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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.
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
cognitive–behavioral therapy
delayed sleep phase disorder
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
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Document type: Journal Article
Collection: School of Psychology
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