title: The effects of cognitive-behavioral therapy for youth anxiety on sleep problems.
abstract: The present study examined (a) whether sleep related problems (SRPs) improved following cognitive-behavioral therapy (CBT) for youth with anxiety disorders, (b) whether variables that may link anxiety and SRPs (e.g., pre-sleep arousal, family accommodation, sleep hygiene) changed during treatment, and (c) whether such changes predicted SRPs at posttreatment. Youth were diagnosed with anxiety at pretreatment and received weekly CBT that targeted their principal anxiety diagnosis at one of two specialty clinics (N=69 completers, Mage=10.86). Results indicated that parent-reported SRPs improved from pre- to post-treatment and that treatment responders with regard to anxiety yielded greater SRP improvements than nonresponders. Parent report of bedtime resistance and sleep anxiety showed significant improvements. Youth reported lower rates of SRPs compared to their parents and did not demonstrate pre- to post-treatment changes in SRPs. Pre-sleep arousal and family accommodation decreased over treatment but did not predict lower SRPs at posttreatment. Higher accommodation was correlated with greater SRPs. Sleep hygiene evidenced no change and did not mediate links between accommodation and posttreatment SRPs.
authors.affiliation: Temple University, United States. Electronic address: jpeterman@temple.edu.
authors.forename: Jeremy S
authors.initials: JS
authors.lastname: Peterman
authors.affiliation: Temple University, United States.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Carper
authors.affiliation: Boston University, United States.
authors.forename: R Meredith
authors.initials: RM
authors.lastname: Elkins
authors.affiliation: Florida International University, United States.
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Comer
authors.affiliation: Boston University, United States.
authors.forename: Donna B
authors.initials: DB
authors.lastname: Pincus
authors.affiliation: Temple University, United States.
authors.forename: Philip C
authors.initials: PC
authors.lastname: Kendall
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D001143:Arousal / Q000502:physiology; D002648:Child; D003071:Cognition / Q000502:physiology; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D057566:Self Report; D012893:Sleep Wake Disorders / Q000523:psychology*
keywords: Adolescent; Anxiety; Child; Cognitive behavioral therapy; Insomnia; Sleep