{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:15:15Z","timestamp":1784016915327,"version":"3.55.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Insomnia is common in adolescents and often comorbid with psychiatric disorders. This study evaluated changes in insomnia, sleep, and comorbid symptoms following cognitive-behavioral therapy for insomnia (CBT-I) in adolescents with comorbid psychiatric disorders and chronic pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this non-controlled clinical pilot study, participants ( n\u2009=\u200923, 78% female) were recruited from adolescent psychiatry and pediatric pain clinics. Assessments of self-reported insomnia, sleep onset latency, wake after sleep onset, total sleep time, sleep efficiency and depression, anxiety, functional disability, and pain intensity were completed at pre- and post-intervention and 3\u2009months follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From pre- to post-intervention, statistically significant improvements were found for insomnia symptoms ( p\u2009&lt;\u2009.001; d\u2009=\u20091.63), sleep onset latency ( p\u2009&lt;\u2009.001; d\u2009=\u20091.04), wake after sleep onset ( p\u2009&lt;\u2009.001; d\u2009=\u20090.38), total sleep time ( p\u2009=\u2009.015; d\u2009=\u20090.22), sleep efficiency ( p\u2009&lt;\u2009.001; d\u2009=\u20091.00), depression ( p\u2009&lt;\u2009.001; d\u2009=\u20090.87), and anxiety ( p\u2009=\u2009.001; d\u2009=\u20090.31). Only eight participants reported data at follow-up with maintained improvements for all measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study provides support that insomnia symptoms and sleep can improve following CBT-I delivered in a clinical setting and that co-occurring psychiatric symptoms can be reduced. The results should be interpreted with caution due to the uncontrolled conditions and limited sample size. Well-powered clinical trials are needed to validate the suggested effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1359104520929376","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T07:22:31Z","timestamp":1592378551000},"page":"958-971","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Cognitive-behavioral therapy for insomnia in adolescents with comorbid psychiatric disorders: A clinical pilot study"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7138-7295","authenticated-orcid":false,"given":"Lie","family":"\u00c5slund","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mats","family":"Lekander","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"},{"name":"Stress Research Institute, Stockholm University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikard K","family":"Wicksell","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Henje","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Ume\u00e5 University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Jernel\u00f6v","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,17]]},"reference":[{"key":"bibr1-1359104520929376","doi-asserted-by":"crossref","unstructured":"Amaral M. 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