Background:There is increasing evidence of a strong association between sleep and mental health in both adolescents and adults. CBT for insomnia is being applied to good effect with adults with mental health difficulties but there are few studies examining its applicability to adolescents within mental health services.Method:We carried out a case series analysis (n = 15) looking at the feasibility, accessibility and impact of a low-intensity sleep intervention for young people (14–25 years) being seen by a secondary care Youth Mental Health team in the UK. The intervention was based on cognitive behavioural therapy for insomnia (CBTi) and acceptance and commitment therapy (ACT) approaches and involved six individual sessions delivered on a weekly basis by a graduate psychologist. Routine outcome measures were used to monitor insomnia, psychological distress and functioning with assessments at baseline, session 3, session 6 and at 4 weeks after end of intervention. All participants scored in the clinical range for insomnia at the start of the study.Results:High uptake, attendance and measure completion rates were observed. Large effect sizes were observed for insomnia, psychological distress and functioning. Twelve of the fifteen participants (80%) no longer scored above threshold for insomnia at follow-up. All seven under-18s no longer met threshold for clinical ‘caseness’ on the Revised Child Anxiety and Depression Scale (RCADS) at follow-up.Discussion:The findings suggest that the intervention was well accepted by young people and feasible to apply within a secondary care setting. Strong effect sizes are encouraging but are probably inflated by the small sample size, uncontrolled design and unblinded assessments.

中文翻译：

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青少年心理健康服务中的低强度睡眠干预：案例系列分析

背景：越来越多的证据表明，青少年和成人的睡眠与心理健康之间存在密切关联。用于失眠的 CBT 对有心理健康困难的成年人的应用效果良好，但很少有研究检查其在心理健康服务中对青少年的适用性。方法：我们进行了案例系列分析（n= 15) 研究英国二级保健青年心理健康团队对年轻人（14-25 岁）进行低强度睡眠干预的可行性、可及性和影响。该干预基于失眠的认知行为疗法 (CBTi) 和接受和承诺疗法 (ACT) 方法，并涉及由研究生心理学家每周提供的六个单独的会议。常规结果测量用于监测失眠、心理困扰和功能，并在基线、第 3 期、第​​ 6 期和干预结束后 4 周进行评估。在研究开始时，所有参与者的失眠症临床评分均在临床范围内。结果：观察到高吸收率、出勤率和测量完成率。观察到失眠、心理困扰和功能的影响很大。十五名参与者中有十二名（80％）在随访中不再超过失眠阈值。所有 7 名 18 岁以下儿童在随访中均未达到修订的儿童焦虑和抑郁量表 (RCADS) 的临床“病例”阈值。讨论：研究结果表明，该干预措施已被年轻人很好地接受，并且可以在二级保健设置。强大的效应量令人鼓舞，但可能因样本量小、不受控制的设计和非盲法评估而被夸大了。研究结果表明，该干预被年轻人很好地接受，并且在二级保健环境中应用是可行的。强大的效应量令人鼓舞，但可能因样本量小、不受控制的设计和非盲法评估而被夸大了。研究结果表明，该干预被年轻人很好地接受，并且在二级保健环境中应用是可行的。强大的效应量令人鼓舞，但可能因样本量小、不受控制的设计和非盲法评估而被夸大了。