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- Title
Pilot study of a mindfulness-based, multi-component, in-school group sleep intervention in adolescent girls.
- Authors
Bei, Bei; Byrne, Michelle L.; Ivens, Clare; Waloszek, Joanna; Woods, Michael J.; Dudgeon, Paul; Murray, Greg; Nicholas, Christian L.; Trinder, John; Allen, Nicholas B.
- Abstract
Aim Existing literature links poor sleep and anxiety symptoms in adolescents. This pilot study aimed to develop a practical method through which a program to improve sleep could reach adolescents in need and to examine the feasibility of a mindfulness-based, multi-component group sleep intervention using sleep and anxiety as outcome measures. Methods Sixty-two grade 9 students (aged 13-15) at a girls' school were screened with the Pittsburgh Sleep Quality Index ( PSQI) and Spence Children's Anxiety Scale ( SCAS). Ten participants with self-reported poor sleep were enrolled into a six-session program based on Bootzin & Stevens, with added stress/anxiety-specific components. Sessions covered key aspects of basic mindfulness concepts and practice, sleep hygiene, sleep scheduling, evening/daytime habits, stimulus control, skills for bedtime worries and healthy attitudes to sleep. Treatment changes were measured by pre-post scores on the PSQI, SCAS and 7-day actigraphy-measured sleep. Results The program demonstrated high acceptability, with a completion rate of 90%. Based on effect-size analysis, participants showed significant improvement on objective sleep onset latency ( SOL), sleep efficiency and total sleep time; actigraphy data also showed significantly earlier bedtime, rise time and smaller day-to-day bedtime variation. Post-intervention global PSQI scores were significantly lower than that of pre-intervention, with significant improvement in subjective SOL, sleep quality and sleep-related daytime dysfunction. There were small improvements on some subscales of the SCAS, but change on its total score was minimal. Conclusions A mindfulness-based, multi-component, in-school group sleep intervention following brief screening is feasible, and has the potential to improve sleep. Its impact on anxiety needs further investigation.
- Subjects
MINDFULNESS; CHILD anxiety testing; PILOT projects; TEENAGE girls; EFFECT sizes (Statistics); ANXIETY; ACTIGRAPHY
- Publication
Early Intervention in Psychiatry, 2013, Vol 7, Issue 2, p213
- ISSN
1751-7885
- Publication type
Article
- DOI
10.1111/j.1751-7893.2012.00382.x