a Department of Psychology and Sports , Bielefeld University , Bielefeld , Germany.
b Department of Psychology , University of Tuebingen , Tuebingen , Germany.
Behav Sleep Med. 2018 Jul-Aug;16(4):380-397. doi: 10.1080/15402002.2016.1228642. Epub 2016 Sep 20.
OBJECTIVE/BACKGROUND: This intervention study evaluates the short- and long-term effects of cognitive behavior therapy for insomnia (CBT-I) in groups for school-age children and their parents, named the KiSS-program. CBT-I was implemented in three sessions for children and three sessions for parents.
All in all, 112 children with chronic childhood insomnia were randomly assigned to a wait-list (WL) control or treatment condition.
According to subjective measures as well as objective wrist actigraphy, children in the CBT-I condition reported greater improvements in sleep behavior immediately after the treatment compared to the WL group. Improvements in sleep behavior after CBT-I persisted over the 3-, 6-, and 12-month follow-up assessments.
The present study is the first randomized controlled trial that provides evidence for the long-term effectiveness of CBT-I in treating school-age children with chronic insomnia.
目的/背景：本干预研究评估了针对学龄儿童及其父母的失眠认知行为疗法（CBT-I）小组的短期和长期效果，该研究名为 KiSS 项目。CBT-I 为儿童实施三个疗程，为父母实施三个疗程。
总共有 112 名患有慢性儿童失眠症的儿童被随机分配到等待名单（WL）对照组或治疗组。
根据主观测量和客观腕部动作描记法，与 WL 组相比，CBT-I 组的儿童在治疗后立即报告睡眠行为有更大的改善。CBT-I 后的睡眠行为改善在 3、6 和 12 个月的随访评估中持续存在。
本研究是首个提供证据证明 CBT-I 治疗学龄儿童慢性失眠症长期有效性的随机对照试验。
