Tadros Michelle, Newby Jill M, Li Sophie, Werner-Seidler Aliza
The Black Dog Institute, Prince of Wales Hospital, Randwick, NSW, Australia.
School of Psychology, UNSW Sydney, Sydney, NSW, Australia.
PLoS One. 2025 Feb 13;20(2):e0317125. doi: 10.1371/journal.pone.0317125. eCollection 2025.
This paper reviews the literature evaluating psychological treatments to improve sleep quality in young adult university students.
Participants (N = 6179) were young adult (aged 18-30 years) university students. Databases (PubMed, PsychInfo, EMBASE and Medline) were searched for randomized controlled trials evaluating psychological treatments for sleep disturbance in university students. The search date was 20 September 2024.
22 original trials met inclusion criteria. Meta-analysis showed that psychological interventions outperformed control groups (n = 14) on improving sleep quality (g = 0.50, 95%CI:0.26-0.73). There were significantly different effect sizes found between studies that evaluated cognitive behaviour therapy for insomnia (CBT-I; n = 6, g = 0.72, CI: 0.43-1.02) versus studies that evaluated mindfulness interventions (n = 5, g = 0.16, 95% CI: -0.18-0.51).
Psychological treatments improve sleep quality for young adult university students. While CBT-I showed larger effect sizes than interventions focused on mindfulness, further research is needed to verify if this reflects a true difference in the efficacy of the interventions.
本文综述了评估心理治疗对提高青年大学生睡眠质量的文献。
参与者（N = 6179）为青年（18 - 30岁）大学生。检索数据库（PubMed、PsychInfo、EMBASE和Medline），查找评估针对大学生睡眠障碍的心理治疗的随机对照试验。检索日期为2024年9月20日。
22项原始试验符合纳入标准。荟萃分析表明，心理干预在改善睡眠质量方面优于对照组（n = 14）（g = 0.50，95%置信区间：0.26 - 0.73）。在评估失眠认知行为疗法（CBT - I；n = 6，g = 0.72，置信区间：0.43 - 1.02）的研究与评估正念干预的研究（n = 5，g = 0.16，95%置信区间： - 0.18 - 0.51）之间发现了显著不同的效应量。
心理治疗可改善青年大学生的睡眠质量。虽然CBT - I显示出比专注于正念的干预更大的效应量，但需要进一步研究来验证这是否反映了干预效果的真正差异。
