Efficacy of brief behavioral and sleep hygiene education with mindfulness intervention on sleep, social jetlag and mental health in adolescence: a pilot study.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2025-01-16 DOI:10.1007/s11325-024-03238-3

Ingibjörg Magnúsdóttir, Sólveig Magnúsdóttir, Auður Karen Gunnlaugsdóttir, Hugi Hilmisson, Laufey Hrólfsdóttir, Anna Eyfjörd Eiriksdóttir

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Abstract

Objectives: Sleep is often compromised in adolescents, affecting their health and quality of life. This pilot-study was conducted to evaluate if implementing brief-behavioral and sleep-hygiene education with mindfulness intervention may positively affect sleep-health in adolescents.

Method: Participants in this community-based non-randomized cohort-study volunteered for intervention (IG)- or control-group (CG). Sleep was recorded during regular school-schedule for 3-school-nights and 2-non-school-nights with an FDA-cleared/EU-Medical Device Regulation (CE-2862) compliant home sleep test, and Questionnaires were utilized to evaluate chronotype, sleepiness, insomnia-, anxiety- and depression-symptoms. The four-week intervention included sleep-hygiene education, mindfulness- and breathing-practices for one-hour, twice weekly. Data was collected during the last-week of February and first two-weeks of March 2023 and repeated after intervention.

Results: Fifty-five participants completed the study, IG (86%) and CG (77%). Average age was 17.3-years and prevalence of severe social-jetlag (SJL) 72%. Participants who quit participation (n = 10) after baseline data-collection all females (3-IG/7-CG) in comparison to participants who completed the study were sleepier than the IG and CG (+ 2.6-p = 0.04; + 3.8-p = 0.001), with more symptoms of insomnia- (+ 3.8-p = 0.002; + 4.7-p < 0.0001), and depression (+ 16.7-p < 0.0001; + 19.6-p < 0.0001), and report being later-chronotypes, (-18.2, p < 0.0001;-13.1, p < 0.0001). On average the IG advanced sleep-onset (32-min; p = 0.030), decreased SJL (37-min; p = 0.011) and increased total sleep time (TST, 29-min; p = 0.088) compared to the CG. Average sleep duration did not differ significantly comparing IG and CG after intervention. Stratifying participants with severe SJL (> 2-h) at baseline; 1) responders (61%) advanced sleep-onset on non-school-nights (96-min) and decreased SJL (103-min; p < 0.001) 2) non-responders (39%) increased sleep-duration on school-nights (36-min) and non-school-nights (63-min) but maintained severe-SJL.

Conclusion: Teacher-lead sleep-education and mindfulness program can improve TST and SJL in adolescence.

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短期行为和睡眠卫生教育结合正念干预对青少年睡眠、社会时差和心理健康的影响：一项试点研究

目的：青少年的睡眠常常受到损害，影响他们的健康和生活质量。本初步研究旨在评估在正念干预下实施简短行为和睡眠卫生教育是否会对青少年睡眠健康产生积极影响。方法：这项以社区为基础的非随机队列研究的参与者自愿分为干预组（IG）和对照组（CG）。通过符合fda批准/欧盟医疗器械法规（CE-2862）的家庭睡眠测试，记录了3个上学夜和2个非上学夜的正常作息时间的睡眠情况，并使用问卷调查来评估睡眠类型、嗜睡、失眠、焦虑和抑郁症状。为期四周的干预包括睡眠卫生教育、正念和呼吸练习，每次一小时，每周两次。在2023年2月最后一周和3月前两周收集数据，并在干预后重复。结果：55名参与者完成了研究，IG（86%）和CG（77%）。平均年龄17.3岁，严重社会时差（SJL）患病率72%。与完成研究的参与者相比，基线数据收集后退出研究的参与者（n = 10）(所有女性（3-IG/7-CG）比IG和CG更困（+ 2.6-p = 0.04; + 3.8-p = 0.001），失眠症状更多- （+ 3.8-p = 0.002; + 4.7-p 2小时）；1)应答者（61%）在非上学夜睡眠开始提前（96分钟），SJL下降（103分钟）；p结论：教师主导的睡眠教育和正念计划可以改善青少年的TST和SJL。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.