The SENSE Study (Sleep and Education: learning New Skills Early): a community cognitive-behavioural therapy and mindfulness-based sleep intervention to prevent depression and improve cardiac health in adolescence.
The SENSE Study (Sleep and Education: learning New Skills Early): a community cognitive-behavioural therapy and mindfulness-based sleep intervention to prevent depression and improve cardiac health in adolescence.
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DOI：
10.1186/s40359-015-0096-x
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发表时间：
2015-11-04
期刊：
影响因子：
3.6
通讯作者：
Allen NB
中科院分区：
文献类型：
--
作者：
Waloszek JM;Schwartz O;Simmons JG;Blake M;Blake L;Murray G;Raniti M;Dahl RE;O'Brien-Simpson N;Dudgeon P;Trinder J;Allen NB
睡眠问题是青春期出现抑郁症的主要风险因素。这项研究的目的是测试改善睡眠习惯的干预是否可以防止抑郁的出现，并改善高危青少年的幸福感和心血管指数。澳大利亚墨尔本的维多利亚中学正在进行一项纵向随机对照试验(RCT)。如果青少年(12-17岁)在校内筛查问卷上报告有高水平的焦虑和睡眠问题，并且没有抑郁症病史(通过临床诊断性访谈进行评估)，则被定义为抑郁症的风险。符合条件的参与者被随机分为改善睡眠干预(基于认知、行为和正念原则)或传授学习技能的积极控制条件。这两个项目都包括七个90分钟的疗程，为期七周。所有参与者都被要求在干预前和干预后完成一组情绪和睡眠问卷、七天的活动记录和睡眠日记。参与者还在干预前完成了心血管评估和两天的唾液收集。参与者将在两年的跟踪中重复所有评估(正在进行)。这将是首次在青少年社区样本中进行选择性的基于群体的睡眠干预以预防抑郁症的有效性试验。如果有效，该计划可以在学校传播，并极大地改善焦虑青少年的健康状况。澳大利亚新西兰临床试验注册ACTRN12612001177842。注册日期：2012年11月6日。本文的在线版本(doi：10.1186/s40359-0150096-x)包含补充材料，授权用户可以使用。
Sleep problems are a major risk factor for the emergence of depression in adolescence. The aim of this study was to test whether an intervention for improving sleep habits could prevent the emergence of depression, and improve well-being and cardiovascular indices amongst at-risk adolescents. A longitudinal randomised controlled trial (RCT) is being conducted across Victorian Secondary Schools in Melbourne, Australia. Adolescents (aged 12–17 years) were defined as at-risk for depression if they reported high levels of anxiety and sleep problems on in-school screening questionnaires and had no prior history of depression (assessed by clinical diagnostic interview). Eligible participants were randomised into either a sleep improvement intervention (based on cognitive behavioral and mindfulness principles) or an active control condition teaching study skills. Both programs consisted of seven 90 minute-long sessions over seven weeks. All participants were required to complete a battery of mood and sleep questionnaires, seven-days of actigraphy, and sleep diary entry at pre- and post-intervention. Participants also completed a cardiovascular assessment and two days of saliva collection at pre-intervention. Participants will repeat all assessments at two-year follow up (ongoing). This will be the first efficacy trial of a selective group-based sleep intervention for the prevention of depression in an adolescent community sample. If effective, the program could be disseminated in schools and greatly improve health outcomes for anxious adolescents. Australian New Zealand Clinical Trials Registry ACTRN12612001177842. Date of Registration: 06-Nov-2012. The online version of this article (doi:10.1186/s40359-015-0096-x) contains supplementary material, which is available to authorized users.