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Background: Many children and adolescents with psychiatric disorders struggle with sleep problems that oftentimes stay unaddressed in therapeutic settings due to limited resources. Still, there is evidence that improving insufficient sleep positively affects mental health recovery. Addressing an adequate sleep hygiene is named to be the first line of treatment when it comes to unspecific sleep problems. The present study aims to evaluate the efficacy of a brief sleep hygiene group intervention for children and adolescents with psychiatric disorders named "Ready for Landing." The intervention is designed to improve sleep quality and elongate sleep duration by explaining the process of falling asleep using the metaphor of an airplane landing. Elements of psychoeducation and cognitive behavioral therapy for insomnia are combined.
Method: The study plans to investigate the efficacy of the intervention using a waitlist control design. A sample of children and adolescents (aged 10-18 years) that are undergoing treatment for psychiatric disorders in day treatment centers in Kiel and Rostock, Germany, will be included. Sleep quality is assessed using the Pittsburgh Sleep Quality Index. Sleep duration is assessed by using a sleep diary completed by the patients and as well using actigraphy as an objective measure. Analysis of variance will be used to detect treatment effects. Secondary outcomes include variables regarding sleepiness.
Discussion: If "Ready for Landing" proves to be efficacious the intervention has the potential to bridge the gap between frequent sleep problems in youth with mental health problems and limited resources to target those. Serving as an effective and economic tool, it could support mental healthcare professionals. It is a promising intervention to support the positive outcome of mental health treatments by improving sleep in children and adolescents.
Clinical Trial Registration: https://www.bfarm.de/DE/Das-BfArM/Aufgaben/Deutsches-Register-Klinischer-Studien/_node.html, identifier DRKS00034984.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392276 | PMC |
http://dx.doi.org/10.3389/fpsyg.2025.1543448 | DOI Listing |
J Med Internet Res
September 2025
Department of Psychiatry, Helsinki University Hospital and Helsinki University, Helsinki, Finland.
Background: Internet-based cognitive behavioral therapies (iCBTs) are typically categorized into 2 types: therapist-assisted and self-guided. Both formats have accumulated substantial evidence supporting their cost-effectiveness and efficacy in treating a range of mental health conditions. However, therapist-assisted iCBTs tend to show lower dropout rates than self-guided versions.
View Article and Find Full Text PDFJ Med Internet Res
September 2025
School of Advertising, Marketing and Public Relations, Faculty of Business and Law, Queensland University of Technology, Brisbane, Australia.
Background: Labor shortages in health care pose significant challenges to sustaining high-quality care for people with intellectual disabilities. Social robots show promise in supporting both people with intellectual disabilities and their health care professionals; yet, few are fully developed and embedded in productive care environments. Implementation of such technologies is inherently complex, requiring careful examination of facilitators and barriers influencing sustained use.
View Article and Find Full Text PDFN Engl J Med
September 2025
Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst.
Background: In 2019, seven county correctional facilities (jails) in Massachusetts initiated pilot programs to provide all Food and Drug Administration-approved medications for opioid use disorder (MOUD).
Methods: This observational study used linked state data to examine postrelease MOUD receipt, overdose, death, and reincarceration among persons with probable opioid use disorder (OUD) in carceral settings who did or did not receive MOUD from these programs from September 1, 2019, through December 31, 2020. Log-binomial and proportional-hazards models were adjusted for propensity-score weights and baseline covariates that remained imbalanced after propensity-score weighting.
Neurology
October 2025
Department of Radiology, Mayo Clinic, Rochester, MN.
Background And Objectives: The relationship between insomnia and cognitive decline is poorly understood. We investigated associations between chronic insomnia, longitudinal cognitive outcomes, and brain health in older adults.
Methods: From the population-based Mayo Clinic Study of Aging, we identified cognitively unimpaired older adults with or without a diagnosis of chronic insomnia who underwent annual neuropsychological assessments (z-scored global cognitive scores and cognitive status) and had quantified serial imaging outcomes (amyloid-PET burden [centiloid] and white matter hyperintensities from MRI [WMH, % of intracranial volume]).