The management of sleep disturbances in children with attention-deficit/hyperactivity disorder (ADHD): an update of the literature.

INTRODUCTION: Sleep disorders represent an important comorbidity in individuals with ADHD. While the links between ADHD and sleep disturbances have been extensively investigated, research on the management of sleep disorders in individuals with ADHD is relatively limited, albeit expanding. AREAS COVERED: The authors searched PubMed, Medline, PsycInfo, Embase+Embase Classic, Web of Sciences databases, and clinicaltrials.gov up to 4 January 2024, for randomized controlled trials (RCTs) of any intervention for sleep disorders associated with ADHD. They retained 16 RCTs (eight on pharmacological and eight on non-pharmacological interventions), supporting behavioral intervention and melatonin, and nine ongoing RCTs registered on clinicaltrials.gov. EXPERT OPINION: The pool of RCTs testing interventions for sleep disorders in individuals with ADHD is expanding. However, to inform clinical guidelines, there is a need for additional research in several areas, including 1) RCTs based on a precise phenotyping of sleep disorders; 2) pragmatic RCTs recruiting neurodevelopmental populations representative of those seen in clinical services; 3) trials testing alternative interventions (e.g. suvorexant or light therapy) or ways to deliver them (e.g. online); 4) sequential and longer-term RCTs; 5) studies testing the impact of sleep interventions on outcomes other than sleep; 6) and implementation of advanced evidence synthesis and precision medicine approaches.

Predation by the isopod Saduria entomon on the amphipods Monoporeia affinis and Pontoporeia femorata: experiments on prey vulnerability.

Predation by Saduria entomon on the depositfeeding amphipods Monoporeia (=Pontoporeia) affinis and Pontoporeia femorata was studied in laboratory experiments. Prey vulnerabilities were compared in singleprey treatments and in mixed-prey treatments, where the proportions of the two species were varied at one total density. In a pilot experiment, P. femorata was the more vulnerable prey, both in single-prey and mixed-prey treatments. In later experiments, the amphipod species were equally vulnerable in single-prey treatments, while in mixed-prey treatments Saduria preyed preferentially on M. affinis, even when this prey was rare, i.e. it did not "switch". We suggest that the different result in the later experiments may have been due to a change in the search mode of the isopods.

Interactions between year classes in the benthic amphipod Monoporeia affinis: effects on juvenile survival and growth.

The effect of 1-year-old Monoporeia (=Pontoporeia) affinis on the survival and growth of young of the year was studied in laboratory experiments. Amphipods were kept in jars with sediment and a continuous supply of cooled water for 3 months. Adults or juveniles were added to a control density of juveniles. Juvenile mortality increased at higher total densities, and was greater when adults were present. The mean length and dry weight of juveniles decreased at higher densities, but adults did not have a greater effect than juveniles. These density-dependent effects are probably caused by competition for food within and between year classes. Thus, a high abundance of juveniles or adults could reduce the recruitment of juveniles into the adult year-class the following year, and the suppression of juvenile growth could lower fecundity. The results of this experiment support the hypothesis, inferred from field data from the Baltic Sea and Swedish lakes, that intraspecific interactions contribute to fluctuations in the abundance of populations of M. affinis.