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A randomized controlled trial of a behavioral intervention for decreasing bedtime procrastination using a wait-list

Sonhye Jeoung1, Huisu Jeon1, Hae-Chung Yang2

  • 1Department of Psychology, Sungshin University, Seoul, Republic of Korea.

Sleep Medicine
|June 24, 2023
PubMed

Insights

A behavioral intervention significantly reduced bedtime procrastination (BP) and improved sleep efficiency in young adults. This study also identified emotional regulation and compensation as key functions of BP.

Area of Science:

  • Behavioral psychology
  • Sleep science
  • Clinical psychology

Background:

  • Bedtime procrastination (BP) is intentionally delaying sleep without external reasons.
  • Understanding the efficacy of interventions for BP is crucial for public health.
  • This study addresses BP in a non-clinical sample of young adults.

Purpose of the Study:

  • To establish the efficacy of a behavioral intervention in reducing bedtime procrastination.
  • To investigate the functions of bedtime procrastination as a sleep-interfering behavior.
  • To assess the intervention's impact on sleep quality and related psychological factors.

Main Methods:

  • A randomized controlled trial with a treatment group and a wait-list control group.
  • Sixty participants (mean age 21.33 years, 86.7% female) with frequent BP were included.
  • Standardized scales (BPS, ESS, ISI, CES-D, MEQ) and sleep diaries were used for data collection.

Main Results:

  • The treatment group showed significant reductions in bedtime procrastination (35.56%) and increased sleep efficiency (5.70%).
  • Participants in the treatment group experienced decreased sleep onset latency and improved insomnia and sleepiness scores.
  • Functional analysis revealed emotional regulation, compensation, and social factors as primary drivers of BP.

Conclusions:

  • A behavioral intervention demonstrates promising efficacy in decreasing bedtime procrastination and improving sleep.
  • Identifying the functions of BP provides insights for targeted therapeutic strategies.
  • Findings support the integration of this intervention in clinical settings for sleep improvement.
Abstract

Keywords:
Bedtime procrastinationPsychotherapyRandomized controlled trialSleep disturbance

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