Subjective sleepiness and objective sleep propensity in adults with attention-deficit/hyperactivity disorder referred for multiple sleep latency testing - Takeaways - MDSpire
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Assessment of Subjective Sleepiness and Objective Sleep Propensity in Adults with ADHD Undergoing Multiple Sleep Latency Testing

  • By

  • Sunao Uchida

  • Takashi Maruo

  • Shunsuke Takagi

  • Genichi Sugihara

  • Hidehiko Takahashi

  • June 29, 2026

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  • 1

    The study analyzed 130 adults, 68 with ADHD and 62 with excessive daytime sleepiness (EDS) but without ADHD, undergoing Multiple Sleep Latency Testing.

  • 2

    Subjective sleepiness, measured by the Epworth Sleepiness Scale, showed no significant difference between the ADHD group (median score 14.0) and the EDS-only group (median score 13.0).

  • 3

    Objective sleep propensity differed significantly, with the ADHD group having a longer median mean sleep latency of 432.0 seconds compared to 322.0 seconds in the EDS-only group.

  • 4

    MSLT positivity was less frequent in the ADHD group at 61.8% compared to 87.1% in the EDS-only group, indicating a lower objective sleep propensity.

  • 5

    Within the ADHD group, ESS scores were not significantly correlated with mean sleep latency, contrasting with a significant inverse correlation in the MSLT-positive EDS-only subgroup.

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