Multicomponent cognitive-behavioural intervention to improve sleep in adolescents: a multiple baseline design.
Behav Cogn Psychother
; 42(3): 368-73, 2014 May.
Article
en En
| MEDLINE
| ID: mdl-25267109
ABSTRACT
BACKGROUND:
Adolescents are prone to sleep problems that have unique developmental aspects and contribute to physical, emotional, and behavioural problems.AIMS:
This study evaluated an individualized, multicomponent intervention that considered developmental factors, and promoted age-appropriate autonomy in three adolescent females with disrupted sleep.METHOD:
Adolescents recorded sleep data on daily logs. A nonconcurrent multiple baseline design was used to evaluate a cognitive-behavioural intervention including sleep hygiene training, bedtime routine development, cognitive restructuring, relaxation training, stimulus control, sleep restriction, bedtime fading, and problem-solving, along with clinically indicated individualization.RESULTS:
Outcomes demonstrated clinically meaningful improvements and decreased variability in sleep parameters following intervention. Each participant's sleep log data indicated improvement in, or maintenance of, adequate total sleep time (TST), decreased sleep onset latency (SOL), improved sleep efficiency (SE), improvement in time of sleep onset, and decreased or continued low frequency of night awakenings (NA). Anecdotally, adolescents and parents reported improvement in daytime functioning, coping, and sense of wellbeing.CONCLUSIONS:
These cases highlight the potential for cognitive-behavioural interventions to facilitate healthy sleep in adolescents with challenging sleep problems.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Privación de Sueño
/
Terapia Cognitivo-Conductual
/
Terapia Combinada
/
Trastornos del Inicio y del Mantenimiento del Sueño
Tipo de estudio:
Diagnostic_studies
Límite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
Behav Cogn Psychother
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
PSIQUIATRIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Estados Unidos