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Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions

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Blake, Matthew J., Sheeber, Lisa B., Youssef, George J., Raniti, Monika B., Allen, Nicholas B.·2017·Clinical Child and Family Psychology Review

DOI 10.1007/s10567-017-0234-5

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Abstract

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.

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“Primarily, sleep disturbances are measurable, malleable [9,10], and signal near-term (i.”
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“Treatments shown to improve sleep in 70%–80% of patients with sleep problems and psychiatric co-morbidities include components of cognitive behavioral therapy for insomnia (CBT-I) such as: CBT (working to change unhelpful beliefs and attitudes about sleep), education on sleep hygiene (health practices and environmenta…”
Background

Authors: Blake, M. J., Sheeber, L. B., Youssef, G. J., Raniti, M. B., & Allen, N. B.
Affiliations: The University of Melbourne (AU)
Oregon Research Institute (US)
Royal Children's Hospital (AU)
Corresponding author: Allen, Nicholas B.
ORCID: Blake, Matthew J.
Sheeber, Lisa B.
Youssef, George J.
Raniti, Monika B.
Allen, Nicholas B.
Venue: Clinical Child and Family Psychology Review
Publisher: Springer Science and Business Media LLC
Published: 2017-03-22
Volume: 20
Issue: 3
Pages: 227-249
ISSN: 1096-4037 (ISSN-L)
1573-2827
DOI: 10.1007/s10567-017-0234-5
OpenAlex: W2603508099
Cited by: 242
References: 164
Citations by year: 2026: 23 · 2025: 28 · 2024: 41 · 2023: 32 · 2022: 20 · 2021: 32 · 2020: 21 · 2019: 29 · 2018: 13 · 2017: 3
FWCI: 2.85
Type: journal article
Language: en
Open access: green
figshare.com
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: Clinical Child and Family Psychology Review (publishedVersion)
PubMed (publishedVersion)
Figshare (submittedVersion, cc-by)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords: adolescents, sleep disorders, total sleep time, sleep latency, sleep efficiency, wake after sleep onset, sleep quality, daytime sleepiness, depression, anxiety, maintenance therapy
MeSH terms: Adolescent, Anxiety, Depression, Humans, Sleep Wake Disorders, Cognitive Behavioral Therapy

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Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions

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