ABSTRACT

Introduction

The effects of impaired sleep on the wellbeing of young adults are profound, and the adverse outcomes for mental health are well documented in the research literature.

Objective

This systematic review and meta-analysis aimed to identify, summarize, and synthesize the available evidence from randomized-controlled trials (RCTs) investigating psychological interventions aimed at improving sleep and related secondary outcomes such as anxiety and depression in healthy young adults.

Method

Nine electronic databases (Cochrane Central Registry of Controlled Trials [CENTRAL], PubMed, Scopus, PsycNET, CINHAL, INFORMIT, Web of Science [Science and Social Citation Index], OpenSigle and EMBASE) were searched, returning 54 full-text papers for assessment, with 13 studies meeting inclusion criteria for the meta-analysis.

Results

A random effects meta-analysis showed that the combined effect of all interventions was moderate (ES = −0.53, 95% CIs [- 0.69, −0.36], p < .01), reflecting the efficacy of psychological interventions at improving sleep scores at post-intervention. Subgroup analyses of individual interventions showed that cognitive-behavioral interventions improved sleep (ES = −0.67, 95% CIs [−0.77, −0.57], p < .01) and secondary outcomes for anxiety (ES = −0.35, 95% CIs [−0.56, −0.15], p < .01) and depression (ES = −0.41, 95% CIs [−0.70, −0.13], p < .01) at post-intervention.

Conclusion

The results of the current review support the implementation of cognitive and behavioral interventions for sleep among young adults experiencing both sleep and comorbid mental health problems.

中文翻译：

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改善年轻人睡眠的心理干预：随机对照试验的系统评价和荟萃分析

摘要

介绍

睡眠障碍对年轻人健康的影响是深远的，研究文献中充分记录了对心理健康的不利影响。

客观的

这项系统评价和荟萃分析旨在识别、总结和综合来自随机对照试验 (RCT) 的可用证据，这些试验调查旨在改善睡眠和相关次要结果（如健康年轻人的焦虑和抑郁）的心理干预。

方法

检索了 9 个电子数据库（Cochrane Central Registry of Controlled Trials [CENTRAL]、PubMed、Scopus、PsycNET、CINHAL、INFORMIT、Web of Science [Science and Social Citation Index]、OpenSigle 和 EMBASE），返回 54 篇全文评估论文，有 13 项研究符合荟萃分析的纳入标准。

结果

一项随机效应荟萃分析显示，所有干预措施的综合效果是中等的（ES = -0.53, 95% CI [- 0.69, -0.36], p < .01），反映了心理干预在改善睡眠评分方面的功效干预后。对个体干预的亚组分析表明，认知行为干预改善了睡眠（ES = -0.67, 95% CI [-0.77, -0.57], p < .01）和焦虑的次要结局（ES = -0.35, 95% CI [ -0.56, -0.15], p < .01) 和干预后抑郁症 (ES = -0.41, 95% CIs [-0.70, -0.13], p < .01)。

结论

当前审查的结果支持在患有睡眠和合并心理健康问题的年轻人中实施睡眠认知和行为干预。