From short-term benefits to developmental adaptation:effect trajectory and developmental implications of transdiagnostic sleep and circadian intervention in youth
摘要We reviewed the series of articles on the transdiagnostic sleep and circadian intervention(TranS-C)for adolescents,including Harvey et al.'s randomized controlled trial(RCT)[1],Dong et al.'s 6-month follow-up[2],Dolsen et al.'s 1-year follow-up[3],and Susman et al.'s 8-year follow-up[4].The results indicated that TranS-C had an effect trajec-tory:"significant short-term improvement-partial mainte-nance at 6 months-stability of core indicators+text messag-ing intervention reinforcement at 1 year-effect attenuation at 8 years."In the short-term post-intervention,multiple indicators in the TranS-C group-including core circadian rhythm parameters(Children's Morningness-Eveningness Preferences Scale,CMEP),dim-light melatonin onset(DLMO),Pittsburgh Sleep Quality Index(PSQI),and smaller weeknight-weekend discrepancies in total sleep time(TST)and wake-up time-were significantly superior to those in the psychoeducation(PE)group,as was the Par-ent-Reported Composite Risk Scores for cognitive health[1].At the 6-month follow-up,CMEP,PS QI,and the week-night-weekend discrepancy in wake-up time still maintained advantages,while PE showed benefit from post-treatment to 6 months for reducing the parent-reported composite of behavioral health risk[2].At 1 year,CMEP and week-night-weekend discrepancy in wake-up time retained their advantages,and text messaging reinforcement enhanced circadian improvement[3].At 8 years,no significant dif-ferences were observed between any indicators of TranS-C and those of PE[4].
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