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Cognitive and Behav...
Cognitive and Behavioral Interventions to Improve Sleep in School-Age Children and Adolescents : A Systematic Review and Meta-Analysis
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- Åslund, Lie (författare)
- Stockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden
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- Arnberg, Filip (författare)
- Uppsala universitet,Psykiatri, Akademiska sjukhuset,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Kanstrup, Marie (författare)
- Karolinska Institutet
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- Lekander, Mats (författare)
- Stockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden
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(creator_code:org_t)
- American Academy of Sleep Medicine (AASM), 2018
- 2018
- Engelska.
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Ingår i: Journal of Clinical Sleep Medicine (JCSM). - : American Academy of Sleep Medicine (AASM). - 1550-9389 .- 1550-9397. ; 14:11, s. 1937-1947
- Relaterad länk:
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https://jcsm.aasm.or...
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https://urn.kb.se/re...
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https://doi.org/10.5...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Study ObjectivesSleep problems are common in children and adolescents and can aggravate comorbid disorders. This meta-analysis examined the effect of cognitive and behavioral sleep interventions (with four or more treatment sessions) from randomized controlled trials on school-age children and adolescents.MethodsIn a systematic literature search, six randomized controlled trials were identified (n = 528; mean age = 14.6 years; female = 63%) that reported total sleep time (TST), sleep onset latency (SOL), wake after sleep onset, and daytime sleepiness from ratings and actigraphy.ResultsAfter intervention, no effect was seen on self-reported TST, but when measured with actigraphy, an effect favoring the intervention group was observed (+11.47 minutes, P = .05). SOL decreased in the intervention group compared to the control group after intervention as measured by both sleep diaries (−9.31 minutes, P = .007) and actigraphy (−19.48 minutes, P < .0001). Effect sizes ranged from small to large. No effect was found for wake after sleep onset or daytime sleepiness. Short-term (4 to 8 weeks) follow-up data from four studies indicated maintained positive effects on SOL: sleep diaries −15.85 minutes (P = .01) and actigraphy −23.67 minutes (P < .0001). At follow-up, the effects on wake after sleep onset from ratings (−14.41 minutes, P = .001) and actigraphy (−7.54 minutes, P = .01) were significant, favoring the intervention group (moderate to large effect sizes). No effect on TST was indicated.ConclusionsCognitive and behavioral sleep interventions are indicated to improve sleep in school-age children and adolescents. However, because treatment protocols were heterogeneous and risk of bias high, results should be interpreted with caution. Large and rigorous trials are needed.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- adolescence
- cognitive behavioral therapy
- insomnia
- intervention
- meta-analysis
- school-age children
- sleep
- sleep disorder
- systematic review
- Psychology
- psykologi
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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