TY - JOUR
T1 - Adapting Brief CBT-I for Depressed Adolescents
T2 - A Case Illustration of the Sleeping Better Program
AU - Orchard, Faith
AU - Pass, Laura
AU - Chessell, Chloe
AU - Moody, Alice
AU - Ellis, Jason
AU - Reynolds, Shirley
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Disturbed sleep is a common symptom of depression in adolescents, but this symptom is not often targeted in psychological therapies for depression. Although the causal relationship between sleep and depression is unclear, there is increasing evidence that in adults, Cognitive Behavioral Therapy for Insomnia (CBT-I) improves sleep problems and reduces symptoms of depression; however, there has been little investigation of using this approach with adolescents. This article describes the adaptation of brief CBT-I for adolescents with depression. A single case study is reported to illustrate the use of the Sleeping Better program. Adaptations for adolescents include increased emphasis on engagement of the young person and the inclusion of parents in treatment. The treatment program was acceptable to the adolescent and parent, and treatment outcome, as indicated by sleep diaries and standardized measures of depression and anxiety, was positive. Further evaluation of the Sleeping Better program is needed to establish if it is an effective low-intensity intervention for sleep problems in adolescents who have depression or anxiety.
AB - Disturbed sleep is a common symptom of depression in adolescents, but this symptom is not often targeted in psychological therapies for depression. Although the causal relationship between sleep and depression is unclear, there is increasing evidence that in adults, Cognitive Behavioral Therapy for Insomnia (CBT-I) improves sleep problems and reduces symptoms of depression; however, there has been little investigation of using this approach with adolescents. This article describes the adaptation of brief CBT-I for adolescents with depression. A single case study is reported to illustrate the use of the Sleeping Better program. Adaptations for adolescents include increased emphasis on engagement of the young person and the inclusion of parents in treatment. The treatment program was acceptable to the adolescent and parent, and treatment outcome, as indicated by sleep diaries and standardized measures of depression and anxiety, was positive. Further evaluation of the Sleeping Better program is needed to establish if it is an effective low-intensity intervention for sleep problems in adolescents who have depression or anxiety.
KW - adolescence
KW - CBT-I
KW - cognitive-behavioral therapy
KW - depression
KW - insomnia
UR - http://www.scopus.com/inward/record.url?scp=85076546762&partnerID=8YFLogxK
U2 - 10.1016/j.cbpra.2019.07.010
DO - 10.1016/j.cbpra.2019.07.010
M3 - Article
AN - SCOPUS:85076546762
SN - 1077-7229
VL - 27
SP - 336
EP - 346
JO - Cognitive and Behavioral Practice
JF - Cognitive and Behavioral Practice
IS - 3
ER -