研究文摘:睡眠

IF 0.4 Q4 PSYCHOLOGY, CLINICAL JOURNAL OF CHILD PSYCHOTHERAPY Pub Date : 2022-01-02 DOI:10.1080/0075417X.2022.2043414
Rachel Acheson
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Results: Overall, children from P-A countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to both bed-share and room-share than children from P-C countries, p < .001. Bedtimes ranged from 19:27 (New Zealand) to 22:17 (Hong Kong) and total sleep time from 11.6 (Japan) to 13.3 (New Zealand) hours, p < .0001. There were limited differences in daytime sleep. Bed-sharing with parents ranged from 5.8% in New Zealand to 83.2% in Vietnam. There was also a wide range in the percentage of parents who perceived that their child had a sleep problem (11% in Thailand to 76% in China). Conclusions: Overall, children from predominantly-Asian countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to room-share than children from predominantly-Caucasian countries/regions. These results indicate substantial differences in sleep patterns in young children across culturally diverse countries/regions. Further studies are needed to understand the basis for and impact of these interesting differences. Empirical findings regarding the association between child attachment and sleep have been inconsistent. The objectives of this series of meta-analyses were to assess the size of the association between child sleep and attachment and to examine whether study methodology (attachment measure, sleep measure) and age moderate this association. Sixteen studies (2783 children aged from 6 to 38 months) were included. Significant associations were found between attachment security and sleep efficiency ( r = .18) and attachment resistance and sleep problems ( r = .18). There were significant moderator effects of sleep measure and age of the child, with the size of the association between sleep and attachment security increasing with age ( R 2 analog = .67). Inconsistent findings are likely due to inter-study variabilities in methodology and to a developmental effect on the sleep-attachment association. how to regulate emotion as a function of both contextual factors and individual differences. Aim: To evaluate parental perspectives on the acceptability and usefulness of a ‘cued-care’ approach to infant sleep implemented in an Australian primary care setting. The Possums Infant Sleep Program aims to empower parents to better understand their infant’s sleep and their responses to it, and optimize healthy function of the infant’s biological sleep regulators to protect against excessive night-waking. Methods: The evaluation was undertaken by an independent infant sleep researcher, with no previous involvement in the Possums program. Parents’ experiences of the sleep intervention were captured using a mixed methods approach involving (a) group discussions of sleep issues between parents and clinic staff, (b) discussions with parents who volunteered to provide face-to-face feedback, and (c) an online survey designed in light of the information gained from a and b. A one-year audit of clinic registrations provided contextual data. Results: Sixty-four clinic clients fully (45) or partially (19) provided answers to survey questions. Respondents were primarily mothers, mean age 34, with a postgraduate qualification and high family income. Their term infants were predominantly breastfed and attended the clinic for feeding and/or sleeping difficulties across the first year of life. Almost all embraced the Possums approach, describing it as challenging and life changing. Audit data confirmed the survey sample reflected the general clinic population. Conclusions: The Possums Infant Sleep Program was acceptable to parents, and highly valued. Recipients reported reduced stress, less concern about perceived sleep problems (frequent night-waking, short-day-time naps, delayed sleep onset), and better quality of life. child risk variables predicting sleep problems. Parental presence at bedtime (risk), negative parenting style (e.g., lax or permissive parenting; risk), consistent bedtime routines (protective), and lower composite socioeconomic status (risk) were identified as family/parent variables predicting child sleep problems. No well-established predictors were found at the community level. Future research should employ advanced research designs more frequently and investigate: 1) risk pathways across development; and 2) nightly fluctuations in sleep problems. Background: Sleep problems are common in adolescence, and frequently comorbid with both anxiety and depression. Research studies have suggested a bidirectional relationship between sleep and psychopathology, which includes evidence that sleep interventions can alleviate symptoms of anxiety and depression. However, little is known about the nature of sleep problems amongst adolescents with anxiety and depression, and whether specific sleeping difficulties are involved in the longitudinal relationship between sleep, anxiety and depression. Method: The sample was derived from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based, prospective, birth cohort study of children born in 1991–1992. Data were explored from a subset of participants who took part in a clinical assessment at age 15, on self-report sleep patterns and quality, and diagnostic outcomes of anxiety and depression ( N = 5,033). Subsequent diagnostic and symptom severity data on anxiety and depression at ages 17, 21 and 24 were also examined. Results: Cross-sectional and longitudinal analyses were conducted to explore the relationship between sleep problems, anxiety and depression. Results revealed that adolescents aged 15 with depression experience difficulties with both sleep patterns and sleep quality, whereas adolescents with anxiety only reported problems with sleep quality. A range of sleep variables at age 15 predicted the severity of anxiety and depression symptoms and the diagnoses of anxiety and depressive disorders at age 17, 21 and 24 years. Conclusions: The results provide further insight into the nature of sleep problems amongst adolescents with anxiety and depression, and the prospective relationship between sleep disturbance and future psychopathology. These data suggest that targeting sleep difficulties during adolescence may have long-term mental health benefits. In the United States, more than two-thirds of adolescents and one-third of emerging adults report habitual short sleep duration, which is a known risk factor for psychological distress. The primary aim of this systematic review and meta-analysis was to evaluate the effect of behavioral sleep-promoting interventions on the sleep characteristics (e.g., total sleep time and sleep efficiency) of adolescents and emerging adults (aged 12–25 y) who do not have a sleep disorder. The secondary aim was to determine the effect of behavioral sleep-promoting interventions on psychological distress. Multiple electronic databases were searched for relevant randomized controlled trials (RCTs) published in English. Fourteen RCTs were included in the qualitative synthesis (N = 932), seven were included in the meta-analysis (n = 711) to address the primary aim, and three (n = 253) were included to address the secondary aim. The pooled standardized mean difference for sleep-promoting interventions after treatment for total sleep time was 34.92 min (95% CI: 8.70, 61.14). Sleep-promoting interventions had no significant effect on sleep efficiency. More RCTs that involve adolescents and emerging adults are needed to determine the effect of sleep-promoting interventions on reducing psychological distress in this high-risk age group.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Research digest: sleep\",\"authors\":\"Rachel Acheson\",\"doi\":\"10.1080/0075417X.2022.2043414\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"the normal range of serious health problems health well-being. Background: To characterize cross-cultural sleep patterns and sleep problems in a large sample of children ages birth to 36 months in multiple predominantly-Asian (P-A) and predominantly-Caucasian (P-C) countries. Methods: Parents of 29,287 infants and toddlers (predominantly-Asian countries/ regions: China, Hong Kong, India, Indonesia, Korea, Japan, Malaysia, Philippines, Singapore, Taiwan, Thailand, Vietnam; predominantly-Caucasian countries: Australia, Canada, New Zealand, United Kingdom, United States) completed an internet-based expanded version of the Brief Infant Sleep Questionnaire. Results: Overall, children from P-A countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to both bed-share and room-share than children from P-C countries, p < .001. Bedtimes ranged from 19:27 (New Zealand) to 22:17 (Hong Kong) and total sleep time from 11.6 (Japan) to 13.3 (New Zealand) hours, p < .0001. There were limited differences in daytime sleep. Bed-sharing with parents ranged from 5.8% in New Zealand to 83.2% in Vietnam. There was also a wide range in the percentage of parents who perceived that their child had a sleep problem (11% in Thailand to 76% in China). Conclusions: Overall, children from predominantly-Asian countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to room-share than children from predominantly-Caucasian countries/regions. These results indicate substantial differences in sleep patterns in young children across culturally diverse countries/regions. Further studies are needed to understand the basis for and impact of these interesting differences. Empirical findings regarding the association between child attachment and sleep have been inconsistent. The objectives of this series of meta-analyses were to assess the size of the association between child sleep and attachment and to examine whether study methodology (attachment measure, sleep measure) and age moderate this association. Sixteen studies (2783 children aged from 6 to 38 months) were included. Significant associations were found between attachment security and sleep efficiency ( r = .18) and attachment resistance and sleep problems ( r = .18). There were significant moderator effects of sleep measure and age of the child, with the size of the association between sleep and attachment security increasing with age ( R 2 analog = .67). Inconsistent findings are likely due to inter-study variabilities in methodology and to a developmental effect on the sleep-attachment association. how to regulate emotion as a function of both contextual factors and individual differences. Aim: To evaluate parental perspectives on the acceptability and usefulness of a ‘cued-care’ approach to infant sleep implemented in an Australian primary care setting. The Possums Infant Sleep Program aims to empower parents to better understand their infant’s sleep and their responses to it, and optimize healthy function of the infant’s biological sleep regulators to protect against excessive night-waking. Methods: The evaluation was undertaken by an independent infant sleep researcher, with no previous involvement in the Possums program. Parents’ experiences of the sleep intervention were captured using a mixed methods approach involving (a) group discussions of sleep issues between parents and clinic staff, (b) discussions with parents who volunteered to provide face-to-face feedback, and (c) an online survey designed in light of the information gained from a and b. A one-year audit of clinic registrations provided contextual data. 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Parental presence at bedtime (risk), negative parenting style (e.g., lax or permissive parenting; risk), consistent bedtime routines (protective), and lower composite socioeconomic status (risk) were identified as family/parent variables predicting child sleep problems. No well-established predictors were found at the community level. Future research should employ advanced research designs more frequently and investigate: 1) risk pathways across development; and 2) nightly fluctuations in sleep problems. Background: Sleep problems are common in adolescence, and frequently comorbid with both anxiety and depression. Research studies have suggested a bidirectional relationship between sleep and psychopathology, which includes evidence that sleep interventions can alleviate symptoms of anxiety and depression. However, little is known about the nature of sleep problems amongst adolescents with anxiety and depression, and whether specific sleeping difficulties are involved in the longitudinal relationship between sleep, anxiety and depression. Method: The sample was derived from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based, prospective, birth cohort study of children born in 1991–1992. Data were explored from a subset of participants who took part in a clinical assessment at age 15, on self-report sleep patterns and quality, and diagnostic outcomes of anxiety and depression ( N = 5,033). Subsequent diagnostic and symptom severity data on anxiety and depression at ages 17, 21 and 24 were also examined. Results: Cross-sectional and longitudinal analyses were conducted to explore the relationship between sleep problems, anxiety and depression. Results revealed that adolescents aged 15 with depression experience difficulties with both sleep patterns and sleep quality, whereas adolescents with anxiety only reported problems with sleep quality. A range of sleep variables at age 15 predicted the severity of anxiety and depression symptoms and the diagnoses of anxiety and depressive disorders at age 17, 21 and 24 years. Conclusions: The results provide further insight into the nature of sleep problems amongst adolescents with anxiety and depression, and the prospective relationship between sleep disturbance and future psychopathology. These data suggest that targeting sleep difficulties during adolescence may have long-term mental health benefits. In the United States, more than two-thirds of adolescents and one-third of emerging adults report habitual short sleep duration, which is a known risk factor for psychological distress. 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引用次数: 0

摘要

正常范围内严重的健康问题。背景:在以亚洲(P-A)和高加索(P-C)为主的多个国家的大样本出生至36个月的儿童中,研究跨文化睡眠模式和睡眠问题。方法:29,287名婴幼儿的家长(主要来自亚洲国家/地区:中国、香港、印度、印度尼西亚、韩国、日本、马来西亚、菲律宾、新加坡、台湾、泰国、越南;主要是高加索国家:澳大利亚、加拿大、新西兰、英国、美国)完成了一份基于互联网的扩展版婴儿简短睡眠问卷。结果:总体而言,与p - c国家的儿童相比,p - a国家的儿童就寝时间明显较晚,总睡眠时间较短,父母对睡眠问题的感知增加,并且更有可能共用床和共用房间,p < 0.001。就寝时间由19:27(新西兰)至22:17(香港),总睡眠时间由11.6(日本)至13.3(新西兰)小时,p < 0.0001。白天睡眠方面的差异有限。与父母同床的比例从新西兰的5.8%到越南的83.2%不等。认为孩子有睡眠问题的父母比例也有很大差异(泰国为11%,中国为76%)。结论:总体而言,与主要来自高加索国家/地区的儿童相比,主要来自亚洲国家/地区的儿童的就寝时间明显较晚,总睡眠时间较短,父母对睡眠问题的感知增加,并且更有可能共用房间。这些结果表明,在不同文化背景的国家/地区,幼儿的睡眠模式存在巨大差异。需要进一步的研究来了解这些有趣的差异的基础和影响。关于儿童依恋与睡眠之间关系的实证研究结果并不一致。这一系列荟萃分析的目的是评估儿童睡眠和依恋之间的关联程度,并检查研究方法(依恋测量、睡眠测量)和年龄是否会缓和这种关联。纳入16项研究(2783名6至38个月的儿童)。依恋安全与睡眠效率(r = 0.18)、依恋抵抗与睡眠问题(r = 0.18)之间存在显著关联。儿童的睡眠测量和年龄对依恋安全有显著的调节作用,随着年龄的增长,睡眠与依恋安全的相关性逐渐增大(r2模拟值= 0.67)。不一致的结果可能是由于研究方法的差异和睡眠依恋关联的发展影响。情境因素和个体差异共同作用下的情绪调节。目的:评估父母对在澳大利亚初级保健环境中实施的婴儿睡眠“提示护理”方法的可接受性和有用性的看法。负鼠婴儿睡眠计划旨在帮助父母更好地了解婴儿的睡眠和他们对睡眠的反应,并优化婴儿生物睡眠调节器的健康功能,以防止过度的夜醒。方法:评估是由一个独立的婴儿睡眠研究者进行的,以前没有参与负鼠项目。父母对睡眠干预的体验是通过一种混合方法获得的,包括(a)父母和诊所工作人员之间关于睡眠问题的小组讨论,(b)与自愿提供面对面反馈的父母的讨论,以及(c)根据从a和b中获得的信息设计的在线调查。对诊所登记进行为期一年的审计提供了相关数据。结果:64名门诊病人全部(45名)或部分(19名)回答了调查问题。受访者主要为母亲,平均年龄34岁,具有研究生学历,家庭收入较高。他们的足月婴儿主要是母乳喂养的,在出生后的第一年里,他们会因为喂养和/或睡眠困难而去诊所。几乎所有人都接受了负鼠的方法,称其为具有挑战性和改变生活的方法。审计数据证实调查样本反映了普通门诊人群。结论:负鼠婴儿睡眠项目为家长所接受,受到高度评价。接受者报告压力减轻,对睡眠问题(频繁夜间醒来,白天小睡时间短,睡眠延迟)的担忧减少,生活质量提高。预测睡眠问题的儿童风险变量。父母就寝时间(风险),消极的养育方式(例如,宽松或纵容的养育方式;风险),一致的就寝时间(保护性)和较低的综合社会经济地位(风险)被确定为预测儿童睡眠问题的家庭/父母变量。在社区层面没有发现成熟的预测因子。 未来的研究应更频繁地采用先进的研究设计,并调查:1)整个发展过程中的风险路径;2)夜间睡眠问题的波动。背景:睡眠问题在青少年中很常见,并且经常伴有焦虑和抑郁。研究表明,睡眠和精神病理之间存在双向关系,其中包括睡眠干预可以减轻焦虑和抑郁症状的证据。然而,对于患有焦虑和抑郁的青少年的睡眠问题的本质,以及特定的睡眠困难是否与睡眠、焦虑和抑郁之间的纵向关系有关,人们知之甚少。方法:样本来自雅芳父母与儿童纵向研究(ALSPAC),这是一项基于人群的前瞻性出生队列研究,研究对象为1991-1992年出生的儿童。研究人员从15岁时参加临床评估的一部分参与者中收集数据,包括自我报告的睡眠模式和质量,以及焦虑和抑郁的诊断结果(N = 5033)。随后对17岁、21岁和24岁的焦虑和抑郁的诊断和症状严重程度数据也进行了检查。结果:通过横断面和纵向分析探讨睡眠问题、焦虑和抑郁之间的关系。结果显示,15岁患有抑郁症的青少年在睡眠模式和睡眠质量方面都有困难,而患有焦虑症的青少年只报告了睡眠质量问题。15岁时的一系列睡眠变量预测了焦虑和抑郁症状的严重程度,以及17岁、21岁和24岁时焦虑和抑郁障碍的诊断。结论:研究结果进一步揭示了焦虑抑郁青少年睡眠问题的本质,以及睡眠障碍与未来精神病理之间的潜在关系。这些数据表明,在青少年时期解决睡眠问题可能对心理健康有长期的好处。在美国,超过三分之二的青少年和三分之一的刚成年的人报告习惯性睡眠时间短,这是一个已知的心理困扰的风险因素。本系统综述和荟萃分析的主要目的是评估行为睡眠促进干预对没有睡眠障碍的青少年和初成人(12-25岁)的睡眠特征(例如,总睡眠时间和睡眠效率)的影响。第二个目的是确定行为睡眠促进干预对心理困扰的影响。在多个电子数据库中检索相关的英文发表的随机对照试验(RCTs)。定性综合纳入14项随机对照试验(N = 932), meta分析纳入7项随机对照试验(N = 711)以达到主要目的,3项随机对照试验(N = 253)以达到次要目的。促进睡眠干预治疗后总睡眠时间的标准化平均差异为34.92 min (95% CI: 8.70, 61.14)。促进睡眠的干预措施对睡眠效率没有显著影响。需要更多涉及青少年和初成成人的随机对照试验来确定促进睡眠干预对减少这一高危年龄组心理困扰的影响。
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Research digest: sleep
the normal range of serious health problems health well-being. Background: To characterize cross-cultural sleep patterns and sleep problems in a large sample of children ages birth to 36 months in multiple predominantly-Asian (P-A) and predominantly-Caucasian (P-C) countries. Methods: Parents of 29,287 infants and toddlers (predominantly-Asian countries/ regions: China, Hong Kong, India, Indonesia, Korea, Japan, Malaysia, Philippines, Singapore, Taiwan, Thailand, Vietnam; predominantly-Caucasian countries: Australia, Canada, New Zealand, United Kingdom, United States) completed an internet-based expanded version of the Brief Infant Sleep Questionnaire. Results: Overall, children from P-A countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to both bed-share and room-share than children from P-C countries, p < .001. Bedtimes ranged from 19:27 (New Zealand) to 22:17 (Hong Kong) and total sleep time from 11.6 (Japan) to 13.3 (New Zealand) hours, p < .0001. There were limited differences in daytime sleep. Bed-sharing with parents ranged from 5.8% in New Zealand to 83.2% in Vietnam. There was also a wide range in the percentage of parents who perceived that their child had a sleep problem (11% in Thailand to 76% in China). Conclusions: Overall, children from predominantly-Asian countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to room-share than children from predominantly-Caucasian countries/regions. These results indicate substantial differences in sleep patterns in young children across culturally diverse countries/regions. Further studies are needed to understand the basis for and impact of these interesting differences. Empirical findings regarding the association between child attachment and sleep have been inconsistent. The objectives of this series of meta-analyses were to assess the size of the association between child sleep and attachment and to examine whether study methodology (attachment measure, sleep measure) and age moderate this association. Sixteen studies (2783 children aged from 6 to 38 months) were included. Significant associations were found between attachment security and sleep efficiency ( r = .18) and attachment resistance and sleep problems ( r = .18). There were significant moderator effects of sleep measure and age of the child, with the size of the association between sleep and attachment security increasing with age ( R 2 analog = .67). Inconsistent findings are likely due to inter-study variabilities in methodology and to a developmental effect on the sleep-attachment association. how to regulate emotion as a function of both contextual factors and individual differences. Aim: To evaluate parental perspectives on the acceptability and usefulness of a ‘cued-care’ approach to infant sleep implemented in an Australian primary care setting. The Possums Infant Sleep Program aims to empower parents to better understand their infant’s sleep and their responses to it, and optimize healthy function of the infant’s biological sleep regulators to protect against excessive night-waking. Methods: The evaluation was undertaken by an independent infant sleep researcher, with no previous involvement in the Possums program. Parents’ experiences of the sleep intervention were captured using a mixed methods approach involving (a) group discussions of sleep issues between parents and clinic staff, (b) discussions with parents who volunteered to provide face-to-face feedback, and (c) an online survey designed in light of the information gained from a and b. A one-year audit of clinic registrations provided contextual data. Results: Sixty-four clinic clients fully (45) or partially (19) provided answers to survey questions. Respondents were primarily mothers, mean age 34, with a postgraduate qualification and high family income. Their term infants were predominantly breastfed and attended the clinic for feeding and/or sleeping difficulties across the first year of life. Almost all embraced the Possums approach, describing it as challenging and life changing. Audit data confirmed the survey sample reflected the general clinic population. Conclusions: The Possums Infant Sleep Program was acceptable to parents, and highly valued. Recipients reported reduced stress, less concern about perceived sleep problems (frequent night-waking, short-day-time naps, delayed sleep onset), and better quality of life. child risk variables predicting sleep problems. Parental presence at bedtime (risk), negative parenting style (e.g., lax or permissive parenting; risk), consistent bedtime routines (protective), and lower composite socioeconomic status (risk) were identified as family/parent variables predicting child sleep problems. No well-established predictors were found at the community level. Future research should employ advanced research designs more frequently and investigate: 1) risk pathways across development; and 2) nightly fluctuations in sleep problems. Background: Sleep problems are common in adolescence, and frequently comorbid with both anxiety and depression. Research studies have suggested a bidirectional relationship between sleep and psychopathology, which includes evidence that sleep interventions can alleviate symptoms of anxiety and depression. However, little is known about the nature of sleep problems amongst adolescents with anxiety and depression, and whether specific sleeping difficulties are involved in the longitudinal relationship between sleep, anxiety and depression. Method: The sample was derived from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based, prospective, birth cohort study of children born in 1991–1992. Data were explored from a subset of participants who took part in a clinical assessment at age 15, on self-report sleep patterns and quality, and diagnostic outcomes of anxiety and depression ( N = 5,033). Subsequent diagnostic and symptom severity data on anxiety and depression at ages 17, 21 and 24 were also examined. Results: Cross-sectional and longitudinal analyses were conducted to explore the relationship between sleep problems, anxiety and depression. Results revealed that adolescents aged 15 with depression experience difficulties with both sleep patterns and sleep quality, whereas adolescents with anxiety only reported problems with sleep quality. A range of sleep variables at age 15 predicted the severity of anxiety and depression symptoms and the diagnoses of anxiety and depressive disorders at age 17, 21 and 24 years. Conclusions: The results provide further insight into the nature of sleep problems amongst adolescents with anxiety and depression, and the prospective relationship between sleep disturbance and future psychopathology. These data suggest that targeting sleep difficulties during adolescence may have long-term mental health benefits. In the United States, more than two-thirds of adolescents and one-third of emerging adults report habitual short sleep duration, which is a known risk factor for psychological distress. The primary aim of this systematic review and meta-analysis was to evaluate the effect of behavioral sleep-promoting interventions on the sleep characteristics (e.g., total sleep time and sleep efficiency) of adolescents and emerging adults (aged 12–25 y) who do not have a sleep disorder. The secondary aim was to determine the effect of behavioral sleep-promoting interventions on psychological distress. Multiple electronic databases were searched for relevant randomized controlled trials (RCTs) published in English. Fourteen RCTs were included in the qualitative synthesis (N = 932), seven were included in the meta-analysis (n = 711) to address the primary aim, and three (n = 253) were included to address the secondary aim. The pooled standardized mean difference for sleep-promoting interventions after treatment for total sleep time was 34.92 min (95% CI: 8.70, 61.14). Sleep-promoting interventions had no significant effect on sleep efficiency. More RCTs that involve adolescents and emerging adults are needed to determine the effect of sleep-promoting interventions on reducing psychological distress in this high-risk age group.
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来源期刊
JOURNAL OF CHILD PSYCHOTHERAPY
JOURNAL OF CHILD PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
0.70
自引率
50.00%
发文量
46
期刊介绍: The Journal of Child Psychotherapy is the official journal of the Association of Child Psychotherapists, first published in 1963. It is an essential publication for all those with an interest in the theory and practice of psychoanalytic psychotherapy and work with infants, children, adolescents and their parents where there are emotional and psychological problems. The journal also deals with the applications of such theory and practice in other settings or fields The Journal is concerned with a wide spectrum of emotional and behavioural disorders. These range from the more severe conditions of autism, anorexia, depression and the traumas of emotional, physical and sexual abuse to problems such as bed wetting and soiling, eating difficulties and sleep disturbance.
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