The DOI matches its Crossref record; 162 of the 164 references it cites were found in a registry or an index.
Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions
Open accessAbstract
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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“as some research has indicated behavioural components of CBT-I are more effective than cognitive components (Blake et al., 2017)”
From Do non-pharmacological sleep interventions affect anxiety symptoms? A meta-analysis (2022) · cites this paper as Blake et al., 2017
Citations
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,893
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722 · cited 1×
“Additionally, all trials were assessed for publication bias using funnel plots and the Egger test (Egger et al. 1997; Higgins et al. 2003).”
MethodPRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223 · cited 2×
“A systematic review and meta-analysis was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al. 2015).”
MethodConducting Meta-Analyses in R with the metafor Package
Viechtbauer, W. (2010) · Journal of Statistical Software · doi:10.18637/jss.v036.i03 · Cited by 20,464 · cited 1×
“9.8 (Viechtbauer 2010), inR software v 3.3.1 (RCore Team2015).”
InfluentialDiagnostic and Statistical Manual of Mental Disorders, 5th ed.
Carter, M. J. (2014) · Therapeutic Recreation Journal · Cited by 15,154
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052 · cited 1×
“Because comorbidity is the norm (Kessler et al. 2005, 2007), clinicians are often faced with the dilemma of which disorder/ disorders to prioritize for treatment.”
BackgroundMoher, D., Hopewell, S., Schulz, K. F., Montori, V., Gotzsche, P. C., Devereaux, P. J., Elbourne, D., Egger, M., & Altman, D. G. (2010) · BMJ · doi:10.1136/bmj.c869 · Cited by 8,883 · cited 1×
“Empirical evidence shows that lack of reporting of blinding is associated with biased estimates of treatment effect and more positive outcomes (Boutron et al. 2008; Higgins and Green 2011; Moher et al. 2012).”
Background
Research works printed but not linked: 2
- American Medical Association. (2010). Resolution 503: Insufficient sleep in adolescents. Chicago, IL: American Medical Association, American Academy of Sleep Medicine.
- Murtagh, D., & Greenwood, K. (1995). Identifying effective psychological treatments for insomnia. Journal of Consulting and Clinical Psychology, 63, 78–89. · DOI · Paper page
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Items 201–242 of 242
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Franco, P., Challamel, M., Konofal, É., Putois, B., & Lecendreux, M. (2019) · Elsevier eBooks · doi:10.1016/b978-2-294-74892-9.00025-4
Low intensity interventions for sleep problems in children and adolescents
Gavriloff, D., Waite, F., & Espie, C. A. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780198867791.003.0013
Sleep Problems in Young People with Autism: Applied Behavior Analysis Approaches
van Deurs, J. R., McLay, L., & France, K. G. (2022) · Autism and child psychopathology series · doi:10.1007/978-3-030-88538-0_68
Including Children and Adolescents on the Autism Spectrum in the Treatment of Sleep Disturbance
van Deurs, J. R. (2022) · Springer eBooks · doi:10.1007/978-3-030-99134-0_17
El tratamiento psicológico del insomnio durante la infancia: Una revisión paraguas
Kovacheva, K. I. (2023) · Revista de Psicología Clínica con Niños y Adolescentes · doi:10.21134/rpcna.2023.10.1.4
Seehagen, S., & Schoppmann, J. (2023) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000414
Sleep Disturbances and Hygiene of Adolescent Female Survivors of Domestic Minor Sex Trafficking
Petrov, M. E. R., Calvin, S., Wyst, K. B. V., Whisner, C. M., Meltzer, L. J., Chen, A. C., Félix, K. N., & Roe-Sepowitz, D. E. (2023) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2023.07.006 · Cited by 1
Behavioural Treatment Considerations for Insomnia: a Review of Meta-analyses
Pal, A., Basu, A., & Gupta, R. M. (2023) · Current Sleep Medicine Reports · doi:10.1007/s40675-023-00264-7
“The study by Blake et al. [31] included nine RCTs.”
BackgroundDisengagement coping and sleep problems among trauma-exposed adolescents
Thompson, L., Baker, A., Almeida, I. M., Slavish, D. C., & Blumenthal, H. (2023) · Anxiety Stress & Coping · doi:10.1080/10615806.2023.2292180
“Such e ff orts may aid in furthering existing psychoeducation (e.g., Blunden et al., 2012) and selective/indicated intervention programming (e.g., Blake et al., 2017) in e ff orts to support healthy sleep among trauma-exposed adolescents.”
BackgroundWewetzer, C., & Warnke, A. (2023) · Springer eBooks · doi:10.1007/978-3-662-65267-1_23
Mehra, L. M., Hajcak, G., & Meyer, A. M. (2024) · Biological Psychology · doi:10.1016/j.biopsycho.2024.108790
Puberty interacts with sleep and brain network organization to predict mental healthPreprint
Mitchell, M. E., & Nugiel, T. (2024) · doi:10.31234/osf.io/xt28u
Zhang, Y., Choi, K. W., Frach, L., Robinson, E., Ge, T., Pingault, J., & Tiemeier, H. W. (2024) · medRxiv · doi:10.1101/2024.11.02.24316385
“8,9 These discrepancies may be partly explained by the underlying shared genetic architectures for lifestyle risk factors, such as sleep and physical activity, and internalizing problems, which are both known to be influenced by genetic factors.”
Peersmann, S. H. M. (2024) · doi:10.5463/thesis.886
Pagnotta, V. F., Liu, J., Vine, M. M., & Pickett, W. (2025) · Injury Prevention · doi:10.1136/ip-2024-045529
“39 However, some have cautioned that such campaigns may not be as effective in promoting behavioural change long-term.”
Daniel, C., Leyrat, C., Gentina, É., Mesmer‐Magnus, J., Guidice, R. M., & Bailly, S. (2025) · Stress and Health · doi:10.1002/smi.70017
Coronado, H., McClinchie, M. G., Shircliff, K., Lansing, A. H., & Cummings, C. (2025) · Journal of Health Psychology · doi:10.1177/13591053251326380 · Cited by 1
“Previous literature has demonstrated significant relationships between all six dimensions of sleep and adolescents’ emotional state, behavior, and cognition (Beebe, 2011; Blake et al., 2017; Dong et al., 2019).”
Thwaite, T. L., Craige, E. A., Mundell, N. L., Belavý, D. L., Tagliaferri, S. D., Vincent, K., Ferguson, S. A., Sprajcer, M., Owen, P. J., & Vincent, G. E. (2025) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.11678
“25,26 Historically, studies that examined psychological therapies for children and adolescents (aged ≤ 18 years) with chronic pain 27,28 did not consider sleep within this susceptible population group.”
How Does Sleep Affect Emotional Status in Adolescence
He, X. (2025) · Arts Culture and Language · doi:10.61173/jbheqs61
McCrory, S., Crawford, M., Macmahon, K., Ross, C., Mohanty, D., Mistry, D., Chadwick, A. T. F., & Fleming, L. (2025) · Journal of Sleep Research · doi:10.1111/jsr.70174
“Research has also highlighted additional therapeutic benefits of CBTi, including reduced symptoms of depression, anxiety, post-traumatic stress disorder and improved quality of life (Blake et al. 2017; Hertenstein et al. 2022).”
Zhao, J., Li, Y., Chen, Y., Liu, X., & Shuid, A. N. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07467-y
“Additionally, interventions such as cognitive behavioral therapy for insomnia (CBT-I) may effectively improve sleep quality and reduce depression risk [32].”
Sleep in families: Dynamics, challenges, and possible solutions
Gorovoy, S. B., & Bhushan, B. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-13954-3.00003-6
Li, S. X., Cheung, F. T. W., Chan, N. Y., Chan, J. W. Y., Zhang, J., Li, A. M., Espie, C. A., Gradisar, M., & Wing, Y.-K. (2024) · Figshare · doi:10.6084/m9.figshare.25572553
Subotic-Kerry, M., Werner‐Seidler, A., Corkish, B., Batterham, P. J., Sicouri, G., Hudson, J. L., Christensen, H., O’Dea, B., & Li, S. H. (2024) · Figshare · doi:10.6084/m9.figshare.26618599
Huber, R., Gaillard, M., Sievertsen, S., Ma, J., Shao, S., Rubin, D. Y. D., Jones, S. A., Hill, A. R., Bartholomeusz, R., McGlade, E. C., et al. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2025.11.004
“Treatments such as cognitive behavioral sleep interventions 45 have been shown to be effective in improving sleep in adolescents.”
Kalauch, S., Liotta, L., Rhombola, C., Ortin‐Peralta, A., & Miranda, R. (2026) · Cognitive Therapy and Research · doi:10.1007/s10608-026-10714-5
Wright, I. D., Crandall, G., Baldwin, S. A., & Duraccio, K. M. (2026) · Frontiers in Sleep · doi:10.3389/frsle.2026.1731331
“Using G ∗ Power 3.1.9.7, to have at least 80% power to detect a large effect size of 0.80 (Blake et al., 2017) for a reduction in sleep problems as measured by self-report and accelerometry using paired-sample t -tests with a 0.05 two-sided significance level, we would need 23 participants.”
InfluentialNguyen, K., Nair, A., Olaizola, S., Corkum, P. V., Feldman, B. M., Jibb, L., & Stinson, J. (2026) · Sleep Medicine · doi:10.1016/j.sleep.2026.109003
Lin, W., Chiong, Y. K., Liu, M., Shah, M. A. T., Yuen, W. Y., Lee, Y. S., & Tardif, T. Z. (2026) · Sleep Medicine · doi:10.1016/j.sleep.2026.109015
Sommeil et troubles des conduites alimentaires de l’enfant et de l’adolescent
Bat‐Pitault, F. (2026) · Neuropsychiatrie de l Enfance et de l Adolescence · doi:10.1016/j.neurenf.2026.04.009
Gazor, A., Buerkert, S., Dieste, S., Brown, W. D., Naqvi, K. S., Kennard, B. D., & Stewart, S. M. (2026) · Behavioral Sleep Medicine · doi:10.1080/15402002.2026.2673892
Slaapproblemen bij kinderen en adolescenten
de Bruin, E. J., & Hendriks, D. (2026) · GZ - Psychologie · doi:10.1007/978-90-368-3146-8_14
Gillis, B. T., Hinnant, J. B., Martín‐Piñón, O., & Neuhoff, E. L. (2026) · Frontiers in Sleep · doi:10.3389/frsle.2026.1764378
“…HBM and SCT, our intervention is enhanced with cognitive-behavioral components (e.g., emphases on sleep hygiene practices and sleep environments) (Blake et al., 2017) and models of sleep health disparities and resilience (e.g., needs to improve accessibility, provide sleep-support resources, and…”
InfluentialRohmah, I., Hsieh, 邱. T.-N., Jan, Y.-W., Hasan, F., Chen, Y.-C., Widodo, A. F., Lee, H., Lin, C., & Chiu, H. (2026) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.70158
“Although two conventional pairwise meta-analyses have reported the effectiveness of CBTi in treating adolescent insomnia (Blake et al. 2017; Mei et al. 2024), comparative evaluations of its different delivery formats remain unavailable.”
Tortora, N. D., Hunter, J. E., Glicksman, A., McGuire, T., Russell‐Giller, S., Kenepp, A., Taveras, S., Seehra, S., Goldman, R., Hinton, V. J., et al. (2026) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2026.1820313
“While treatment in adolescents and adults in the general population has shown promise in improving sleep quality and mental health (Blake et al., 2017, 2018; Ballesio et al., 2018), our findings emphasize the need for more proactive and consistent monitoring of individuals with a PM.”
Yalçıntürk, A. A., Babaoğlu, E., Bicer, Y., & Gul, B. (2026) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20260710-03
Precision Sleep Signatures to Predict Mental Health Outcomes in Youth
Soehner, A. M., McMakin, D. L., Jalbrzikowski, M., & Wallace, M. L. (2026) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2026.07.017
Hegarty‐Craver, M., Chang, C., Ridenour, T. A., Preble, E. A., Stevens, J., Benjamin, K., Wenger, M., Chung, A., Qian, T., Jenness, J. L., et al. (2026) · doi:10.2196/preprints.108371
The Impact of Cognitive Behavioral Therapy for Insomnia in Adolescent with Psychiatric
王, 玉. (2026) · Advances in Clinical Medicine · doi:10.12677/acm.2026.1693251
Hamilton, A. L., & Kidwell, K. M. (2026) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsag073
Stevens, J., Chang, C. Y., Benjamin, K. S., Preble, E., Hegarty‐Craver, M., Ridenour, T. A., Wenger, M., Munson, S. A., Aung, T., Chung, A., et al. (2026) · Current Sleep Medicine Reports · doi:10.1007/s40675-026-00397-5
Metadata
- 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.
- Venue
- Clinical Child and Family Psychology Review
- Published
- 2017-03-22
- Volume
- 20
- Issue
- 3
- Pages
- 227-249
- ISSN
- 1096-4037 (ISSN-L)
- 1573-2827
- 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
- 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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