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Cognitive Behavioral Therapy as an Adjunct Treatment to Light Therapy for Delayed Sleep Phase Disorder in Young Adults: A Randomized Controlled Feasibility Study.

Behavioral sleep medicine
January 1, 2016
Katarina Danielsson et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the feasibility of cognitive behavioral therapy (CBT) as an additive treatment to light therapy (LT) for delayed sleep phase disorder (DSPD) in young people.

Results Summary

Light therapy advanced sleep-wake rhythm in both groups, but adding CBT did not show significant differences in primary endpoints compared to LT alone. However, anxiety and depression scores decreased more in the LT+CBT group.

Population

Participants aged 16 to 26 years with delayed sleep phase disorder (DSPD).

Effective Dosage

Not specified

Duration

Two weeks of LT followed by four weeks of CBT or no treatment.

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
light therapy (LT)
increase
sleep-wake rhythm
participants aged 16 to 26 years
-
advanced
#1
cognitive behavioral therapy (CBT) as an additive treatment to light therapy (LT)
no change
primary endpoints
participants aged 16 to 26 years
-
no significant group differences were observed
#2
cognitive behavioral therapy (CBT) as an additive treatment to light therapy (LT)
decrease
anxiety and depression scores
participants aged 16 to 26 years
-
decreased significantly more
#3
Abstract

Delayed sleep phase disorder (DSPD) is common among young people, but there is still no evidence-based treatment available. In the present study, the feasibility of cognitive behavioral therapy (CBT) was evaluated as an additive treatment to light therapy (LT) in DSPD. A randomized controlled trial with participants aged 16 to 26 years received LT for two weeks followed by either four weeks of CBT or no treatment (NT). LT advanced sleep-wake rhythm in both groups. Comparing LT+CBT with LT+NT, no significant group differences were observed in the primary endpoints. Although anxiety and depression scores were low at pretreatment, they decreased significantly more in LT+CBT compared to LT+NT. The results are discussed and some suggestions are given for further studies.

Medical Subject Headings (MeSH)
AdolescentAdultAnxietyCognitive Behavioral TherapyDepressionFeasibility StudiesFemaleHumansMalePhototherapySleepSleep Disorders, Circadian RhythmWakefulnessYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality80/10
Citation Metrics
Total Citations33
Citations/Year3.7
Relative Citation Ratio1.78
NIH Percentile70.8%
Research Impact Scores
APT Score0.75
Weight Score1.93
Normalized Score0.64
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