{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T01:51:14Z","timestamp":1787881874077,"version":"build-2784847793"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>To prevent the future development of insomnia in at-risk adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A randomized controlled trial comparing 4 weekly insomnia prevention program with a nonactive control group. Subjects were assessed at baseline, postintervention, and 6 and 12 months after intervention. Assessors were blinded to the randomization. Analyses were conducted on the basis of the intention-to-treat principles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 242 adolescents with family history of insomnia and subthreshold insomnia symptoms were randomly assigned to an intervention group (n = 121; mean age = 14.7 \u00b1 1.8; female: 51.2%) or control group (n = 121; mean age = 15.0 \u00b1 1.7; female: 62.0%). There was a lower incidence rate of insomnia disorder (both acute and chronic) in the intervention group compared with the control group (5.8% vs 20.7%; P = .002; number needed to treat = 6.7; hazard ratio = 0.29; 95%\u00a0confidence\u00a0interval: 0.12\u20130.66;\u00a0P\u00a0= .003) over the 12-month follow-up. The intervention group had decreased insomnia symptoms (P = .03) and reduced vulnerability to stress-related insomnia (P = .03) at postintervention and throughout the 12-month follow-up. Decreased daytime sleepiness (P = .04), better sleep hygiene practices (P = .02), and increased total sleep time (P = .05) were observed at postintervention. The intervention group also reported fewer depressive symptoms at 12-month follow-up (P = .02) compared with the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>A brief cognitive behavioral program is effective in preventing the onset of insomnia and improving the vulnerability factors and functioning outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2020-006833","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T04:26:04Z","timestamp":1614140764000},"source":"Crossref","is-referenced-by-count":31,"title":["A Prevention Program for Insomnia in At-risk Adolescents: A Randomized Controlled Study"],"prefix":"10.1542","volume":"147","author":[{"given":"Ngan Yin","family":"Chan","sequence":"first","affiliation":[{"name":"Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley Xin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Psychology, The University of Hong Kong and"},{"name":"The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siu Ping","family":"Lam","sequence":"additional","affiliation":[{"name":"Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Pui Ling","family":"Kwok","sequence":"additional","affiliation":[{"name":"New Territories East Cluster, Hospital Authority, Hong Kong Special Administrative Region, China; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandy Wai Man","family":"Yu","sequence":"additional","affiliation":[{"name":"Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joey Wing Yan","family":"Chan","sequence":"additional","affiliation":[{"name":"Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert Martin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region, China;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles M.","family":"Morin","sequence":"additional","affiliation":[{"name":"School of Psychology, Universit\u00e9 Laval and Centre de recherche CERVO, Quebec City, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Kwok","family":"Wing","sequence":"additional","affiliation":[{"name":"Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2021,3,1]]},"reference":[{"issue":"9926","key":"2021120906275011600_B1","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/S0140-6736(13)62116-9","article-title":"The prognosis of common mental disorders in adolescents: a 14-year prospective cohort study. 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