Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

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

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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Literatuur
go back to reference 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., 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference Gregory, A., Willis, T. A., Wiggs, L., & Harvey, A. G. (2008). Presleep arousal and sleep disturbances in children. Sleep, 31, 1745–1747. PubMedPubMedCentral Gregory, A., Willis, T. A., Wiggs, L., & Harvey, A. G. (2008). Presleep arousal and sleep disturbances in children. Sleep, 31, 1745–1747. PubMedPubMedCentral
go back to reference 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., 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
go back to reference 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. 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.
go back to reference Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6, 65–70. Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6, 65–70.
go back to reference 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 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
go back to reference 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 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
go back to reference Kendall, P. C., & Grove, W. M. (1988). Normative comparisons in therapy outcome. Behavioral Assessment, 10, 147–158. Kendall, P. C., & Grove, W. M. (1988). Normative comparisons in therapy outcome. Behavioral Assessment, 10, 147–158.
go back to reference 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., 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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 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
go back to reference 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., 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
go back to reference 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 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
go back to reference Pina, A. A. (2006). Acercamiento: Child and adolescent anxiety program. Phoenix, AZ: Lulu Enterprises. Pina, A. A. (2006). Acercamiento: Child and adolescent anxiety program. Phoenix, AZ: Lulu Enterprises.
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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., & Albano, A. M. (1996). The anxiety disorders interview schedule for children for DSM-IV (child and parent versions). San Antonio, TX: Psychological Corporation.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
Metagegevens
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