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Recharge: a preliminary evaluation of an emotion regulation enhanced CBT-i intervention for insomnia in early adolescence

Published online by Cambridge University Press:  05 August 2019

Luka Byrne ,
Caroline Donovan  and
Amy Shiels
Luka Byrne
Affiliation:
School of Applied Psychology & Menzies Health Institute Queensland, Griffith University, Mt Gravatt, QLD 4122, Australia
Caroline Donovan*
Affiliation:
School of Applied Psychology & Menzies Health Institute Queensland, Griffith University, Mt Gravatt, QLD 4122, Australia
Amy Shiels
Affiliation:
School of Applied Psychology & Menzies Health Institute Queensland, Griffith University, Mt Gravatt, QLD 4122, Australia
*
*Corresponding author. Email: c.donovan@griffith.edu.au
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Abstract

Background:

Insomnia disorder in adolescence is prevalent, persistent and associated with adverse outcomes, including reduced quality of life. Cognitive behavioural therapy for insomnia (CBT-i) has shown promise as an effective treatment for adolescents. Recent research has highlighted the role of emotion regulation in insomnia, suggesting that the inclusion of emotion regulation techniques may enhance CBT-i.

Aims:

To evaluate the feasibility and preliminary effectiveness of a CBT-i treatment program for insomnia in early adolescence, augmented with emotion regulation strategies, using a case-series design.

Method:

Three participants (mean 11.67 years) completed the program that consisted of seven, weekly individual therapy sessions and parental participation. Participants monitored their sleep daily during the intervention, and insomnia diagnostic status and severity, use of emotion regulation strategies and quality of life were assessed at baseline, post-intervention and at 6-week follow-up.

Results:

At post-treatment, none of the participants met criteria for insomnia and all reported statistically reliable reductions in symptoms. Improvements were maintained at follow-up for two participants. Sleep onset latency was reduced and improvements in quality of life were evident. There were no changes in the use of emotion regulation strategies following treatment. Adolescents and parents reported high program satisfaction.

Conclusions:

This preliminary evaluation provides support for the effectiveness of the CBT-i program tested. However, given that emotion regulation did not change and yet improvements in sleep were evident, the usefulness of augmenting the program with emotion regulation strategies requires further evaluation.

Keywords

adolescenceCBTemotion regulationinsomniasleep
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 1 , January 2020 , pp. 121 - 126
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019 

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References

Blake, M. J., Sheeber, L. B., Youssef, G. J., Raniti, M. B., & Allen, N. B. (2017). Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions. Clinical Child and Family Psychology Review, 20, 227–249. doi: 10.1007/s10567-017-0234-5 CrossRefGoogle ScholarPubMed
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McRae, K., Gross, J. J., Weber, J., Robertson, E. R., Sokol-Hessner, P., Ray, R. D., … & Ochsner, K. N. (2012). The development of emotion regulation: an fMRI study of cognitive reappraisal in children, adolescents and young adults. Social Cognitive and Affective Neuroscience, 7, 11–22. doi: 10.1093/scan/nsr093 CrossRefGoogle Scholar
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Recharge: A preliminary evaluation of an emotion regulation enhanced, CBT-i intervention for insomnia in early adolescence

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