Let's talk about sleep: a systematic review of psychological interventions to improve sleep in college students.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.