Depression, Insomnia
Conditions
Keywords
Adolescent, Depression, Insomnia
Brief summary
Major depressive disorder (MDD) occurs at least 11% of adolescents and approximately 53-90% of those adolescents have insomnia. If left untreated, insomnia increases the risk of relapse and recurrence of depressive episodes, unintentional injuries, poor school performance, substance use, obesity, and the risk for suicide. This project seeks to develop a nonpharmacological treatment for insomnia in adolescents with depression that is feasible and effective. The specific methodologies that will help accomplish these results are: 1) use of focus groups of adolescents with depression and insomnia to determine how the current standard, nonpharmacological treatment for insomnia (cognitive-behavioral therapy for insomnia; CBTI) among adults can be modified for use by adolescents with depression and 2) determine the preliminary effectiveness, feasibility, and tolerability of group CBTI in adolescents with depression (CBTI-AD) developed using feedback from the focus groups. This project will help to improve the quality and scope of delivery of mental health services in Michigan by a) gaining a greater understanding of how sleep disturbance may perpetuate depression in adolescents and b) to provide mental health professionals with a nonpharmacological treatment option for insomnia in adolescents with depression.
Interventions
BEHAVIORALCognitive Behavioral Therapy for Insomnia
A non-pharmacological therapy for insomnia based on behavior and cognitive therapy approaches
Sponsors
University of Michigan
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* Between 13-19 years of age * Are depressed * Have insomnia
Exclusion criteria
* Are not depressed * Do not have insomnia * Currently using a sleep aid * Have bipolar depression * Have psychotic disorder * Have a sleep disorder other than insomnia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insomnia Severity Index | Change from baseline in insomnia at 5 weeks | A 5-item insomnia severity questionnaire |
| Multidimensional Fatigue Inventory | Change from baseline in fatigue at 5 weeks | A 14-item questionnaire on fatigue |
| Quick Inventory of Depressive Symptomatology | Change from baseline in depression at 5 weeks | A 16-item questionnaire on depression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol and drug use screening test (CRAFFT) | Baseline | A six item questionnaire that assesses risk and substance use. This questionaire is delivered once at baseline. |
| Morningness Eveningness Questionnaire -modified | Baseline | A 10 item questionnaire assessing phase preference of evening, morning, or neither; This questionaire is delivered once at baseline. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Sleep diaries | Change from baseline in sleep at 5 weeks | A subjective assessment of daily patterns of sleep |
Countries
United States
Outcome results
None listed