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The present study aimed to qualitatively explore the experience of sleep problems in adolescents with depression, including their understanding of how a psychological therapy impacted on these sleep difficulties. The sample included 12 adolescents with sleep disturbances who had been offered treatment for depression through a large, multi-centre, randomised controlled trial. Semi-structured interviews conducted after treatment and 1-year post treatment were analysed using thematic analysis. Two main themes were identified. Both themes demonstrated how an overarching desire to escape impacted the adolescents\u2019 sleep in distinct ways; \u2018thinking about the \u2018bad stuff\u2019\u2019 was characterised by ruminative thinking, which prevented sleep, whereas \u2018sleep as an escape\u2019 indicated a desire to sleep excessively due to feelings of helplessness. Overall, the findings demonstrate a nuanced relationship between sleep and depression in adolescence, and imply that the underlying meaning of the sleep difficulties for each young person should be considered in the delivery of therapy for adolescent depression.<\/jats:p>","DOI":"10.1177\/13591045211006157","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T00:49:51Z","timestamp":1617842991000},"page":"938-953","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The experience of sleep problems for adolescents with depression in short-term psychological therapy"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4936-4564","authenticated-orcid":false,"given":"Maria","family":"Jernslett","sequence":"first","affiliation":[{"name":"Psychology and Language Sciences, University College London, UK"},{"name":"Anna Freud National Centre for Children and Families, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Thackeray","sequence":"additional","affiliation":[{"name":"Psychology and Language Sciences, University College London, UK"},{"name":"Anna Freud National Centre for Children and Families, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith","family":"Orchard","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Sussex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Midgley","sequence":"additional","affiliation":[{"name":"Psychology and Language Sciences, University College London, UK"},{"name":"Anna Freud National Centre for Children and Families, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,7]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/medsci6020046"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.01.011"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(00)00065-4"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.05.006"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_2_7_1","volume-title":"Cognitive therapy treatment manual for depressed and suicidal youth","author":"Brent D.","year":"1997","unstructured":"Brent D., Poling K. 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