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. 不同学龄阶段学生群体的睡眠特征. 广州: 南方医科大学, 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.	马晓蒙, 郝凤仪, 蒋晓江. 儿童及青少年失眠的临床特征及治疗研究概况. 中华诊断学电子杂志, 2019, 7(3): 164-167.
5.	夏艳秋, 张震, 魏雪梅, 等. 网络化认知行为疗法在失眠症中的应用及进展. 心理月刊, 2021(12): 221-223,230.
6.	兰胜作, 熊生才, 万纯. 睡眠卫生指导及放松训练对失眠者的睡眠评价及疗效观察. 现代预防医学, 2010, 37(3): 507-508,511.
7.	接姗姗. 体育锻炼对大学生睡眠质量的影响研究. 上海: 上海交通大学, 2018.
8.	龚明俊, 付皆, 胡晓飞. 运动锻炼干预睡眠障碍效果的 Meta 分析. 中国体育科技, 2020, 56(3): 22-31.
9.	蔡梦骞, 崔妙玲. 正念冥想调节失眠的研究现状及分析. 华西医学, 2021, 36(4): 524-528.
10.	王珊, 宋旭红, 车晓萍, 等. 基于 CNKI 数据库的正念干预文献可视化分析. 医学与社会, 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, Gøtzsche 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.	张怡雯. 正念认知疗法对抑郁倾向高校毕业生睡眠质量干预效果. 中国学校卫生, 2019, 40(9): 1345-1347,1352.
15.	杨丽, 任子璇, 王星丹, 等. 正念减压疗法对新型冠状病毒肺炎疫情时期高校学生的心理状态与睡眠的影响. 中国健康心理学杂志, 2020, 28(12): 1813-1817.
16.	童伟隆, 赵桂琴. 正念干预训练对青少年创伤后应激障碍疗效观察. 浙江中西医结合杂志, 2019, 29(10): 826-828.
17.	陈晓, 王昆明. 正念冥想训练对大学生心理健康和睡眠质量的干预作用. 中国健康心理学杂志, 2017, 25(2): 276-281.
18.	鲁俊华, 关红军, 胡欣宇. 正念减压疗法对医学生心理健康状况及睡眠质量的影响. 中国健康心理学杂志, 2020, 28(11): 1705-1710.
19.	张秋波. 正念认知训练对抑郁状态下大学生睡眠问题与心理状态的影响探讨. 反射疗法与康复医学, 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, Bögels 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, 蓝雅芬, 等. 福州市高中生睡眠状况与高血压的关系. 中华高血压杂志, 2020, 28(11): 1039-1044.
27.	上海艾瑞市场咨询有限公司. 艾瑞咨询系列研究报告(2019 年第 4 期). 上海:上海艾瑞市场咨询有限公司, 2019: 185-235.
28.	赵霞, 孙宏艳, 张旭东. 我国城市青少年健康生活方式的发展趋势与改进. 中国青年研究, 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.	杨娜, 武莉莉. 正念干预对护理专业学生身心健康影响的系统评价. 中华护理教育, 2021, 18(1): 59-65.
32.	张静, 徐明霞, 徐秀云, 等. 正念减压疗法应用于乳腺癌患者的研究进展. 解放军护理杂志, 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. 不同学龄阶段学生群体的睡眠特征. 广州: 南方医科大学, 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. 马晓蒙, 郝凤仪, 蒋晓江. 儿童及青少年失眠的临床特征及治疗研究概况. 中华诊断学电子杂志, 2019, 7(3): 164-167.
5. 夏艳秋, 张震, 魏雪梅, 等. 网络化认知行为疗法在失眠症中的应用及进展. 心理月刊, 2021(12): 221-223,230.
6. 兰胜作, 熊生才, 万纯. 睡眠卫生指导及放松训练对失眠者的睡眠评价及疗效观察. 现代预防医学, 2010, 37(3): 507-508,511.
7. 接姗姗. 体育锻炼对大学生睡眠质量的影响研究. 上海: 上海交通大学, 2018.
8. 龚明俊, 付皆, 胡晓飞. 运动锻炼干预睡眠障碍效果的 Meta 分析. 中国体育科技, 2020, 56(3): 22-31.
9. 蔡梦骞, 崔妙玲. 正念冥想调节失眠的研究现状及分析. 华西医学, 2021, 36(4): 524-528.
10. 王珊, 宋旭红, 车晓萍, 等. 基于 CNKI 数据库的正念干预文献可视化分析. 医学与社会, 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, Gøtzsche 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. 张怡雯. 正念认知疗法对抑郁倾向高校毕业生睡眠质量干预效果. 中国学校卫生, 2019, 40(9): 1345-1347,1352.
15. 杨丽, 任子璇, 王星丹, 等. 正念减压疗法对新型冠状病毒肺炎疫情时期高校学生的心理状态与睡眠的影响. 中国健康心理学杂志, 2020, 28(12): 1813-1817.
16. 童伟隆, 赵桂琴. 正念干预训练对青少年创伤后应激障碍疗效观察. 浙江中西医结合杂志, 2019, 29(10): 826-828.
17. 陈晓, 王昆明. 正念冥想训练对大学生心理健康和睡眠质量的干预作用. 中国健康心理学杂志, 2017, 25(2): 276-281.
18. 鲁俊华, 关红军, 胡欣宇. 正念减压疗法对医学生心理健康状况及睡眠质量的影响. 中国健康心理学杂志, 2020, 28(11): 1705-1710.
19. 张秋波. 正念认知训练对抑郁状态下大学生睡眠问题与心理状态的影响探讨. 反射疗法与康复医学, 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, Bögels 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, 蓝雅芬, 等. 福州市高中生睡眠状况与高血压的关系. 中华高血压杂志, 2020, 28(11): 1039-1044.
27. 上海艾瑞市场咨询有限公司. 艾瑞咨询系列研究报告(2019 年第 4 期). 上海:上海艾瑞市场咨询有限公司, 2019: 185-235.
28. 赵霞, 孙宏艳, 张旭东. 我国城市青少年健康生活方式的发展趋势与改进. 中国青年研究, 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. 杨娜, 武莉莉. 正念干预对护理专业学生身心健康影响的系统评价. 中华护理教育, 2021, 18(1): 59-65.
32. 张静, 徐明霞, 徐秀云, 等. 正念减压疗法应用于乳腺癌患者的研究进展. 解放军护理杂志, 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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