Improving Sleep Quality During the Transition to College

项目摘要 大学期间的睡眠中断是一个重大的公共健康问题，研究表明， 40-60%的大学生出现临床严重的睡眠中断。睡眠不好会导致焦虑加剧， 抑郁，孤独，以及积极影响，动机和目标感的下降， 许多学生试图在大学里找到一条成功的道路。睡眠中断也有负面影响 影响身体健康，部分是通过上调炎症过程， 对身心健康的慢性影响。 作为回应，许多学院和大学已经开始努力改善他们的睡眠卫生。 学生挑战在于确定可以同时改善睡眠，大规模交付， 学生可以轻松完成。基于正念的干预（MBIs），包括为期六周的正念 我们小组开发的意识实践（MAPs）干预已被证明可以改善睡眠质量 以及相关的心理社会和生理结果。MBIs处于良好的位置， 针对临床失眠的干预（例如，CBT-I）和大规模提供的睡眠教育计划，后者 尽管有证据表明效果有限，但许多大学已经推出了其中的一些措施。只有四 然而，已发表的随机对照试验测试了MBI在大学生中的效果，没有一项针对睡眠的研究。 主要成果。 为了解决这一重要的公共卫生问题，我们建议进行一项随机对照试验 (RCT)在一所四年制大学的240名一年级大学生中， 多样化的学生群体。我们的两组平行组RCT将测试经验证的组- 基于六周的MAPs干预与睡眠教育，一个活动时间和注意力匹配的对照 条件，为学生谁报告睡眠不好，在这个关键的过渡年。影响将在术后评估。 干预，并在3个月，9个月和12个月随访，以评估持久性。我们的项目汇集了各种各样的 团队在睡眠，正念为基础的干预，和青年发展的专业知识，追求四个目标：（1） 确定MAP与睡眠教育对睡眠的主观和客观标志物的影响;（2）评估 MAP与睡眠教育对与睡眠相关的消极和积极心理社会症状的影响 （3）确定MAP与睡眠教育对与睡眠相关的炎症过程的影响 中断和相关的长期健康;（4）探讨潜在的性别和种族差异的干预措施 方面的影响.

Project Summary Sleep disruption during college presents a significant public health concern, with studies documenting clinically-significant sleep disruption in 40-60% of college students. Poor sleep contributes to rising anxiety, depression, and loneliness as well as declining positive affect, motivation, and sense of purpose faced by many students as they attempt to navigate a successful path through college. Disrupted sleep also negatively impacts physical health, in part through upregulating inflammatory processes that can have acute and more chronic effects on mental and physical health. In response, many colleges and universities have embarked on efforts to improve the sleep hygiene of their students. The challenge is to identify programs that can simultaneously improve sleep, be delivered at scale, and be easily completed by students. Mindfulness-based interventions (MBIs), including a six-week Mindful Awareness Practices (MAPs) intervention developed by our group, have been shown to improve sleep quality and associated psychosocial and biological outcomes among adults. MBIs are well-positioned between interventions targeting clinical insomnia (e.g., CBT-I) and mass-delivered sleep education programs, the latter of which have been rolled-out by many universities despite evidence of limited effectiveness. Only four published RCTs, however, have tested the effect of MBIs among college students and none targeted sleep as a primary outcome. To address this important public health problem, we propose to conduct a randomized controlled trial (RCT) of 240 first-year college students at a four-year university that serves an ethnically and economically diverse student population. Our two-arm, parallel group RCT will test the efficacy of the validated, group- based, six-week MAPs intervention vs. sleep education, an active time and attention matched control condition, for students who report poor sleep at this critical transition year. Effects will be assessed at post- intervention and at 3-, 9-, and 12-month follow-ups to assess persistence. Our project brings together a diverse team with expertise in sleep, mindfulness-based interventions, and youth development to pursue four aims: (1) determine effects of MAPs vs. sleep education on subjective and objective markers of sleep; (2) evaluate effects of MAPs vs. sleep education on negative and positive psychosocial symptoms associated with sleep disruption; (3) determine effects of MAPs vs. sleep education on inflammatory processes associated with sleep disruption and relevant for long-term health; and (4) explore potential sex and ethnic variations in intervention effects.