Emotion regulation difficulties in adults with ADHD and associations with insomnia symptoms

作者：Sørensen L, Hjo C, Vollsund AE, Flo-Groeneboom E, Jensen DA, Tømmeraas AM, Holmen N, Becker SP, Sonuga-Barke EJS, Bjorvatn B, Tamnes CK · 发表于：Journal of affective disorders · 年份：2026 · DOI：10.1016/j.jad.2026.121941 · 研究领域：Attention Deficit Disorder with Hyperactivity、Sleep Initiation and Maintenance Disorders、Emotional Regulation、Humans、Female、Adult、Cross-Sectional Studies、Adolescent、Male、Middle Aged、Aged、Young Adult

OBJECTIVES: Adults with attention-deficit/hyperactivity disorder (ADHD) frequently experience both emotion regulation difficulties and sleep disturbances. Although theories of insomnia and studies in non-ADHD samples suggest a link between poor emotion regulation and insomnia, this relationship is understudied in ADHD. We examined whether difficulties regulating emotions were associated with insomnia symptoms in adults with ADHD, and whether this association was moderated by gender, age (<30 or ≥30 years), or eveningness preference. METHODS: A cross-sectional online survey was distributed in collaboration with the Norwegian ADHD Association. Of 1541 respondents, 1414 adults with self-reported ADHD diagnosis (81% female; ages 16-74; years, M age = 40 years) met inclusion criteria. Participants completed measures of emotion regulation, insomnia symptoms, chronotype, and sociodemographic and clinical characteristics, including education level, occupational status, ADHD symptoms, depression, anxiety, substance use, medication use, and comorbid conditions. RESULTS: Multiple linear regression analyses showed that greater emotion regulation difficulties, especially limited access to effective regulation strategies, were associated with more insomnia symptoms. Associations remained significant after controlling for sociodemographic and clinical characteristics. The association between emotion regulation difficulties and more insomnia symptoms was stronger (medium effects) among eme...