.30). In addition, attention switching for ASD symptoms was significantly reduced post-intervention (p = 0.031, d = 1.16, 95% CI 0.19–2.13). This is the first pilot study of a trans-diagnostic group approach for adult ADHD and/or ASD with sleep disturbances. The intervention primarily led to an improvement of sleep disturbances, followed by improvement of disease-specific symptoms in adult subjects with ADHD and ASD.},
 pages = {173--180},
 title = {Effects of transdiagnostic group treatment for sleep disturbances in adult attention‑deficit/hyperactivity disorders and autistic spectrum disorder: a pilot study},
 volume = {20},
 year = {2021}
}