治疗青少年失眠症的认知和行为疗法:随机对照试验的系统回顾和荟萃分析。

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY
Yael Galgut, Camilla Hoyos, Liora Kempler, Melissa Aji, Ronald R Grunstein, Christopher J Gordon, Delwyn J Bartlett
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引用次数: 0

摘要

失眠在青少年中很常见,会对健康造成负面影响。本系统综述和荟萃分析评估了失眠认知行为疗法干预对 10-19 岁青少年失眠症状和主观睡眠质量的影响。从开始到2024年10月,对包括CINAHL、Embase、MEDLINE、PsycINFO和Scopus在内的主要电子数据库进行了系统检索,有五项随机对照试验符合定性综合的纳入标准。四项随机对照试验被纳入了荟萃分析,共研究了 527 名参与者。一项采用混合群组设计的随机对照试验因未报告群组数量和规模而被排除在定量分析之外。针对失眠症青少年的认知行为疗法改善了他们的主观睡眠质量和失眠症状,其效应大小(Hedge's g)分别为0.4和1.04。我们的研究结果为失眠认知行为疗法治疗青少年失眠症的疗效提供了支持,无论采用何种治疗方式。我们需要进一步开展高质量的随机对照试验,以加强我们的研究结果,并了解如何为青少年提供最佳的失眠认知行为疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive and behavioural therapy for insomnia in the treatment of adolescent insomnia: A systematic review and meta-analysis of randomised controlled trials.

Insomnia is common in adolescents with associated negative health consequences. This systematic review and meta-analysis assessed the effect of cognitive behavioural therapy for insomnia interventions on insomnia symptoms and subjective sleep quality in adolescents aged 10-19 years. Key electronic databases, including CINAHL, Embase, MEDLINE, PsycINFO and Scopus, were systematically searched from inception to October 2024, and five randomised controlled trials met inclusion criteria for qualitative synthesis. Four randomised controlled trials, examining a total of 527 participants, were included in the meta-analysis. One randomised controlled trial employing a hybrid cluster design was excluded in quantitative analyses due to the number of clusters and sizes not reported. Cognitive behavioural therapy for insomnia delivered to adolescents with insomnia improved subjective sleep quality and insomnia symptoms, with effect sizes (Hedge's g) of 0.4 and 1.04, respectively. Our findings provide support for the efficacy of cognitive behavioural therapy for insomnia in the treatment of adolescents with insomnia regardless of delivery modality. Further high-quality randomised controlled trials are required to strengthen our findings and understand how best to deliver cognitive behavioural therapy for insomnia to adolescents.

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来源期刊
Journal of Sleep Research
Journal of Sleep Research 医学-临床神经学
CiteScore
9.00
自引率
6.80%
发文量
234
审稿时长
6-12 weeks
期刊介绍: The Journal of Sleep Research is dedicated to basic and clinical sleep research. The Journal publishes original research papers and invited reviews in all areas of sleep research (including biological rhythms). The Journal aims to promote the exchange of ideas between basic and clinical sleep researchers coming from a wide range of backgrounds and disciplines. The Journal will achieve this by publishing papers which use multidisciplinary and novel approaches to answer important questions about sleep, as well as its disorders and the treatment thereof.
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