title: The SENSE study: Post intervention effects of a randomized controlled trial of a cognitive-behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents.
abstract: Sleep problems are a major risk factor for the emergence of mental health problems in adolescence. The aim of this study was to investigate the post intervention effects of a cognitive-behavioral/mindfulness-based group sleep intervention on sleep and mental health among at-risk adolescents.
  
  
  
  A randomized controlled trial (RCT) was conducted across High schools in Melbourne, Australia. One hundred forty-four adolescents (aged 12-17 years) with high levels of anxiety and sleeping difficulties, but without past or current depressive disorder, were randomized into either a sleep improvement intervention or an active control 'study skills' intervention. Both programs consisted of 7 90-min-long group sessions delivered over 7 weeks. One hundred twenty-three participants began the interventions (female = 60%; mean age = 14.48, SD = 0.95), with 60 in the sleep condition and 63 in the control condition. All participants were required to complete a battery of mood and sleep questionnaires, 7 days of wrist actigraphy (an objective measure of sleep), and sleep diary entry at pre- and-post intervention.
  
  
  
  The sleep intervention condition was associated with significantly greater improvements in subjective sleep (global sleep quality [with a medium effect size], sleep onset latency, daytime sleepiness [with small effect sizes]), objective sleep (sleep onset latency [with a medium effect size]), and anxiety (with a small effect size) compared with the control intervention condition.
  
  
  
  The SENSE study provides evidence that a multicomponent group sleep intervention that includes cognitive-behavioral and mindfulness-based therapies can reduce sleep initiation problems and related daytime dysfunction, along with concomitant anxiety symptoms, among at-risk adolescents. (PsycINFO Database Record
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Matthew
authors: M
authors: Blake
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Joanna M
authors: JM
authors: Waloszek
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Orli
authors: O
authors: Schwartz
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Monika
authors: M
authors: Raniti
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Julian G
authors: JG
authors: Simmons
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Laura
authors: L
authors: Blake
authors: Psychological Sciences and Statistics, Swinburne University of Technology.
authors: Greg
authors: G
authors: Murray
authors: School of Public Health, University of California, Berkeley.
authors: Ronald E
authors: RE
authors: Dahl
authors: Department of Psychology, University of Arizona.
authors: Richard
authors: R
authors: Bootzin
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Paul
authors: P
authors: Dudgeon
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: John
authors: J
authors: Trinder
authors: Melbourne School of Psychological Sciences, The University of Melbourne.
authors: Nicholas B
authors: 0000-0002-1086-6639
authors: NB
authors: Allen
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000628:therapy*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D064866:Mindfulness / Q000379:methods*; D017063:Outcome Assessment, Health Care; D011615:Psychotherapy, Group / Q000379:methods*; D007319:Sleep Initiation and Maintenance Disorders / Q000628:therapy*