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改善大学生睡眠的心理干预措施:随机对照试验的荟萃分析

Psychological interventions to improve sleep in college students: A meta-analysis of randomized controlled trials.

作者信息

Saruhanjan Karina, Zarski Anna-Carlotta, Bauer Tobias, Baumeister Harald, Cuijpers Pim, Spiegelhalder Kai, Auerbach Randy P, Kessler Ronald C, Bruffaerts Ronny, Karyotaki Eirini, Berking Matthias, Ebert David Daniel

机构信息

Clinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.

Clinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.

出版信息

J Sleep Res. 2021 Feb;30(1):e13097. doi: 10.1111/jsr.13097. Epub 2020 Jul 16.

DOI:10.1111/jsr.13097
PMID:32672865
Abstract

Sleep disturbances and insomnia are common in college students, and reduce their quality of life and academic performance. The aim of this meta-analysis was to evaluate the efficacy of psychological interventions aimed at improving sleep in college students. A meta-analysis was conducted with 10 randomized controlled trials with passive control conditions (N = 2,408). The overall mean effect size (Hedges' g) of all sleep-related outcomes within each trial was moderate to large (g = 0.61; 95% confidence interval: 0.41-0.81; numbers-needed-to-treat = 3). Effect sizes for global measures of sleep disturbances were g = 0.79; 95% confidence interval: 0.52-1.06; and for sleep-onset latency g = 0.65; 95% confidence interval: 0.36-0.94. The follow-up analyses revealed an effect size of g = 0.56; 95% confidence interval: 0.45-0.66 for the combined sleep-related outcomes based on three studies. No significant covariates were identified. These results should be interpreted cautiously due to an overall substantial risk of bias, and in particular with regard to blinding of participants and personnel. Nevertheless, they provide evidence that psychological interventions for improving sleep are efficacious among college students. Further research should explore long-term effects and potential moderators of treatment efficacy in college students.

摘要

睡眠障碍和失眠在大学生中很常见,会降低他们的生活质量和学业表现。本荟萃分析的目的是评估旨在改善大学生睡眠的心理干预措施的疗效。对10项采用被动对照条件的随机对照试验(N = 2408)进行了荟萃分析。每项试验中所有与睡眠相关结果的总体平均效应量(Hedges' g)为中等至较大(g = 0.61;9

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