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29-06-2016 | Original Paper

Sleep-Related Outcomes Following Early Intervention for Childhood Anxiety

Auteurs: Michelle A. Clementi, Candice A. Alfano, Lindsay E. Holly, Armando A. Pina

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 11/2016

Abstract

A bidirectional relationship between sleep and anxiety is well-established whereby difficulties in one domain predict problems in the other. Interventions for childhood sleep-related problems also share considerable overlap with interventions for anxiety. Although anxious youth report high rates of sleep-related problems, it is relatively unknown whether anxiety-focused interventions for children produce improvements in sleep-related problems. The current study included N = 25 youth ages 7–16 (13 female; mean age 9.92 years ± 2.6) who participated in an early intervention program for anxiety as part of the Arizona Anxiety Resilience Building Project. Child and parent measures of sleep and anxiety symptoms were examined before and after the 12-week cognitive-behavioral intervention program. Statistically significant decreases in total sleep-related problems, bedtime resistance, sleep anxiety, and pre-sleep arousal were observed at post-intervention, though clinically meaningful change was apparent in only a small portion of the sample. Results suggest that purely anxiety-focused interventions may be useful for reducing certain types of sleep-related problems in anxious children, specifically those that occur during the bedtime/pre-sleep period. However, a lack of clinically meaningful change, in addition to post-intervention sleep-related problem scores above the clinical cut-off in a large proportion of the sample, suggest that the sleep-related problems of anxious youth may require direct attention as part of treatment.

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Alfano, C. A., Beidel, D. C., Turner, S. M., & Lewin, D. S. (2006). Preliminary evidence for sleep complaints among children referred for anxiety. Sleep Medicine, 7, 467–473. doi:10.1016/j.sleep.2006.05.002.CrossRefPubMed

Alfano, C. A., Ginsburg, G. S., & Kingery, J. N. (2007). Sleep-related problems among children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 224–232. doi:10.1097/01.chi.0000242233.06011.8e.CrossRefPubMed

Alfano, C. A., Patriquin, M. A., & De Los Reyes, A. (2015). Subjective-objective sleep comparisons and discrepancies among clinically-anxious and healthy children. Journal of Abnormal Child Psychology, 43, 1343–1353. doi:10.1007/s10802-015-0018-7.CrossRefPubMed

Alfano, C. A., Pina, A. A., Zerr, A. A., & Villalta, I. K. (2010). Pre-sleep arousal and sleep problems of anxiety-disordered youth. Child Psychiatry and Human Development, 41, 156–167. doi:10.1007/s10578-009-0158-5.CrossRefPubMed

Alfano, C. A., Reynolds, K., Scott, N., Dahl, R. E., & Mellman, T. A. (2013). Polysomnographic sleep patterns of non-depressed, non-medicated children with generalized anxiety disorder. Journal of Affective Disorders, 147, 379–384.CrossRefPubMed

Angold, A., Costello, E. J., Farmer, E. M., Burns, B. J., & Erkanli, A. (1999). Impaired but undiagnosed. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 129–137.CrossRefPubMed

Chase, R. M., & Pincus, D. B. (2011). Sleep-related problems in children and adolescents with anxiety disorders. Behavioral Sleep Medicine, 9, 224–236. doi:10.1080/15402002.2011.606768.CrossRefPubMed

Clementi, M. A., & Alfano, C. A. (2014). Targeted behavioral therapy for childhood generalized anxiety disorder: A time-series analysis of changes in anxiety and sleep. Journal of Anxiety Disorders, 28, 215–222. doi:10.1016/j.janxdis.2013.10.006.CrossRefPubMed

Clementi, M. A., Balderas, J., Cowie, J., & Alfano, C. A. (2014). Treatment of insomnia and nighttime fears. In C. A. Alfano & D. C. Beidel (Eds.), Comprehensive evidence-based interventions for children and adolescents (pp. 261–273). Hoboken, NJ: Wiley.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

Cole, D. A., Peeke, L. G., Martin, J. M., Truglio, R., & Seroczynski, A. (1998). A longitudinal look at the relation between depression and anxiety in children and adolescents. Journal of Consulting and Clinical Psychology, 66, 451–460.CrossRefPubMed

Cousins, J., Whalen, D., Dahl, R., Forbes, E., Olino, T., Ryan, N., & Silk, J. (2011). The bidirectional association between daytime affect and nighttime sleep in youth with anxiety and depression. Journal of Pediatric Psychology, 36, 969–979. doi:10.1093/jpepsy/jsr036.CrossRefPubMedPubMedCentral

Dierker, L. C., Albano, A. M., Clarke, G. N., Heimberg, R. G., Kendall, P. C., Merikangas, K. R., & Kupfer, D. J. (2001). Screening for anxiety and depression in early adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 929–936.CrossRefPubMed

Fallone, G., Acebo, C., Arnedt, J. T., Seifer, R., & Carskadon, M. A. (2001). Effects of acute sleep restriction on behavior, sustained attention, and response inhibition in children. Perceptual and Motor Skills, 93, 213–229. doi:10.2466/pms.2001.93.1.213.CrossRefPubMed

Fallone, G., Acebo, C., Seifer, R., & Carskadon, M. A. (2005). Experimental restriction of sleep opportunity in children: Effects on teacher ratings. Sleep, 28(12), 1561–1567.PubMed

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160.CrossRefPubMed

Forbes, E. E., Bertocci, M. A., Gregory, A. M., Ryan, N. D., Axelson, D. A., Birmaher, B., & Dahl, R. E. (2008). Objective sleep in pediatric anxiety disorders and major depressive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 148–155. doi:10.1097/chi.0b013e31815cd9bc.CrossRefPubMedPubMedCentral

Gregory, A. M., & Eley, T. C. (2005). Sleep problems, anxiety and cognitive style in school-aged children. Infant and Child Development, 14, 435–444. doi:10.1002/icd.409.CrossRef

Gregory, A., Willis, T. A., Wiggs, L., & Harvey, A. G. (2008). Presleep arousal and sleep disturbances in children. Sleep, 31, 1745–1747.PubMedPubMedCentral

Hansen, B. H., Skirbekk, B., Oerbeck, B., Richter, J., & Kristensen, H. (2011). Comparison of sleep problems in children with anxiety and attention deficit/hyperactivity disorders. European Child and Adolescent Psychiatry, 20, 321–330. doi:10.1007/s00787-011-0179-z.CrossRefPubMed

Hansen, B. H., Skirbekk, B., Oerbeck, B., Wentzel-Larsen, T., & Kristensen, H. (2013). Associations between sleep problems and attentional and behavioral functioning in children with anxiety disorders and ADHD. Behavioral Sleep Medicine, 12, 1–16. doi:10.1080/15402002.2013.764525.

Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6, 65–70.

Hudson, J. L., Gradisar, M., Gamble, A., Schniering, C. A., & Rebelo, I. (2009). The sleep patterns and problems of clinically anxious children. Behaviour Research and Therapy, 47, 339–344. doi:10.1016/j.brat.2009.01.006.CrossRefPubMed

Ivarsson, T., & Skarphedinsson, G. (2015). Sleep problems and cognitive-behavior therapy in pediatric obsessive-compulsive disorder have bidirectional effects. Journal of Anxiety Disorders, 30, 28–33.CrossRefPubMed

Jacobson, N., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12.CrossRefPubMed

Kendall, P. C., & Grove, W. M. (1988). Normative comparisons in therapy outcome. Behavioral Assessment, 10, 147–158.

Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282–297.CrossRefPubMed

Kendall, P. C., & Pimentel, S. S. (2003). On the physiological symptom constellation in youth with generalized anxiety disorder (GAD). Journal of Anxiety Disorders, 17, 211–221. doi:10.1016/S0887-6185(02)00196-2.CrossRefPubMed

Leahy, E., & Gradisar, M. (2012). Dismantling the bidirectional relationship between paediatric sleep and anxiety. Clinical Psychologist, 16, 44–56. doi:10.1111/j.1742-9552.2012.00039.x.CrossRef

Lumeng, J. C., Somashekar, D., Appugliese, D., Kaciroti, N., Corwyn, R. F., & Bradley, R. H. (2007). Shorter sleep duration is associated with increased risk for being overweight at ages 9 to 12 years. Pediatrics, 120, 1020–1029.CrossRefPubMed

Lyneham, H. J., Abbott, M. J., & Rapee, R. M. (2007). Interrater reliability of the anxiety disorders interview schedule for DSM-IV: Child and parent version. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 731–736.CrossRefPubMed

Mindell, J. A., Owens, J. A., Carskadon, M. A., Durand, V. M., Mindell, J., Mapstone, E., & Nagel, K. (1997). Developmental features of sleep. Child and Adolescent Psychiatric Clinics of North America, 8, 695–725.

Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985). The phenomenology of the pre-sleep state: The development of the pre-sleep arousal scale. Behaviour Research and Therapy, 23, 263–271. doi:10.1016/0005-7967(85)90004-X.CrossRefPubMed

Owens, J. A., Spirito, A., & McGuinn, M. (2000). The children’s sleep habits questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1052.PubMed

Patriquin, M. A., Mellman, T. A., Glaze, D. G., & Alfano, C. A. (2014). Polysomnographic sleep characteristics of generally-anxious and healthy children assessed in the home environment. Journal of Affective Disorders, 161, 79–83.CrossRefPubMedPubMedCentral

Peterman, J. S., Carper, M. M., Elkins, R. M., Comer, J. S., Pincus, D. B., & Kendall, P. C. (2016). The effects of cognitive-behavioral therapy for youth anxiety on sleep problems. Journal of Anxiety Disorders, 37, 78–88.CrossRefPubMed

Peterman, J. S., Carper, M. M., & Kendall, P. C. (2015). Anxiety disorders and comorbid sleep problems in school-aged youth: Review and future research directions. Child Psychiatry and Human Development, 46, 1–17.CrossRef

Pina, A. A. (2006). Acercamiento: Child and adolescent anxiety program. Phoenix, AZ: Lulu Enterprises.

Pina, A. A., Villalta, I. K., & Zerr, A. A. (2009). Exposure-based cognitive behavioral treatment of anxiety in youth: An emerging culturally-prescriptive framework. Behavioral Psychology, 17, 111–135.

Pina, A., Zerr, A., Villalta, I., & Gonzales, N. (2012). Indicated prevention and early intervention for childhood anxiety: A randomized trial with Caucasian and Hispanic/Latino youth. Journal of Consulting and Clinical Psychology, 80, 940. doi:10.1037/a0029460.CrossRefPubMedPubMedCentral

Reynolds, C. R., & Richmond, B. O. (1978). What i think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280. doi:10.1007/BF00919131.CrossRefPubMed

Seligman, L. D., Swedish, E. F., & Ollendick, T. H. (2014). Anxiety disorders in children. In C. A. Alfano & D. C. Beidel (Eds.), Comprehensive evidence-based interventions for children and adolescents (pp. 93–109). Hoboken, N J: Wiley.

Short, M. A., Gradisar, M., Lack, L. C., Wright, H. R., & Chatburn, A. (2013). Estimating adolescent sleep patterns: parent reports versus adolescent self-report surveys, sleep diaries, and actigraphy. Nature and Science of Sleep, 5, 23–26.CrossRefPubMedPubMedCentral

Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children for DSM-IV (child and parent versions). San Antonio, TX: Psychological Corporation.

Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944.CrossRefPubMed

Smaldone, A., Honig, J. C., & Byrne, M. W. (2007). Sleepless in America: Inadequate sleep and relationships to health and well-being of our nation’s children. Pediatrics, 119, S29–S37. doi:10.1542/peds.2006-2089F.CrossRefPubMed

Storch, E. A., Murphy, T. K., Lack, C. W., Geffken, G. R., Jacob, M. L., & Goodman, W. K. (2008). Sleep-related problems in pediatric obsessive-compulsive disorder. Journal of Anxiety Disorders, 22, 877–885.CrossRefPubMed

Varela, R. E., & Biggs, B. K. (2006). Reliability and validity of the revised children’s manifest anxiety scale (RCMAS) across samples of Mexican, Mexican American, and European American children: A preliminary investigation. Anxiety, Stress and Coping, 19, 67–80.CrossRef

Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31, 335–342.CrossRefPubMed

Titel: Sleep-Related Outcomes Following Early Intervention for Childhood Anxiety
Auteurs: Michelle A. Clementi
Candice A. Alfano
Lindsay E. Holly
Armando A. Pina
Publicatiedatum: 29-06-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 11/2016
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-016-0478-6

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