Meyer Paula Theresa, Brauer Hannah, Schreiber Clara Marie, Heinze Pia Muriel, Witte Julia, Berger Christoph, Munz Manuel, Dück Alexander, Reis Olaf, Kölch Michael, Prehn-Kristensen Alexander
Institute of Child and Adolescent Psychiatry, Center for Integrative Psychiatry, School of Medicine, Christian-Albrecht University Kiel, Kiel, Germany.
Clinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Center for Integrative Psychiatry, School of Medicine, Kiel, Germany.
Front Psychol. 2025 Aug 14;16:1543448. doi: 10.3389/fpsyg.2025.1543448. eCollection 2025.
Many children and adolescents with psychiatric disorders struggle with sleep problems that oftentimes stay unaddressed in therapeutic settings due to limited resources. Still, there is evidence that improving insufficient sleep positively affects mental health recovery. Addressing an adequate sleep hygiene is named to be the first line of treatment when it comes to unspecific sleep problems. The present study aims to evaluate the efficacy of a brief sleep hygiene group intervention for children and adolescents with psychiatric disorders named "Ready for Landing." The intervention is designed to improve sleep quality and elongate sleep duration by explaining the process of falling asleep using the metaphor of an airplane landing. Elements of psychoeducation and cognitive behavioral therapy for insomnia are combined.
The study plans to investigate the efficacy of the intervention using a waitlist control design. A sample of children and adolescents (aged 10-18 years) that are undergoing treatment for psychiatric disorders in day treatment centers in Kiel and Rostock, Germany, will be included. Sleep quality is assessed using the Pittsburgh Sleep Quality Index. Sleep duration is assessed by using a sleep diary completed by the patients and as well using actigraphy as an objective measure. Analysis of variance will be used to detect treatment effects. Secondary outcomes include variables regarding sleepiness.
If "Ready for Landing" proves to be efficacious the intervention has the potential to bridge the gap between frequent sleep problems in youth with mental health problems and limited resources to target those. Serving as an effective and economic tool, it could support mental healthcare professionals. It is a promising intervention to support the positive outcome of mental health treatments by improving sleep in children and adolescents.
https://www.bfarm.de/DE/Das-BfArM/Aufgaben/Deutsches-Register-Klinischer-Studien/_node.html, identifier DRKS00034984.
许多患有精神疾病的儿童和青少年都存在睡眠问题，由于资源有限，这些问题在治疗环境中常常得不到解决。然而，有证据表明，改善睡眠不足对心理健康的恢复有积极影响。对于非特异性睡眠问题，改善睡眠卫生被认为是首要治疗方法。本研究旨在评估一种名为“准备着陆”的针对患有精神疾病的儿童和青少年的简短睡眠卫生小组干预措施的疗效。该干预措施旨在通过使用飞机着陆的比喻来解释入睡过程，从而改善睡眠质量并延长睡眠时间。将心理教育和失眠认知行为疗法的要素结合在一起。
该研究计划采用等待列表对照设计来调查干预措施的疗效。将纳入在德国基尔和罗斯托克的日间治疗中心接受精神疾病治疗的儿童和青少年样本（年龄在10 - 18岁之间）。使用匹兹堡睡眠质量指数评估睡眠质量。通过患者填写的睡眠日记以及使用活动记录仪作为客观测量方法来评估睡眠时间。将使用方差分析来检测治疗效果。次要结果包括与嗜睡相关的变量。
如果“准备着陆”被证明是有效的，那么该干预措施有可能弥合有心理健康问题的青少年频繁出现的睡眠问题与针对这些问题的有限资源之间的差距。作为一种有效且经济的工具，它可以为精神卫生保健专业人员提供支持。通过改善儿童和青少年的睡眠来支持心理健康治疗的积极结果，这是一项很有前景的干预措施。
