Swipe om te navigeren naar een ander artikel
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.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
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.
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
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
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
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.
Kendall, P. C., & Grove, W. M. (1988). Normative comparisons in therapy outcome. Behavioral Assessment, 10, 147–158.
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.
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
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.
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.
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.
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
- Sleep-Related Outcomes Following Early Intervention for Childhood Anxiety
Michelle A. Clementi
Candice A. Alfano
Lindsay E. Holly
Armando A. Pina
- Springer US