Mind-Body Integrative Health (MBIH) Interventions for Sleep among Adolescents: A Scoping Review of Implementation, Participation and Outcomes.

Mind-Body Integrative Health (MBIH) Interventions for Sleep among Adolescents: A Scoping Review of Implementation, Participation and Outcomes.
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DOI:
10.1007/s40894-021-00176-z
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发表时间:
2022-12
影响因子:
4.7
通讯作者:
Bruzzese, Jean-Marie
Bruzzese, Jean-Marie
中科院分区:
心理学2区
文献类型:
--
作者:
Garbers, Samantha;Umar, Nawal Q.;Hand, Rachel E.;Usseglio, John;Gold, Melanie A.;Bruzzese, Jean-Marie

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青少年睡眠不足,影响健康。针对青少年的身心综合健康干预措施已被证明可以减少压力,这是良好睡眠的障碍。这一范围审查的目的是综合身心综合健康干预青少年,如何实施干预措施,谁达到。对四个在线数据库进行了系统检索。随机、准实验和单组设计,参与者年龄在10-24岁之间。确定了12项研究,涉及使用正念,气功,芳香疗法或瑜伽的10种干预措施。参与者主要是女性;只有一项研究报告了参与者的种族或民族(81%为非西班牙裔白色)。大多数(n=6)干预措施是分组进行的,一半的人报告主观睡眠质量有显著改善。基于正念的减压和基于正念的认知疗法是最常用的方式,据报道,客观地测量了对睡眠结果的影响。在客观测量的睡眠开始潜伏期和睡眠效率方面发现统计学显著的中度改善的两种干预措施具有较高的强度并使用正念。四项干预措施是自我指导的;这些干预措施的参与者努力坚持;虽然研究结果喜忧参半,部分原因是基础研究的质量,但这次审查确定了几个有希望的干预措施,包括使用正念,确保足够的干预剂量,针对基线睡眠不佳的青少年(而不是一般青少年人群)进行干预。研究结果表明,对青少年的睡眠干预可能会改善心理健康作为一种中间效应,因为睡眠改善主要是在基线睡眠质量差或焦虑症状的参与者中观察到的。该综述确定了文献中的几个空白。尽管记录了青少年睡眠质量的种族和民族差异,但缺乏黑人和拉丁裔青少年身心综合健康睡眠干预的证据。尽管记录了不同年龄组青少年的睡眠差异,但本综述中没有一项研究评估了发育阶段或年龄差异。在未来的干预研究中应解决这两个证据差距。
Adolescents get insufficient sleep, adversely affecting health. Mind-body integrative health interventions for adolescents have been shown to reduce stress, a barrier to good sleep. This scoping review aimed to synthesize mind-body integrative health interventions for adolescents, how interventions were implemented, who was reached. A systematic search of four online databases was conducted. Randomized, quasi-experimental, and single-group designs with participants ages 10–24 years were included. Twelve studies covering 10 interventions using mindfulness, qigong, aromatherapy, or yoga were identified. Participants were predominantly female; only one study reported participants’ race or ethnicity (81% non-Hispanic white). Most (n=6) interventions were delivered in groups, and half reported significant improvements in subjective sleep quality. Mindfulness-based stress reduction and mindfulness-based cognitive therapy were the most commonly used modalities, with reported impact on sleep outcomes measured objectively. The two interventions that found statistically significant, moderate improvements in objectively-measured sleep onset latency and sleep efficiency were of higher intensity and used mindfulness. Four interventions were self-directed; participants in these struggled with adherence; significant impacts on sleep were not found. While findings were mixed, stemming in part from the quality of the underlying studies, this review identified several promising features of interventions, including using mindfulness, ensuring sufficient intervention dose, and targeting interventions towards adolescents with poor sleep at baseline (rather than a general population of adolescents). The findings suggests that sleep interventions for adolescents may improve psychological well-being as an intermediate effect, as sleep improvements were observed mostly among participants with poor sleep quality or anxiety symptoms at baseline. This review identified several gaps in the literature. Despite documented racial and ethnic disparities in sleep quality among adolescents, published evidence of mind-body integrative health-based sleep interventions among Black and Latinx adolescents is lacking. None of the studies in this review assessed developmental stage or age differences, despite documented differences in sleep across age groups of adolescents. These two gaps in the evidence should be addressed in future intervention research.
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