Do sleep disturbances in depressed adolescents improve following psychological treatment for depression?

被引:20
作者
Reynolds, Shirley [1 ]
Orchard, Faith [1 ]
Midgley, Nick [2 ,3 ]
Kelvin, Raphael [4 ]
Goodyer, Ian [4 ]
Odyer, Ian M. G. [4 ]
Barrett, Barbara
Byford, Sarah
Dubicka, Bernadka
Hill, Jonathan
Holland, Fiona
Roberts, Chris
Senior, Rob
Target, Mary
Widmer, Barry
Wilkinson, Paul
Fonagy, Peter
机构
[1] Univ Reading, Sch Psychol & Clin Language Sci, Reading RG6 6AL, Berks, England
[2] Anna Freud Natl Ctr Children & Families, Child Attachment & Psychol Therapies Res Unit ChA, London, England
[3] UCL, Res Dept Clin Educ & Hlth Psychol, London, England
[4] Univ Cambridge, Dept Psychiat, Cambridge, England
关键词
Depression; Sleep; Psychotherapy; Adolescence; COGNITIVE-BEHAVIORAL THERAPY; BRIEF PSYCHOSOCIAL INTERVENTION; RANDOMIZED CONTROLLED-TRIAL; CLINICAL CHARACTERISTICS; RESIDUAL SYMPTOMS; OBSERVER-BLIND; INSOMNIA; PREVALENCE; CHILDREN; PSYCHOTHERAPY;
D O I
10.1016/j.jad.2019.10.029
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Persistent sleep disturbances are one of the most common symptoms of Major Depressive Disorder (MDD) in adolescence. These are not typically targeted in psychological treatments and it is not known if psychological treatment for depression improves sleep. Methods: Secondary analyses were conducted using data from a large, multi-centre, randomised controlled trial (Goodyer et al., 2017b). Young people aged 12-18 years (N = 465; 75% female) met diagnostic criteria for Major Depressive Disorder, based on the Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS). They were randomised to one of three psychological treatments. Sleep difficulties were assessed at baseline, post-treatment (36 weeks) and one year follow up (86 weeks) with the K-SADS, and the Mood and Feelings Questionnaire (MFQ). Results: At baseline, 92% of young people exhibited clinically significant sleep difficulties. Exploratory analyses suggest that sleep difficulties significantly decreased from baseline to end of treatment on self-report and interview-based measures, and this decrease was maintained at follow up. Reduction in sleep difficulties did not differ between the psychological treatments. Approximately, half of young people reported residual sleep difficulties at the end of treatment and at follow-up. Limitations: This paper reports secondary data analyses and findings are exploratory. Conclusions: Tentative results suggest that psychological treatments for depression reduced sleep problems for some participants. However, young people with treatment-resistant sleep problems may benefit from adjunctive sleep interventions. Future work with a range of sleep measures is needed to determine those who have residual sleep problems at the end of treatment and post-treatment follow-up.
引用
收藏
页码:205 / 210
页数:6
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