Haynes Patricia L, Bootzin Richard R, Smith Leisha, Cousins Jennifer, Cameron Michael, Stevens Sally
Department of Psychology, University of Arizona, Tucson, Arizona 85724-5002, USA.
Sleep. 2006 Apr;29(4):512-20.
To examine whether change in total sleep time during an integrative, behavioral sleep intervention is associated with aggression. Specifically, we tested whether adolescents who reported experiencing aggressive thoughts or actions after treatment had worse treatment trajectories (e.g., less total sleep time across treatment) than adolescents with no aggressive thoughts or actions after treatment.
Nonpharmacologic open trial with 9 weeks of weekly assessment.
University of Arizona Sleep Research Laboratory
Twenty-three adolescents recently treated for substance abuse in outpatient community centers.
Six-week integrative, behavioral sleep intervention.
Weekly sleep-summary indexes were calculated from daily sleep diaries and entered as dependent variables in a series of growth-curve analyses. Statistically significant Session x Post-treatment Aggressive Ideation interactions emerged when predicting changes in total sleep time, gamma13 = 9.76 (SE = 4.12), p < .05, and time spent in bed, gamma13 = 10.08, (SE = 4.33), p < .05, even after controlling for aggressive ideation and the frequency of substance use, as assessed at baseline. A similar pattern of results was seen for self-reported aggressive actions occurring during conflicts.
These pilot data suggest that inadequate sleep in substance-abusing adolescents may contribute to the experiencing of aggressive thoughts and actions. Limitations include a small sample size and a restricted assessment of aggression. Nonetheless, these findings lend preliminary support to the breadth of therapeutic effectiveness of an integrative, behavioral sleep-therapy program for adolescents with a history of substance abuse and related behaviors.
探讨在综合行为睡眠干预期间总睡眠时间的变化是否与攻击性有关。具体而言，我们测试了在治疗后报告有攻击性想法或行为的青少年，与治疗后没有攻击性想法或行为的青少年相比，是否有更差的治疗轨迹（例如，整个治疗过程中总睡眠时间更少）。
每周评估9周的非药物开放试验。
亚利桑那大学睡眠研究实验室
23名最近在门诊社区中心接受药物滥用治疗的青少年。
为期六周的综合行为睡眠干预。
每周睡眠总结指标根据每日睡眠日记计算得出，并作为一系列生长曲线分析中的因变量输入。在预测总睡眠时间的变化时，出现了具有统计学意义的阶段×治疗后攻击性意念交互作用，γ13 = 9.76（标准误 = 4.12），p < .05，以及卧床时间，γ13 = 10.08，（标准误 = 4.33），p < .05，即使在控制了基线时评估的攻击性意念和药物使用频率之后也是如此。在冲突期间自我报告的攻击性行为方面也观察到了类似的结果模式。
这些初步数据表明，药物滥用青少年睡眠不足可能导致攻击性想法和行为的出现。局限性包括样本量小和对攻击性的评估有限。尽管如此，这些发现为针对有药物滥用和相关行为史的青少年的综合行为睡眠治疗计划的广泛治疗效果提供了初步支持。
