Sleep in young people: What works now and where to? A meta-review of behavioural and cognitive interventions and lifestyle factors

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Abstract

OBJECTIVES: 1) Systematically review meta-analyses and systematic reviews that (a) explored health/lifestyle factors affecting sleep, and/or (b) investigated behavioral/psychological sleep interventions in young people (10-25-years); 2) Evaluate the quality of published literature, and, if an intervention; 3) Examine method and effectiveness of mode of delivery, to inform current clinical practice and research direction.

METHOD: A systematic search of Embase ( n  = 45), MEDLINE ( n  = 67), Web of Science ( n  = 375), Google Scholar ( n  = 138), and hand-searching was conducted. After full review, 12 papers were selected, 2 systematic reviews without, and 10 with, meta-analyses. Six examined associations between sleep and lifestyle/health, and six examined cognitive-behavioral ( n  = 4), or school education ( n  = 2), programs.

RESULTS: Electronic media use, type of day (week/end), sex, age, culture/geographical location, substance use, family environment, and evening light exposure were negatively associated with sleep, in young people. Only cognitive and/or behavioral interventions of at least 2 × 1-hr sessions improved sleep.

CONCLUSION: This paper informs sleep recommendations for young people and advises that ≥ 2 × 1-hr sessions of cognitive behavioral or behavioral therapy is the minimum to improve sleep in young people. School-based sleep interventions do not produce long-term change.

Original languageEnglish
Pages (from-to)58-75
Number of pages18
JournalBehavioral Sleep Medicine
Volume22
Issue number1
Early online date28 Feb 2023
DOIs
Publication statusPublished - 2024

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