The SENSE Study: Post Intervention Effects of a Randomized Controlled Trial of a Cognitive-Behavioral and Mindfulness-Based Group Sleep Improvement Intervention Among At-Risk Adolescents
The SENSE Study: Post Intervention Effects of a Randomized Controlled Trial of a Cognitive-Behavioral and Mindfulness-Based Group Sleep Improvement Intervention Among At-Risk Adolescents
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DOI：
10.1037/ccp0000142
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发表时间：
2016-12-01
影响因子：
5.9
通讯作者：
Allen, Nicholas B.
中科院分区：
文献类型：
--
作者：
Blake, Matthew;Waloszek, Joanna M.;Allen, Nicholas B.
目的：睡眠问题是青少年出现心理健康问题的主要危险因素。本研究旨在探讨以认知行为/正念为基础的群体睡眠干预对高危青少年睡眠和心理健康的干预后影响。方法：采用随机对照试验（RCT）对澳大利亚墨尔本的高中进行研究。144名患有高度焦虑和睡眠困难，但过去或现在没有抑郁症的青少年（12-17岁）被随机分为改善睡眠干预组和积极控制“学习技能”干预组。这两个项目都包括7个90分钟的小组会议，为期7周。123名参与者开始干预（女性= 60%，平均年龄= 14.48,SD = 0.95），其中60人处于睡眠状态，63人处于对照组。所有参与者都被要求完成一系列情绪和睡眠问卷，7天的手腕活动记录仪（一种客观的睡眠测量方法），并在干预前后填写睡眠日记。结果：与对照干预条件相比，睡眠干预条件与主观睡眠（整体睡眠质量[中等效应量]、睡眠发作潜伏期、白天嗜睡[小效应量]）、客观睡眠（睡眠发作潜伏期[中等效应量]）和焦虑（小效应量）的显著改善相关。结论：SENSE研究提供的证据表明，在高危青少年中，包括认知行为和正念疗法在内的多组分组睡眠干预可以减少睡眠启动问题和相关的白天功能障碍，以及伴随的焦虑症状。
Objective: Sleep problems are a major risk factor for the emergence of mental health problems in adolescence. The aim of this study was to investigate the post intervention effects of a cognitive-behavioral/mindfulness-based group sleep intervention on sleep and mental health among at-risk adolescents.Method: A randomized controlled trial (RCT) was conducted across High schools in Melbourne, Australia. One hundred forty-four adolescents (aged 12-17 years) with high levels of anxiety and sleeping difficulties, but without past or current depressive disorder, were randomized into either a sleep improvement intervention or an active control `study skills' intervention. Both programs consisted of 7 90-min-long group sessions delivered over 7 weeks. One hundred twenty-three participants began the interventions (female = 60%; mean age = 14.48, SD = 0.95), with 60 in the sleep condition and 63 in the control condition. All participants were required to complete a battery of mood and sleep questionnaires, 7 days of wrist actigraphy (an objective measure of sleep), and sleep diary entry at pre-and-post intervention.Results: The sleep intervention condition was associated with significantly greater improvements in subjective sleep (global sleep quality [with a medium effect size], sleep onset latency, daytime sleepiness [with small effect sizes]), objective sleep (sleep onset latency [with a medium effect size]), and anxiety (with a small effect size) compared with the control intervention condition.Conclusion: The SENSE study provides evidence that a multicomponent group sleep intervention that includes cognitive-behavioral and mindfulness-based therapies can reduce sleep initiation problems and related daytime dysfunction, along with concomitant anxiety symptoms, among at-risk adolescents.