年轻人的睡眠:哪些方法现在有效,到哪里有效?行为和认知干预及生活方式因素的元综述。

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Behavioral Sleep Medicine Pub Date : 2024-01-02 Epub Date: 2023-02-28 DOI:10.1080/15402002.2023.2182305
Michelle Olaithe, Cele Richardson, Melissa Ree, Kasey Hartung, Tricia Wylde, Romola Bucks
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引用次数: 0

摘要

目标1)系统回顾(a)探讨影响睡眠的健康/生活方式因素和/或(b)调查青少年(10-25 岁)行为/心理睡眠干预的荟萃分析和系统回顾;2)评估已发表文献的质量,如果是干预措施;3)研究提供方式的方法和有效性,为当前的临床实践和研究方向提供信息:对 Embase (n = 45)、MEDLINE (n = 67)、Web of Science (n = 375)、Google Scholar (n = 138) 进行了系统检索,并进行了手工检索。经全面审查后,选出了 12 篇论文,其中 2 篇为无荟萃分析的系统综述,10 篇为有荟萃分析的系统综述。其中 6 篇研究了睡眠与生活方式/健康之间的关系,6 篇研究了认知行为(4 篇)或学校教育(2 篇)计划:结果:电子媒体的使用、日间(周/周末)类型、性别、年龄、文化/地理位置、药物使用、家庭环境和晚间光照与青少年睡眠呈负相关。只有进行至少 2 × 1 小时的认知和/或行为干预才能改善睡眠:本文为青少年睡眠建议提供了参考,并建议认知行为或行为疗法≥ 2 × 1 小时的疗程是改善青少年睡眠的最低标准。以学校为基础的睡眠干预不会产生长期的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep in young people: What works now and where to? A meta-review of behavioural and cognitive interventions and lifestyle factors.

Objectives: 1) Systematically review meta-analyses and systematic reviews that (a) explored health/lifestyle factors affecting sleep, and/or (b) investigated behavioral/psychological sleep interventions in young people (10-25-years); 2) Evaluate the quality of published literature, and, if an intervention; 3) Examine method and effectiveness of mode of delivery, to inform current clinical practice and research direction.

Method: A systematic search of Embase (n = 45), MEDLINE (n = 67), Web of Science (n = 375), Google Scholar (n = 138), and hand-searching was conducted. After full review, 12 papers were selected, 2 systematic reviews without, and 10 with, meta-analyses. Six examined associations between sleep and lifestyle/health, and six examined cognitive-behavioral (n = 4), or school education (n = 2), programs.

Results: Electronic media use, type of day (week/end), sex, age, culture/geographical location, substance use, family environment, and evening light exposure were negatively associated with sleep, in young people. Only cognitive and/or behavioral interventions of at least 2 × 1-hr sessions improved sleep.

Conclusion: This paper informs sleep recommendations for young people and advises that ≥ 2 × 1-hr sessions of cognitive behavioral or behavioral therapy is the minimum to improve sleep in young people. School-based sleep interventions do not produce long-term change.

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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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