Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-22T06:18:25.395Z Has data issue: false hasContentIssue false

Multicomponent Cognitive-Behavioural Intervention to Improve Sleep in Adolescents: A Multiple Baseline Design

Published online by Cambridge University Press:  04 September 2013

Melissa C. Hendricks*
Affiliation:
Kennedy Krieger Institute, and Johns Hopkins University School of Medicine, Baltimore, USA
Cynthia M. Ward
Affiliation:
Kennedy Krieger Institute, and Johns Hopkins University School of Medicine, Baltimore, USA
Lauren K. Grodin
Affiliation:
Kennedy Krieger Institute, and Johns Hopkins University School of Medicine, Baltimore, USA
Keith J. Slifer
Affiliation:
Kennedy Krieger Institute, and Johns Hopkins University School of Medicine, Baltimore, USA
*
Reprint requests to Melissa C. Hendricks, Kennedy Krieger Institute, Department of Behavioral Psychology, 707 North Broadway, Baltimore, Maryland 21205, USA. E-mail: [email protected]

Abstract

Background: Adolescents are prone to sleep problems that have unique developmental aspects and contribute to physical, emotional, and behavioural problems. Aims: This study evaluated an individualized, multicomponent intervention that considered developmental factors, and promoted age-appropriate autonomy in three adolescent females with disrupted sleep. Method: Adolescents recorded sleep data on daily logs. A nonconcurrent multiple baseline design was used to evaluate a cognitive-behavioural intervention including sleep hygiene training, bedtime routine development, cognitive restructuring, relaxation training, stimulus control, sleep restriction, bedtime fading, and problem-solving, along with clinically indicated individualization. Results: Outcomes demonstrated clinically meaningful improvements and decreased variability in sleep parameters following intervention. Each participant's sleep log data indicated improvement in, or maintenance of, adequate total sleep time (TST), decreased sleep onset latency (SOL), improved sleep efficiency (SE), improvement in time of sleep onset, and decreased or continued low frequency of night awakenings (NA). Anecdotally, adolescents and parents reported improvement in daytime functioning, coping, and sense of wellbeing. Conclusions: These cases highlight the potential for cognitive-behavioural interventions to facilitate healthy sleep in adolescents with challenging sleep problems.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Mindell, J. A. and Meltzer, L. J. (2008). Behavioural sleep disorders in children and adolescents. Annals Academy of Medicine, 37, 722727.Google Scholar
Norell-Clarke, A., Nyander, E. and Jansson-Frojmark, M. (2010). Sleepless in Sweden: a single subject study of effects of cognitive therapy for insomnia on three adolescents. Behavioural and Cognitive Therapy, 39, 367374. doi: 10.1017/S1352465810000664 Google Scholar
Perlis, M., Aloia, M. and Kuhn, B. (Eds.) (2011). Behavioural Treatments for Sleep Disorders: a comprehensive primer of behavioural sleep medicine interventions. London: Academic Press.Google Scholar
Roberts, R. E., Roberts, C. R. and Duong, H. T. (2008). Chronic insomnia and its negative consequences for health and functioning of adolescents: a 12-month prospective study. Journal of Adolescent Health, 42, 294302. doi:10/1016/j.jadohealth.2007.09.016 Google Scholar
Tremaine, R. B., Dorrian, J. and Blunden, S. (2010). Subjective and objective sleep in children and adolescents: measurement, age, and gender differences. Sleep and Biological Rhythms, 8, 229238. doi:10.1111/j.1479–8425.2010.00452.x Google Scholar
Supplementary material: File

Hendricks Supplementary Material

Supplementary Material

Download Hendricks Supplementary Material(File)
File 457.7 KB
Submit a response

Comments

No Comments have been published for this article.