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青少年睡眠数字健康干预中的活性成分:随机对照试验的系统审查和元分析
A Salamanca-Sanabria1, A Fogel2, N Padmapriya3
1Institute for Human Development and Potential (IHDP), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore. Alicia_Salamanca_Sanabria@a-star.edu.sg.
NPJ digital medicine
|December 4, 2025
概括
数字健康干预措施有效治疗青少年失眠. 失眠的数字认知行为疗法 (dCBT-I) 显著降低了失眠的严重程度,改善了睡眠质量,并增加了心理健康益处.
科学领域:
- 青少年睡眠健康 青少年睡眠健康
- 数字心理健康干预数字心理健康干预
- 系统审查和元分析.
背景情况:
- 睡眠问题在青少年中很普遍,影响心理健康.
- 数字健康干预 (DHI) 为青少年睡眠问题提供可扩展的解决方案.
- 了解DHI的有效性对于公共卫生至关重要.
研究的目的:
- 系统地审查和分析 DHI 对青少年睡眠的有效性.
- 确定促进健康睡眠的DHI的活性成分.
- 评估 DHI 对于预防或治疗青少年睡眠不足和失眠的作用.
主要方法:
- 进行了18项随机对照试验 (RCT) 的系统审查和元分析.
- 包括18个RCT的10-24岁参与者 (N=13,296).
- 分析了评估失眠数字认知行为疗法 (dCBT-I) 和促进睡眠计划的试验.
主要成果:
- dCBT-I显著降低了失眠严重程度 (SMD = -3.32) 和改善了睡眠质量 (SMD = -0.32).
- DHIs显示了对心理健康结果的次要益处.
- 教育和生活方式干预具有混合的效果;活性成分包括认知重组,正念,刺激控制和睡眠限制.
结论:
- 对于患有失眠或睡眠不足的青少年来说,dCBT-I非常有益.
- 未来的研究应该专注于优化数字交付和干预忠实度.
- 确定关键活性成分对于持续改善青少年睡眠和心理健康至关重要.
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