{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:27:01Z","timestamp":1792135621090,"version":"4.4.0"},"reference-count":73,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T00:00:00Z","timestamp":1511308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1027076"],"award-info":[{"award-number":["APP1027076"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this study was to test moderators of therapeutic improvement in an adolescent cognitive\u2010behavioral and mindfulness\u2010based group sleep intervention. Specifically, we examined whether the effects of the program on postintervention sleep outcomes were dependent on participant gender and\/or measures of sleep duration, anxiety, depression, and self\u2010efficacy prior to the interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Secondary analysis of a randomized controlled trial conducted with 123 adolescent participants (female\u00a0=\u00a059.34%; mean age\u00a0=\u00a014.48\u00a0years, range 12.04\u201316.31\u00a0years) who had elevated levels of sleep problems and anxiety symptoms. Participants were randomized into either a group sleep improvement intervention (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      63) or group active control \u2018study skills\u2019 intervention (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      60). The sleep intervention (\u2018Sleep SENSE\u2019) was cognitive behavioral in approach, incorporating sleep education, sleep hygiene, stimulus control, and cognitive restructuring, but also had added anxiety\u2010reducing, mindfulness, and motivational interviewing elements. Components of the active control intervention (\u2018Study SENSE\u2019) included personal organization, persuasive writing, critical reading, referencing, memorization, and note taking. Participants completed the Pittsburgh Sleep Quality Index (PSQI), Spence Children's Anxiety Scale (SCAS), Center for Epidemiologic Studies Depression Scale (CES\u2010D), and General Self\u2010Efficacy Scale (GSE) and wore an actigraph and completed a sleep diary for five school nights prior to the interventions. Sleep assessments were repeated at postintervention. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12612001177842;\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.anzctr.org.au\/TrialSearch.aspx?searchTxt=ACTRN12612001177842&amp;isBasic=True\">http:\/\/www.anzctr.org.au\/TrialSearch.aspx?searchTxt=ACTRN12612001177842&amp;isBasic=True<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results showed that compared with the active control intervention, the effect of the sleep intervention on self\u2010reported sleep quality (PSQI global score) at postintervention was statistically significant among adolescents with relatively moderate to high SCAS, CES\u2010D, and GSE prior to the intervention, but not among adolescents with relatively low SCAS, CES\u2010D, and GSE prior to the intervention. The results were consistent across genders. However, the effects of the sleep intervention on actigraphy\u2010measured sleep onset latency and sleep diary\u2010measured sleep efficiency at postintervention were not dependent on actigraphy\u2010measured total sleep time, SCAS, CES\u2010D, or GSE prior to the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides evidence that some sleep benefits of adolescent cognitive\u2010behavioral sleep interventions are greatest among those with higher levels of anxiety and depressive symptoms, suggesting that this may be an especially propitious group to whom intervention efforts could be targeted. Furthermore, adolescents with lower levels of self\u2010efficacy may need further targeted support (e.g. additional motivational interviewing) to help them reach treatment goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.12842","type":"journal-article","created":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T00:03:03Z","timestamp":1511308983000},"page":"637-649","source":"Crossref","is-referenced-by-count":52,"title":["Who benefits from adolescent sleep interventions? Moderators of treatment efficacy in a randomized controlled trial of a cognitive\u2010behavioral and mindfulness\u2010based group sleep intervention for at\u2010risk adolescents"],"prefix":"10.1111","volume":"59","author":[{"given":"Matthew J.","family":"Blake","sequence":"first","affiliation":[{"name":"Melbourne School of Psychological Sciences The University of Melbourne Melbourne Vic. 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