The complex role of sleep in adolescent depression.

The complex role of sleep in adolescent depression.
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DOI:
10.1016/j.chc.2012.01.006
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发表时间:
2012-04
影响因子:
2.4
通讯作者:
Harvey AG
Harvey AG
中科院分区:
医学3区
文献类型:
--
作者:
Clarke G;Harvey AG

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对青少年抑郁症的心理和药物治疗最多只能产生适度的急性后反应和缓解率。改善这些结果是一个重要的长期目标。为此,在本文中,作者研究了青少年 CBT 失眠干预作为传统抑郁症治疗的辅助手段的可能性,以改善抑郁症的结果。这种改善青少年抑郁症治疗结果的“间接途径”基于以下研究:原发性失眠会增加抑郁症的风险,睡眠问题会干扰抑郁症治疗的成功,以及新出现的成人抑郁症随机对照试验结果。作者描述了他们为治疗抑郁青少年失眠而开发的方案。
Psychological and pharmacological treatments for youth depression yield post-acute response and remission rates that are modest at best. Improving these outcomes is an important long-term goal. To that end, in this paper, the authors examine the possibility that a youth CBT insomnia intervention may be employed as an adjunct to traditional depression-focused treatment with the aim of improving depression outcomes. This “indirect route” to improving youth depression treatment outcomes is based on research indicating that the risk of depression is increased by primary insomnia, that sleep problems interfere with depression treatment success, and on emerging adult depression RCT results. The authors describe the protocol they developed for treating insomnia in depressed youth.
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