title: A Pilot Study on Adolescents With Depression and Insomnia: Qualitative Findings From Focus Groups.
abstract: Nonpharmacological treatments for insomnia in adolescents with depression are lacking. This qualitative study was a thematic analysis of the unique characteristics of and preferences for an insomnia treatment in a group of depressed adolescents. Fourteen adolescents with insomnia (age range = 14-19, mean = 17, SD ± 1.7; 71% female) and depression completed a 90-min focus group. Information was elicited about sleep disruptions, insomnia's impact on mood, and preferences for insomnia treatments. Themes included poor daytime functioning affecting sleep, lack of benefit from sleep medication, and bedtime rumination. Most identified sleep diaries as a barrier to treatment regardless of mode of delivery. Participants also preferred an in-person therapy. Insomnia therapy in adolescents should consider the unique characteristics of depression. Larger studies are warranted.
authors.affiliation: a Department of Psychiatry , University of Michigan , Ann Arbor , Michigan.
authors.forename: D A
authors.initials: DA
authors.lastname: Conroy
authors.affiliation: a Department of Psychiatry , University of Michigan , Ann Arbor , Michigan.
authors.forename: A M
authors.initials: AM
authors.lastname: Czopp
authors.affiliation: b Pediatric Sleep Medicine , University of Michigan , Ann Arbor , Michigan.
authors.forename: D
authors.initials: D
authors.lastname: Dore-Stites
authors.affiliation: a Department of Psychiatry , University of Michigan , Ann Arbor , Michigan.
authors.forename: R R
authors.initials: RR
authors.lastname: Dopp
authors.affiliation: a Department of Psychiatry , University of Michigan , Ann Arbor , Michigan.
authors.forename: R
authors.initials: R
authors.lastname: Armitage
authors.affiliation: b Pediatric Sleep Medicine , University of Michigan , Ann Arbor , Michigan.
authors.forename: T F
authors.initials: TF
authors.lastname: Hoban
authors.affiliation: a Department of Psychiatry , University of Michigan , Ann Arbor , Michigan.
authors.forename: J T
authors.initials: JT
authors.lastname: Arnedt
mesh_terms: D000293:Adolescent; D000339:Affect; D003863:Depression / Q000150:complications* / Q000523:psychology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology; D057240:Patient Preference / Q000523:psychology*; D010865:Pilot Projects; D036301:Qualitative Research; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000523:psychology / Q000628:therapy*; D055815:Young Adult