TY  - JOUR
PY  - 2021//
TI  - A prevention program for insomnia in at-risk adolescents: a randomized controlled study
JO  - Pediatrics
A1  - Chan, Ngan Yin
A1  - Li, Shirley Xin
A1  - Zhang, Jihui
A1  - Lam, Siu Ping
A1  - Kwok, Amy Pui Ling
A1  - Yu, Mandy Wai Man
A1  - Chan, Joey Wing Yan
A1  - Li, Albert Martin
A1  - Morin, Charles M.
A1  - Wing, Yun Kwok
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: To prevent the future development of insomnia in at-risk adolescents. <br><br>METHODS: A randomized controlled trial comparing 4 weekly insomnia prevention program with a nonactive control group. Subjects were assessed at baseline, postintervention, and 6 and 12 months after intervention. Assessors were blinded to the randomization. Analyses were conducted on the basis of the intention-to-treat principles. <br><br>RESULTS: A total of 242 adolescents with family history of insomnia and subthreshold insomnia symptoms were randomly assigned to an intervention group (n = 121; mean age = 14.7 ± 1.8; female: 51.2%) or control group (n = 121; mean age = 15.0 ± 1.7; female: 62.0%). There was a lower incidence rate of insomnia disorder (both acute and chronic) in the intervention group compared with the control group (5.8% vs 20.7%; P =.002; number needed to treat = 6.7; hazard ratio = 0.29; 95% confidence interval: 0.12-0.66; P =.003) over the 12-month follow-up. The intervention group had decreased insomnia symptoms (P =.03) and reduced vulnerability to stress-related insomnia (P =.03) at postintervention and throughout the 12-month follow-up. Decreased daytime sleepiness (P =.04), better sleep hygiene practices (P =.02), and increased total sleep time (P =.05) were observed at postintervention. The intervention group also reported fewer depressive symptoms at 12-month follow-up (P =.02) compared with the control group. <br><br>CONCLUSIONS: A brief cognitive behavioral program is effective in preventing the onset of insomnia and improving the vulnerability factors and functioning outcomes.<p />  <p>Language: en</p>
LA  - en
SN  - 0031-4005
UR  - http://dx.doi.org/10.1542/peds.2020-006833
ID  - ref1
ER  -