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Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions

Blake, Matthew J., Sheeber, Lisa B., Youssef, George J., Raniti, Monika B. and Allen, Nicholas B. 2017, Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions, Clinical child and family psychology review, pp. 1-23, doi: 10.1007/s10567-017-0234-5.

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Title Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions
Author(s) Blake, Matthew J.
Sheeber, Lisa B.
Youssef, George J.ORCID iD for Youssef, George J. orcid.org/0000-0002-6178-4895
Raniti, Monika B.
Allen, Nicholas B.
Journal name Clinical child and family psychology review
Start page 1
End page 23
Total pages 23
Publisher Springer Science + Business Media
Place of publication New York, N.Y.
Publication date 2017-03-22
ISSN 1573-2827
Keyword(s) adolescence
anxiety
cognitive–behavioral therapy
delayed sleep phase disorder
depression
insomnia
intervention
meta-analysis
mindfulness
sleep
systematic review
Summary This systematic review and meta-analysis examined the efficacy of adolescent cognitive-behavioral sleep interventions. Searches of PubMed, PsycINFO, CENTRAL, EMBASE, and MEDLINE were performed from inception to May 1, 2016, supplemented with manual screening. Nine trials were selected (n = 357, mean age = 14.97 years; female = 61.74%). Main outcomes were subjective (sleep diary/questionnaire) and objective (actigraphy) total sleep time (TST), sleep onset latency (SOL), sleep efficiency (SE), and wake after sleep onset (WASO). There were a small number of randomized controlled trials (RCTs; n = 4) and a high risk of bias across the RCTs; therefore, within sleep condition meta-analyses were examined (n = 221). At post-intervention, subjective TST improved by 29.47 min (95% CI 17.18, 41.75), SOL by 21.44 min (95% CI -30.78, -12.11), SE by 5.34% (95% CI 2.64, 8.04), and WASO by a medium effect size [d = 0.59 (95% CI 0.36, 0.82)]. Objective SOL improved by 16.15 min (95% CI -26.13, -6.17) and SE by 2.82% (95% CI 0.58, 5.07). Global sleep quality, daytime sleepiness, depression, and anxiety also improved. Gains were generally maintained over time. Preliminary evidence suggests that adolescent cognitive-behavioral sleep interventions are effective, but further high-quality RCTs are needed. Suggestions for further research are provided.
Notes In Press
Language eng
DOI 10.1007/s10567-017-0234-5
Field of Research 170199 Psychology not elsewhere classified
1701 Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, Springer Science + Business Media
Persistent URL http://hdl.handle.net/10536/DRO/DU:30093920

Document type: Journal Article
Collection: School of Psychology
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