1. The SENSE Study: Post Intervention Effects of a Randomized Controlled Trial of a Cognitive-Behavioral and Mindfulness-Based Group Sleep Improvement Intervention among At-Risk Adolescents
- Author
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Richard R. Bootzin, Greg Murray, Nicholas B. Allen, John Trinder, Monika Raniti, Paul Dudgeon, Julian G Simmons, Ronald E. Dahl, Matthew J. Blake, Orli Schwartz, Joanna M Waloszek, and L. Blake
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Male ,medicine.medical_specialty ,Adolescent ,Outcome Assessment ,Sleep Wake Disorders ,Anxiety ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Sleep Initiation and Maintenance Disorders ,Outcome Assessment, Health Care ,Insomnia ,medicine ,Humans ,Psychology ,030212 general & internal medicine ,sleep ,Psychiatry ,Child ,intervention ,Cognitive Behavioral Therapy ,Actigraphy ,Psychotherapy ,Health Care ,Psychiatry and Mental health ,Clinical Psychology ,Mood ,Cognitive Therapy ,depression ,Psychotherapy, Group ,Sleep diary ,Female ,adolescence ,Sleep onset latency ,Group ,medicine.symptom ,Mindfulness ,030217 neurology & neurosurgery ,Clinical psychology - Abstract
Author(s): Blake, Matthew; Waloszek, Joanna M; Schwartz, Orli; Raniti, Monika; Simmons, Julian G; Blake, Laura; Murray, Greg; Dahl, Ronald E; Bootzin, Richard; Dudgeon, Paul; Trinder, John; Allen, Nicholas B | Abstract: ObjectiveSleep problems are a major risk factor for the emergence of mental health problems in adolescence. The aim of this study was to investigate the post intervention effects of a cognitive-behavioral/mindfulness-based group sleep intervention on sleep and mental health among at-risk adolescents.MethodA randomized controlled trial (RCT) was conducted across High schools in Melbourne, Australia. One hundred forty-four adolescents (aged 12-17 years) with high levels of anxiety and sleeping difficulties, but without past or current depressive disorder, were randomized into either a sleep improvement intervention or an active control 'study skills' intervention. Both programs consisted of 7 90-min-long group sessions delivered over 7 weeks. One hundred twenty-three participants began the interventions (female = 60%; mean age = 14.48, SD = 0.95), with 60 in the sleep condition and 63 in the control condition. All participants were required to complete a battery of mood and sleep questionnaires, 7 days of wrist actigraphy (an objective measure of sleep), and sleep diary entry at pre- and-post intervention.ResultsThe sleep intervention condition was associated with significantly greater improvements in subjective sleep (global sleep quality [with a medium effect size], sleep onset latency, daytime sleepiness [with small effect sizes]), objective sleep (sleep onset latency [with a medium effect size]), and anxiety (with a small effect size) compared with the control intervention condition.ConclusionThe SENSE study provides evidence that a multicomponent group sleep intervention that includes cognitive-behavioral and mindfulness-based therapies can reduce sleep initiation problems and related daytime dysfunction, along with concomitant anxiety symptoms, among at-risk adolescents. (PsycINFO Database Record
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- 2016
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