Effect of mindfulness therapy on sleep problems in adolescents: a meta-analysis_West China Medical Journal

Authors：

WANG Dandan , CHEN Qi ,  YIN Min

School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, P. R. China;

Corresponding?author：

YIN Min, Email: minyin@lzu.edu.cn

Keywords：

Mindfulness therapy; sleep; adolescent; meta-analysis

DOI：

10.7507/1002-0179.202106222

Video：

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Objective To evaluate the effect of mindfulness therapy on sleep problems in adolescents. Methods We searched PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang, Chongqing VIP and SinoMed for relevant randomized controlled trials on mindfulness intervention to improve adolescents’ sleep. The retrieval time was from the establishment of the databases to October 21, 2022. The results were meta-analysed with RevMan 5.4 software. Results A total of 11 randomized controlled trials were included, with a total sample size of 870 cases. The types of mindfulness therapy include mindfulness-based stress reduction, mindfulness-based cognitive therapy, mindfulness meditation, group mindfulness sleep intervention, body scanning and other mindfulness technologies. The duration of single intervention was different. The included studies showed that the mindfulness intervention can effectively improve the sleep problems of adolescents and the accompanying daytime sleepiness, anxiety, depression and other negative emotions compared with the control intervention. Meta-analysis of six studies showed that the sleep quality of adolescents in the mindfulness intervention group was improved [mean difference=?1.21, 95% confidence interval (?1.58, ?0.83), P<0.00001]. Conclusion Mindfulness therapy has a good effect on improving adolescents’ sleep problems, but whether it can achieve long-term benefits still needs to be further evaluated by high-quality, multicenter long-term follow-up trials.

Citation： WANG Dandan, CHEN Qi, YIN Min. Effect of mindfulness therapy on sleep problems in adolescents: a meta-analysis. West China Medical Journal, 2023, 38(1): 79-85. doi: 10.7507/1002-0179.202106222 Copy

1.	林秋雁. 不同學齡階段學生群體的睡眠特征. 廣州: 南方醫科大學, 2020.
2.	Willis TA, Gregory AM. Anxiety disorders and sleep in children and adolescents. Sleep Med Clin, 2015, 10(2): 125-131.
3.	Baglioni C, Battagliese G, Feige B, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord, 2011, 135(1/2/3): 10-19.
4.	馬曉蒙, 郝鳳儀, 蔣曉江. 兒童及青少年失眠的臨床特征及治療研究概況. 中華診斷學電子雜志, 2019, 7(3): 164-167.
5.	夏艷秋, 張震, 魏雪梅, 等. 網絡化認知行為療法在失眠癥中的應用及進展. 心理月刊, 2021(12): 221-223,230.
6.	蘭勝作, 熊生才, 萬純. 睡眠衛生指導及放松訓練對失眠者的睡眠評價及療效觀察. 現代預防醫學, 2010, 37(3): 507-508,511.
7.	接姍姍. 體育鍛煉對大學生睡眠質量的影響研究. 上海: 上海交通大學, 2018.
8.	龔明俊, 付皆, 胡曉飛. 運動鍛煉干預睡眠障礙效果的 Meta 分析. 中國體育科技, 2020, 56(3): 22-31.
9.	蔡夢騫, 崔妙玲. 正念冥想調節失眠的研究現狀及分析. 華西醫學, 2021, 36(4): 524-528.
10.	王珊, 宋旭紅, 車曉萍, 等. 基于 CNKI 數據庫的正念干預文獻可視化分析. 醫學與社會, 2019, 32(9): 127-130.
11.	Black DS, O'Reilly GA, Olmstead R, et al. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med, 2015, 175(4): 494-501.
12.	Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
13.	Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med, 2002, 21(11): 1539-1558.
14.	張怡雯. 正念認知療法對抑郁傾向高校畢業生睡眠質量干預效果. 中國學校衛生, 2019, 40(9): 1345-1347,1352.
15.	楊麗, 任子璇, 王星丹, 等. 正念減壓療法對新型冠狀病毒肺炎疫情時期高校學生的心理狀態與睡眠的影響. 中國健康心理學雜志, 2020, 28(12): 1813-1817.
16.	童偉隆, 趙桂琴. 正念干預訓練對青少年創傷后應激障礙療效觀察. 浙江中西醫結合雜志, 2019, 29(10): 826-828.
17.	陳曉, 王昆明. 正念冥想訓練對大學生心理健康和睡眠質量的干預作用. 中國健康心理學雜志, 2017, 25(2): 276-281.
18.	魯俊華, 關紅軍, 胡欣宇. 正念減壓療法對醫學生心理健康狀況及睡眠質量的影響. 中國健康心理學雜志, 2020, 28(11): 1705-1710.
19.	張秋波. 正念認知訓練對抑郁狀態下大學生睡眠問題與心理狀態的影響探討. 反射療法與康復醫學, 2022, 3(14): 164-167.
20.	Blake M, Waloszek JM, Schwartz O, et al. The SENSE study: post intervention effects of a randomized controlled trial of a cognitive-behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents. J Consult Clin Psychol, 2016, 84(12): 1039-1051.
21.	Jones BJ, Kaur S, Miller M, et al. Mindfulness-based stress reduction benefits psychological well-being, sleep quality, and athletic performance in female collegiate rowers. Front Psychol, 2020, 11: 572980.
22.	de Bruin EJ, Meijer A, B?gels S. The Contribution of a Body Scan Mindfulness Meditation to Effectiveness of Internet-Delivered CBT for Insomnia in Adolescents. Mindfulness, 2020, 11(4): 872-882.
23.	Bartel K, Huang C, Maddock B, et al. Brief school-based interventions to assist adolescents’ sleep-onset latency: comparing mindfulness and constructive worry versus controls. J Sleep Res, 2018, 27(3): e12668.
24.	Hall BJ, Xiong P, Guo X, et al. An evaluation of a low intensity mHealth enhanced mindfulness intervention for Chinese university students: a randomized controlled trial. Psychiatry Res, 2018, 270: 394-403.
25.	Blake MJ, Sheeber LB, Youssef GJ, et al. Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions. Clin Child Fam Psychol Rev, 2017, 20(3): 227-249.
26.	林英, 白雅萍, 藍雅芬, 等. 福州市高中生睡眠狀況與高血壓的關系. 中華高血壓雜志, 2020, 28(11): 1039-1044.
27.	上海艾瑞市場咨詢有限公司. 艾瑞咨詢系列研究報告(2019 年第 4 期). 上海:上海艾瑞市場咨詢有限公司, 2019: 185-235.
28.	趙霞, 孫宏艷, 張旭東. 我國城市青少年健康生活方式的發展趨勢與改進. 中國青年研究, 2019(4): 61-66.
29.	Carlson LE. Mindfulness-based interventions for physical conditions: a narrative review evaluating levels of evidence. ISRN Psychiatry, 2012, 2012: 651583.
30.	Gotink RA, Meijboom R, Vernooij MW, et al. 8-week mindfulness based stress reduction induces brain changes similar to traditional long-term meditation practice - a systematic review. Brain Cogn, 2016, 108: 32-41.
31.	楊娜, 武莉莉. 正念干預對護理專業學生身心健康影響的系統評價. 中華護理教育, 2021, 18(1): 59-65.
32.	張靜, 徐明霞, 徐秀云, 等. 正念減壓療法應用于乳腺癌患者的研究進展. 解放軍護理雜志, 2019, 36(10): 56-59.
33.	Rusch HL, Rosario M, Levison LM, et al. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann N Y Acad Sci, 2019, 1445(1): 5-16.
34.	Zhang JX, Liu XH, Xie XH, et al. Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore (NY), 2015, 11(3): 180-185.

1. 林秋雁. 不同學齡階段學生群體的睡眠特征. 廣州: 南方醫科大學, 2020.
2. Willis TA, Gregory AM. Anxiety disorders and sleep in children and adolescents. Sleep Med Clin, 2015, 10(2): 125-131.
3. Baglioni C, Battagliese G, Feige B, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord, 2011, 135(1/2/3): 10-19.
4. 馬曉蒙, 郝鳳儀, 蔣曉江. 兒童及青少年失眠的臨床特征及治療研究概況. 中華診斷學電子雜志, 2019, 7(3): 164-167.
5. 夏艷秋, 張震, 魏雪梅, 等. 網絡化認知行為療法在失眠癥中的應用及進展. 心理月刊, 2021(12): 221-223,230.
6. 蘭勝作, 熊生才, 萬純. 睡眠衛生指導及放松訓練對失眠者的睡眠評價及療效觀察. 現代預防醫學, 2010, 37(3): 507-508,511.
7. 接姍姍. 體育鍛煉對大學生睡眠質量的影響研究. 上海: 上海交通大學, 2018.
8. 龔明俊, 付皆, 胡曉飛. 運動鍛煉干預睡眠障礙效果的 Meta 分析. 中國體育科技, 2020, 56(3): 22-31.
9. 蔡夢騫, 崔妙玲. 正念冥想調節失眠的研究現狀及分析. 華西醫學, 2021, 36(4): 524-528.
10. 王珊, 宋旭紅, 車曉萍, 等. 基于 CNKI 數據庫的正念干預文獻可視化分析. 醫學與社會, 2019, 32(9): 127-130.
11. Black DS, O'Reilly GA, Olmstead R, et al. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med, 2015, 175(4): 494-501.
12. Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
13. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med, 2002, 21(11): 1539-1558.
14. 張怡雯. 正念認知療法對抑郁傾向高校畢業生睡眠質量干預效果. 中國學校衛生, 2019, 40(9): 1345-1347,1352.
15. 楊麗, 任子璇, 王星丹, 等. 正念減壓療法對新型冠狀病毒肺炎疫情時期高校學生的心理狀態與睡眠的影響. 中國健康心理學雜志, 2020, 28(12): 1813-1817.
16. 童偉隆, 趙桂琴. 正念干預訓練對青少年創傷后應激障礙療效觀察. 浙江中西醫結合雜志, 2019, 29(10): 826-828.
17. 陳曉, 王昆明. 正念冥想訓練對大學生心理健康和睡眠質量的干預作用. 中國健康心理學雜志, 2017, 25(2): 276-281.
18. 魯俊華, 關紅軍, 胡欣宇. 正念減壓療法對醫學生心理健康狀況及睡眠質量的影響. 中國健康心理學雜志, 2020, 28(11): 1705-1710.
19. 張秋波. 正念認知訓練對抑郁狀態下大學生睡眠問題與心理狀態的影響探討. 反射療法與康復醫學, 2022, 3(14): 164-167.
20. Blake M, Waloszek JM, Schwartz O, et al. The SENSE study: post intervention effects of a randomized controlled trial of a cognitive-behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents. J Consult Clin Psychol, 2016, 84(12): 1039-1051.
21. Jones BJ, Kaur S, Miller M, et al. Mindfulness-based stress reduction benefits psychological well-being, sleep quality, and athletic performance in female collegiate rowers. Front Psychol, 2020, 11: 572980.
22. de Bruin EJ, Meijer A, B?gels S. The Contribution of a Body Scan Mindfulness Meditation to Effectiveness of Internet-Delivered CBT for Insomnia in Adolescents. Mindfulness, 2020, 11(4): 872-882.
23. Bartel K, Huang C, Maddock B, et al. Brief school-based interventions to assist adolescents’ sleep-onset latency: comparing mindfulness and constructive worry versus controls. J Sleep Res, 2018, 27(3): e12668.
24. Hall BJ, Xiong P, Guo X, et al. An evaluation of a low intensity mHealth enhanced mindfulness intervention for Chinese university students: a randomized controlled trial. Psychiatry Res, 2018, 270: 394-403.
25. Blake MJ, Sheeber LB, Youssef GJ, et al. Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions. Clin Child Fam Psychol Rev, 2017, 20(3): 227-249.
26. 林英, 白雅萍, 藍雅芬, 等. 福州市高中生睡眠狀況與高血壓的關系. 中華高血壓雜志, 2020, 28(11): 1039-1044.
27. 上海艾瑞市場咨詢有限公司. 艾瑞咨詢系列研究報告(2019 年第 4 期). 上海:上海艾瑞市場咨詢有限公司, 2019: 185-235.
28. 趙霞, 孫宏艷, 張旭東. 我國城市青少年健康生活方式的發展趨勢與改進. 中國青年研究, 2019(4): 61-66.
29. Carlson LE. Mindfulness-based interventions for physical conditions: a narrative review evaluating levels of evidence. ISRN Psychiatry, 2012, 2012: 651583.
30. Gotink RA, Meijboom R, Vernooij MW, et al. 8-week mindfulness based stress reduction induces brain changes similar to traditional long-term meditation practice - a systematic review. Brain Cogn, 2016, 108: 32-41.
31. 楊娜, 武莉莉. 正念干預對護理專業學生身心健康影響的系統評價. 中華護理教育, 2021, 18(1): 59-65.
32. 張靜, 徐明霞, 徐秀云, 等. 正念減壓療法應用于乳腺癌患者的研究進展. 解放軍護理雜志, 2019, 36(10): 56-59.
33. Rusch HL, Rosario M, Levison LM, et al. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann N Y Acad Sci, 2019, 1445(1): 5-16.
34. Zhang JX, Liu XH, Xie XH, et al. Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore (NY), 2015, 11(3): 180-185.

West China Medical Journal

Effect of mindfulness therapy on sleep problems in adolescents: a meta-analysis

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