A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality

被引：45

作者：

Blake, Matthew J. ^{[1
]}

Snoep, Lian ^{[1
]}

Raniti, Monika ^{[1
]}

Schwartz, Orli ^{[1
]}

Waloszek, Joanna M. ^{[1
]}

Simmons, Julian G. ^{[1
]}

Murray, Greg ^{[2
]}

Blake, Laura ^{[1
]}

Landau, Elizabeth R. ^{[1
]}

Dahl, Ronald E. ^{[3
]}

Bootzin, Richard ^{[4
]}

McMakin, Dana L. ^{[5
,6
,7
]}

Dudgeon, Paul ^{[1
]}

Trinder, John ^{[1
]}

Allen, Nicholas B. ^{[1
,8
]}

机构：

[1] Univ Melbourne, Melbourne Sch Psychol Sci, 12th Floor Redmond Barry Bldg,Parkville Campus, Melbourne, Vic 3010, Australia

[2] Swinburne Univ Technol, Dept Psychol Sci, Mail H24,POB 218, Hawthorn, Vic 3122, Australia

[3] Univ Calif Berkeley, Sch Publ Hlth, 50 Univ Hall 7360, Berkeley, CA 94720 USA

[4] Univ Arizona, Dept Psychol, Sleep Res Lab, Room 215C,1503 E Univ Blvd, Tucson, AZ 85721 USA

[5] Univ Arizona, Dept Psychiat, Sleep Res Lab, Room 215C,1503 E Univ Blvd, Tucson, AZ 85721 USA

[6] Florida Int Univ, Dept Psychol, Modesto A Maidique Campus,DM 256,11200 SW 8th St, Miami, FL 33199 USA

[7] Nicklaus Childrens Hosp, Psychol Div, 3200 SW 60 Court 205, Miami, FL 33155 USA

[8] Univ Oregon, Dept Psychol, Eugene, OR 97403 USA

来源：

BEHAVIOUR RESEARCH AND THERAPY | 2017年 / 99卷

基金：

英国医学研究理事会;

关键词：

Sleep; Adolescents; Cognitive behavioral therapy; Mindfulness; Behavior problems; Anxiety; Depression; CHRONIC INSOMNIA; ANXIETY; DEPRESSION; CHILDREN; YOUTH; METAANALYSIS; DISORDERS; SYMPTOMS; VALIDITY; THERAPY;

D O I：

10.1016/j.brat.2017.10.006

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: The aim of this study was to test whether a cognitive-behavioral and mindfulness-based group sleep intervention would improve behavior problems in at-risk adolescents, and whether these improvements were specifically related to improvements in sleep. Method: Secondary analysis of a randomized controlled trial conducted with 123 adolescent participants (female = 60%; mean age = 14.48, range 12.04-16.31 years) who had high levels of sleep problems and anxiety symptoms. Participants were randomized into either a sleep improvement intervention (n = 63) or an active control "study skills" intervention (n = 60). Participants completed sleep and behavior problems questionnaires, wore an actiwatch and completed a sleep diary for five school nights, both before and after the intervention. Results: Parallel multiple mediation models showed that postintervention improvements in social problems, attention problems, and aggressive behaviors were specifically mediated by moderate improvements in self reported sleep quality on school nights, but were not mediated by moderate improvements in actigraphy-assessed sleep onset latency or sleep diary-measured sleep efficiency on school nights. Conclusion: This study provides evidence, using a methodologically rigorous design, that a cognitive-behavioral and mindfulness-based group sleep intervention improved behavior problems in at-risk adolescent by improving perceived sleep quality on school nights. These findings suggest that sleep interventions could be directed towards adolescents with behavior problems.

引用

页码：147 / 156

页数：10

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