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Anxiety Treatment and Targeted Sleep Enhancement to Address Sleep Disturbance in Pre/Early Adolescents with Anxiety.

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Title: Anxiety Treatment and Targeted Sleep Enhancement to Address Sleep Disturbance in Pre/Early Adolescents with Anxiety.
Authors: McMakin, Dana L., Ricketts, Emily J., Forbes, Erika E., Silk, Jennifer S., Ladouceur, Cecile D., Siegle, Greg J., Milbert, Melissa, Trubnick, Laura, Cousins, Jennifer C., Ryan, Neal D., Harvey, Allison G., Dahl, Ronald E.
Source: Journal of Clinical Child & Adolescent Psychology. 2019 Supplement, Vol. 48, pS284-S297. 14p.
Subjects: Anxiety treatment, Sleep interruptions, Adolescence, Sleep, Separation anxiety, Psychological adaptation, Mental health
Abstract: Sleep disturbance is prevalent in anxious youth and prospectively predicts poor emotional adjustment in adolescence. Study 1 examined whether anxiety treatment improves subjective and objective sleep disturbance in anxious youth. Study 2 examined whether a sleep intervention called Sleeping TIGERS can further improve sleep following anxiety treatment. Study 1 examined 133 youth (ages 9-14; 56% female; 11% ethnic/racial minority) with generalized, social, or separation anxiety over the course of anxiety treatment (cognitive behavioral treatment or client-centered treatment). Sleep-related problems (parent-, child-report) and subjective (diary) and objective (actigraphy) sleep patterns were assessed across treatment in an open trial design. Study 2 included 50 youth (ages 9-14; 68% female; 10% ethnic/racial minority) who continued to report sleep-related problems after anxiety treatment and enrolled in an open trial of Sleeping TIGERS. Pre- and postassessments duplicated Study 1 and included the Focal Interview of Sleep to assess sleep disturbance. Study 1 demonstrated small reductions in sleep problems and improvements in subjective sleep patterns (diary) across anxiety treatment, but outcomes were not deemed clinically significant, and 75% of youth stayed above clinical cutoff. Study 2 showed clinically significant, large reductions in sleep problems and small changes in some subjective sleep patterns (diary). Anxiety treatment improves, but does not resolve, sleep disturbance in peri-pubertal youth, which may portend risk for poor emotional adjustment and mental health. The open trial provides preliminary support that Sleeping TIGERS can improve sleep in anxious youth to a clinically significant degree. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Anxiety Treatment and Targeted Sleep Enhancement to Address Sleep Disturbance in Pre/Early Adolescents with Anxiety.
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  Data: <searchLink fieldCode="AR" term="%22McMakin%2C+Dana+L%2E%22">McMakin, Dana L.</searchLink><br /><searchLink fieldCode="AR" term="%22Ricketts%2C+Emily+J%2E%22">Ricketts, Emily J.</searchLink><br /><searchLink fieldCode="AR" term="%22Forbes%2C+Erika+E%2E%22">Forbes, Erika E.</searchLink><br /><searchLink fieldCode="AR" term="%22Silk%2C+Jennifer+S%2E%22">Silk, Jennifer S.</searchLink><br /><searchLink fieldCode="AR" term="%22Ladouceur%2C+Cecile+D%2E%22">Ladouceur, Cecile D.</searchLink><br /><searchLink fieldCode="AR" term="%22Siegle%2C+Greg+J%2E%22">Siegle, Greg J.</searchLink><br /><searchLink fieldCode="AR" term="%22Milbert%2C+Melissa%22">Milbert, Melissa</searchLink><br /><searchLink fieldCode="AR" term="%22Trubnick%2C+Laura%22">Trubnick, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Cousins%2C+Jennifer+C%2E%22">Cousins, Jennifer C.</searchLink><br /><searchLink fieldCode="AR" term="%22Ryan%2C+Neal+D%2E%22">Ryan, Neal D.</searchLink><br /><searchLink fieldCode="AR" term="%22Harvey%2C+Allison+G%2E%22">Harvey, Allison G.</searchLink><br /><searchLink fieldCode="AR" term="%22Dahl%2C+Ronald+E%2E%22">Dahl, Ronald E.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. 2019 Supplement, Vol. 48, pS284-S297. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety+treatment%22">Anxiety treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+interruptions%22">Sleep interruptions</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep%22">Sleep</searchLink><br /><searchLink fieldCode="DE" term="%22Separation+anxiety%22">Separation anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink>
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  Data: Sleep disturbance is prevalent in anxious youth and prospectively predicts poor emotional adjustment in adolescence. Study 1 examined whether anxiety treatment improves subjective and objective sleep disturbance in anxious youth. Study 2 examined whether a sleep intervention called Sleeping TIGERS can further improve sleep following anxiety treatment. Study 1 examined 133 youth (ages 9-14; 56% female; 11% ethnic/racial minority) with generalized, social, or separation anxiety over the course of anxiety treatment (cognitive behavioral treatment or client-centered treatment). Sleep-related problems (parent-, child-report) and subjective (diary) and objective (actigraphy) sleep patterns were assessed across treatment in an open trial design. Study 2 included 50 youth (ages 9-14; 68% female; 10% ethnic/racial minority) who continued to report sleep-related problems after anxiety treatment and enrolled in an open trial of Sleeping TIGERS. Pre- and postassessments duplicated Study 1 and included the Focal Interview of Sleep to assess sleep disturbance. Study 1 demonstrated small reductions in sleep problems and improvements in subjective sleep patterns (diary) across anxiety treatment, but outcomes were not deemed clinically significant, and 75% of youth stayed above clinical cutoff. Study 2 showed clinically significant, large reductions in sleep problems and small changes in some subjective sleep patterns (diary). Anxiety treatment improves, but does not resolve, sleep disturbance in peri-pubertal youth, which may portend risk for poor emotional adjustment and mental health. The open trial provides preliminary support that Sleeping TIGERS can improve sleep in anxious youth to a clinically significant degree. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/15374416.2018.1463534
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      – SubjectFull: Sleep interruptions
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      – SubjectFull: Adolescence
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      – SubjectFull: Sleep
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      – SubjectFull: Separation anxiety
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              Text: 2019 Supplement
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