对患有多动症的青少年进行认知行为睡眠卫生干预的有效性:随机对照试验
Lena Keuppens1,2, Finja Marten3, Dieter Baeyens3,4
1KU Leuven, Leuven, Belgium. lena.keuppens@kuleuven.be.
European child & adolescent psychiatry
|May 27, 2025
概括
认知行为疗法SIESTA睡眠卫生干预改善了睡眠,并减少了多动症青少年的抑郁症状. 长期效果可能会受益于增强疗程.
科学领域:
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
背景情况:
- 睡眠问题对于患有注意力缺陷/多动障碍 (ADHD) 的青少年来说是常见的和破坏性的.
- 基于认知行为疗法 (CBT) 的干预措施显示出改善不同人群睡眠的希望.
- 一种新的CBT睡眠卫生干预,SIESTA,是为患有多动症的青少年开发的.
研究的目的:
- 评估SIESTA干预措施的有效性与常规治疗 (TAU) 相比,在患有多动症和睡眠问题的青少年中.
- 评估SIESTA对睡眠卫生,睡眠-觉醒行为和抑郁症状的影响.
主要方法:
- 一项随机对照试验,涉及92名青少年 (平均年龄14.36岁),被诊断患有多动症和睡眠问题.
- 参与者被随机分配,接受SIESTA加TAU或单独TAU.
- 通过青少年/家长评分,动图和睡眠日记在测试前,测试后和4个月的随访中收集的数据. 使用线性混合效应模型进行治疗意向分析.
主要成果:
- 与单独TAU相比,SIESTA+TAU组在睡眠卫生方面显著改善,慢性睡眠减少减少,睡眠-清醒问题行为减少.
- 在4个月的随访期内,睡眠卫生状况的改善得到了持续.
- 与仅服用TAU的组相比,SIESTA+TAU组的抑郁症状也显著减少.
结论:
- SIESTA干预有效地提高了睡眠卫生,缓解了感知到的睡眠问题,并减少了患有多动症的青少年的抑郁症状.
- 虽然SIESTA显示出积极的短期效果,但对于持续的长期效益,可能需要进行增强疗程.
- 进一步的研究可以探索最佳的频率和持续时间的增强疗程,以最大限度地提高治疗效率.
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