RecruitingNot ApplicableNCT06358495

Improving Sleep to Prevent Depression & Anxiety in Adolescents at High Risk

Sponsor

University of Calgary

Enrollment

50 participants

Start Date

Nov 1, 2024

Study Type

INTERVENTIONAL

Conditions

Insomnia Depressive Symptoms Sleep Disturbance Anxiety Symptoms

Summary

Emerging evidence has shown that sleep interventions such as Cognitive Behavioral Therapy for Insomnia (CBT-I) improve depressive and anxiety symptoms in adults, even when the intervention is brief, such as four to six sessions. The overarching aim of the proposed research is to conduct a pilot trial to evaluate whether a brief intervention for insomnia adapted for improves sleep and subthreshold depressive and anxiety symptoms in adolescents at risk (i.e., with a parental history of depressive or anxiety disorders).

Eligibility

Min Age: 12 YearsMax Age: 18 Years

Inclusion Criteria3

Between the ages of 12 and 18.
Having at least one parent with a history of depressive or anxiety disorders but having no clinically significant history (per the Diagnostic and Statistical Manual of Mental Disorders 5) of internalizing disorders themselves.
Adolescents who score 10/25 or greater on the Insomnia Severity Index, indicating subthreshold insomnia or greater.

Exclusion Criteria5

Experiencing symptoms of sleep disorders other than insomnia (i.e. restless legs syndrome \[RLS\], sleep-disordered breathing \[SDB\].
Having a history of untreated, serious psychiatric illness (i.e., bipolar disorder, schizophrenia).
Active suicidal ideation.
Currently taking prescribed medications for sleep problems.
Moderate to severe head injury.

Interventions

BEHAVIORALCognitive Behavioral Therapy for Insomnia

Digital CBT-I is an online, six-module, self-guided CBT-I intervention. It includes videos and read information on behavioral (e.g., stimulus control, relaxation) and cognitive (e.g., restructuring, reducing arousal, and problem-solving) techniques, as well as psychoeducation (e.g., sleep hygiene). Participants complete homework following each session and track their sleep using an online diary. Young people could choose to involve their parents, for example, through completing sessions together. However, we will add a virtual session for parents as their involvement may improve adolescent engagement with the intervention as well as outcomes for adolescent sleep problems (Gradisar et al., 2011). This module will include an overview of the program components (behavioural, cognitive, and educational), goals and homework, and addresses parents' beliefs about sleep.

OTHERActive Control

Participants are encouraged to continue any care they are already receiving and will be placed on a wait-list for digital CBT-I after their final assessment. All activities participants try for improving their own sleep problems between assessments will be recorded and coded for.