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Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions
journal contributionposted on 2017-09-01, 00:00 authored by M J Blake, L B Sheeber, George YoussefGeorge Youssef, M B Raniti, N B Allen
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.
JournalClinical child and family psychology review
Pagination227 - 249
PublisherSpringer Science + Business Media
LocationNew York, N.Y.
Publication classificationC Journal article; C1 Refereed article in a scholarly journal
Copyright notice2017, Springer Science + Business Media
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adolescenceanxietycognitive–behavioral therapydelayed sleep phase disorderdepressioninsomniainterventionmeta-analysismindfulnesssleepsystematic reviewSocial SciencesPsychology, ClinicalPsychologyCognitive-behavioral therapyRANDOMIZED CONTROLLED-TRIALCHRONIC PRIMARY INSOMNIADSM-IV DISORDERSDEPRESSIVE SYMPTOMSSTRESS REDUCTIONAMERICAN-ACADEMYSUBSTANCE-ABUSEPHASE DISORDERGROUP-THERAPYWAITING-LIST