A Pilot Study on Adolescents With Depression and Insomnia: Qualitative Findings From Focus Groups
A Pilot Study on Adolescents With Depression and Insomnia: Qualitative Findings From Focus Groups
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DOI：
10.1080/15402002.2015.1065412
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发表时间：
2017-01-01
影响因子：
3.1
通讯作者：
Arnedt, J. T.
中科院分区：
文献类型：
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作者：
Conroy, D. A.;Czopp, A. M.;Arnedt, J. T.
患有抑郁症的青少年失眠缺乏非药物治疗。这项定性研究是对一组抑郁青少年失眠治疗的独特特征和偏好进行的专题分析。14名患有失眠和抑郁症的青少年(年龄范围为14-19岁，平均为17岁，SD+/-1.7；71%为女性)完成了90分钟的焦点小组。获得的信息包括睡眠中断、失眠对情绪的影响以及对失眠治疗的偏好。主题包括影响睡眠的日间功能不良，缺乏安眠药的益处，以及睡前沉思。大多数人认为睡眠日记是治疗的障碍，无论交付方式如何。参与者也更喜欢面对面的治疗。青少年失眠治疗应考虑抑郁症的独特特点。更大规模的研究是有必要的。
Nonpharmacological treatments for insomnia in adolescents with depression are lacking. This qualitative study was a thematic analysis of the unique characteristics of and preferences for an insomnia treatment in a group of depressed adolescents. Fourteen adolescents with insomnia (age range = 14-19, mean = 17, SD +/- 1.7; 71% female) and depression completed a 90-min focus group. Information was elicited about sleep disruptions, insomnia's impact on mood, and preferences for insomnia treatments. Themes included poor daytime functioning affecting sleep, lack of benefit from sleep medication, and bedtime rumination. Most identified sleep diaries as a barrier to treatment regardless of mode of delivery. Participants also preferred an in-person therapy. Insomnia therapy in adolescents should consider the unique characteristics of depression. Larger studies are warranted.