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A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality
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- 자료유형학술지논문
- 저자명Blake, Matthew J.,Snoep, Lian,Raniti, Monika,Schwartz, Orli,Waloszek, Joanna M.,Simmons, Julian G.,Murray, Greg,Blake, Laura,Landau, Elizabeth R.,Dahl, Ronald E.,Bootzin, Richard,McMakin, Dana L.,Dudgeon, Paul,Trinder, John,Allen, Nicholas B.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2017
- 언어영어
- 학술지명/학위논문주기Behaviour research and therapy
- 발행사항Vol.99No.-[2017]_x000D_
- ISBN/ISSN0005-7967
- 소개/요약Objective: 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. Clinical trial registration: This study was part of The SENSE Study (Sleep and Education: learning New Skills Early). URL: ACTRN12612001177842; http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=ACTRN12612001177842&isBasic=True.
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