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Creencias disfuncionales sobre el sueño en adolescentes suicidas: asociaciones e implicaciones del tratamiento
Leah Bullinger1, Afsoon Gazor2, Stephen Buerkert2
1University of Texas Southwestern Medical Center.
Behavior therapy
|August 23, 2025
Resumen
Las creencias disfuncionales sobre el sueño están relacionadas con pensamientos suicidas y problemas de sueño en los adolescentes. Reducir estas creencias puede mejorar el sueño durante el tratamiento de los adolescentes suicidas.
Área de la Ciencia:
- La psiquiatría
- Medicina del sueño
- Salud de los adolescentes
Sus antecedentes:
- La terapia cognitivo-conductual para el insomnio es prometedora para reducir la tendencia al suicidio.
- Las creencias disfuncionales sobre el sueño (DB) son un objetivo clave en estas terapias.
- Existen investigaciones limitadas sobre las DB en adolescentes, particularmente en aquellos que son suicidas.
Objetivo del estudio:
- Evaluar la relación entre los DB y los factores relacionados con el sueño/suicidio en adolescentes con tendencia aguda al suicidio.
- Examinar si los cambios en el DB se correlacionan con los cambios en el sueño durante el tratamiento.
Principales métodos:
- Una muestra de niños de 12 a 18 años en un programa informado de terapia cognitivo-conductual completó las medidas en el ingreso y el alta.
- Las medidas incluyeron la Escala de Creencias Disfuncionales Sobre el Sueño (DBAS), trastornos del sueño, síntomas depresivos, regulación de las emociones e ideación de suicidio.
Principales resultados:
- Los DB totales se asociaron con trastornos del sueño, depresión, dificultades de regulación emocional e ideación suicida.
- Las reducciones en los DB se correlacionaron con mejoras en la calidad del sueño a lo largo del tratamiento.
- La subescala de impotencia del DBAS mostró las asociaciones más fuertes con las variables estudiadas.
Conclusiones:
- Los DB son un objetivo prometedor para el manejo de la ideación suicida en adolescentes.
- Abordar los DB puede mejorar indirectamente el sueño en esta población.
- Se necesita más investigación, incluido el desarrollo de herramientas de evaluación específicas para los adolescentes.
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