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青少年和家长对基于睡眠的干预措施以及在治疗儿童情绪障碍中利用技术资源的报告。

Youth and parent report of sleep-based interventions and utilization of technology resources in the treatment of pediatric mood disorders.

机构信息

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.

Psychological Services, Children's Hospitals and Clinics of Minnesota, St. Paul, USA.

出版信息

Clin Child Psychol Psychiatry. 2021 Oct;26(4):924-937. doi: 10.1177/13591045211000104. Epub 2021 Mar 18.

Abstract

OBJECTIVES

Mood disorders in youth are associated with social and academic impairment, and difficulties within the family system. Engagement in sleep hygiene, and family- and technology-based treatment models can address these impairments. The current study evaluates changes in functioning for youth who participated in a family-based partial hospitalization program (PHP) for mood disorders. Child and parent views of the importance and application of sleep hygiene and utilization of technology-based interventions were also evaluated.

METHODS

474 youth diagnosed with a primary mood disorder and their caregivers participated in a family-based PHP that addressed the role of sleep hygiene, technology use for symptom management, and components of evidence-based treatments in ameliorating mood disorders. Participants were evaluated 1-, 3-, and 6-month following treatment.

RESULTS

Participants demonstrated improved functioning in social, home, and school domains. The majority of participants and parents found the sleep hygiene content and application important or very important as a component of treatment. Parents were significantly more likely than youth to be interested in using technology to access after care resources.

CONCLUSIONS

Findings revealed significantly less impairment in functioning at follow-up. Parents and youth reported interest in sleep hygiene strategies as part of a comprehensive treatment for mood disorders as well as the use of technology-based resources to assist with treatment. Limitations include sample demographics and follow-up sample size.

摘要

目的

青少年的情绪障碍与社交和学业障碍以及家庭系统内的困难有关。参与睡眠卫生和基于家庭和技术的治疗模式可以解决这些障碍。本研究评估了参加情绪障碍家庭为基础的部分住院治疗计划(PHP)的青少年的功能变化。还评估了儿童和父母对睡眠卫生的重要性和应用以及基于技术的干预措施的利用的看法。

方法

474 名被诊断为原发性情绪障碍的青少年及其照顾者参加了一项基于家庭的 PHP,该计划解决了睡眠卫生、技术用于症状管理以及基于证据的治疗方法在改善情绪障碍方面的作用。参与者在治疗后 1、3 和 6 个月进行评估。

结果

参与者在社交、家庭和学校领域的功能得到了改善。大多数参与者和家长认为睡眠卫生内容和应用作为治疗的一部分非常重要或重要。父母比青少年更有兴趣使用技术来获取后续护理资源。

结论

研究结果显示,在随访时功能障碍明显减少。父母和青少年都报告了对睡眠卫生策略的兴趣,作为情绪障碍综合治疗的一部分,以及使用基于技术的资源来辅助治疗。限制因素包括样本人口统计学和随访样本量。

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