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Let's talk about sleep: a systematic review of psychological interventions to improve sleep in college students.

Journal of sleep research
February 1, 2018
Anja Friedrich et al. (2 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to compare the effectiveness of psychological interventions, including mindfulness, in improving sleep among college students.

Results Summary

Mindfulness, combined with relaxation and hypnotherapy, showed variable effect sizes ranging from very small to very large, with overall medium effects. CBT approaches were more effective, but mindfulness-based interventions still demonstrated promising results.

Population

College students with sleep problems, including insomnia and impaired sleep quality.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
sleep hygiene interventions
increase
sleep variables
college students
small to medium effects
provided small to medium effects
#1
cognitive-behavioural therapy (CBT)
increase
sleep variables
college students
large effects
showed large effects
#2
relaxation, mindfulness and hypnotherapy
increase
sleep variables
college students
very small to very large effect sizes
ranging from very small to very large effect sizes
#3
other psychotherapeutic interventions
increase
sleep variables
college students
medium effects
showed medium effects
#4
CBT approaches
increase
different sleep variables
college students
best effects
provided the best effects
#5
other three intervention categories
increase
sleep variables
college students
overall medium effects
showed promising results with overall medium effects
#6
Abstract

Sleep problems are a common occurrence in college students. Insomnia, nightmares and impaired sleep quality lead to several mental health issues, as well as impaired academic performance. Although different sleep programmes exist, a systematic overview comparing their effectiveness is still missing. This systematic review aims to provide an overview of psychological interventions to improve sleep in college students. Seven databases were searched from November to December 2016 (MEDLINE, EMBASE, PsycINFO, Cinahl, Cochrane Library, PubMed, OpenSigle). The search string included search terms from three different topics: sleep, intervention and college students. Outcome measures included subjective as well as objective measures and focused on sleep, sleep-related and mental health variables. Twenty-seven studies met the inclusion criteria. They were assigned to four intervention categories: (1) sleep hygiene, (2) cognitive-behavioural therapy (CBT), (3) relaxation, mindfulness and hypnotherapy and (4) other psychotherapeutic interventions. Fifteen studies were randomized controlled trials. While sleep hygiene interventions provided small to medium effects, the CBTs showed large effects. The variability of the effect sizes was especially large in the relaxation category, ranging from very small to very large effect sizes. Other psychotherapeutic interventions showed medium effects. CBT approaches provided the best effects for the improvement of different sleep variables in college students. Five studies included insomnia patients. The other three intervention categories also showed promising results with overall medium effects. In the future, CBT should be combined with relaxation techniques, mindfulness and hypnotherapy. Furthermore, the interventions should broaden their target group and include more sleep disorders.

Medical Subject Headings (MeSH)
Chronobiology PhenomenaCognitive Behavioral TherapyHumansMental HealthRelaxation TherapySleepSleep HygieneSleep Initiation and Maintenance DisordersSleep Wake DisordersStudentsUniversities
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality80/10
Citation Metrics
Total Citations138
Citations/Year19.7
Relative Citation Ratio10.65
NIH Percentile98.1%
Research Impact Scores
APT Score0.95
Weight Score2.43
Normalized Score0.64
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