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INSOMNIA IN ADOLESCENCE

MECHANISMS AND TREATMENTS


FOR A SUBTLE CONDITION
INTRODUCTION

 7% of teenagers in Europe and 9-20%


 of teenagers in the USA

 Determining the risk factors

 Thourough understanding of insomnia mechanisms =>


effective therapy
MATERIALS & METHODS

 10 studies centered on insomnia’s


development among groups of
adolescents

 Stress stemming from their psychological response to


their daily schedule

 Connections between the most common causes of


insomnia
RESULTS

 Importance of sleep interventions for mental health


improvement

 Pharmacological treatment as a side therapy


CONCLUSIONS

 Which biopsychosocial mechanisms are significant?

 When do they appear?


Questions
needing an
 How do they interact? answer

 Are there gender differences?

 Behavioral sleep interventions – moulded on the


patient’s personality
TAKE HOME MESSAGES

 Respecting the sleeping schedule

 Designing a sleeping-friendly space

 Before 11 a.m.!!!
BIBLIOGRAPHY
1. de Zambotti, M., Goldstone, A., Colrain, I., & Baker, F. (2018). Insomnia disorder in adolescence: Diagnosis,
impact, and treatment. Sleep Medicine Reviews
2. Ballesio, A., Raisa, M., Aquino (2017). The effectiveness of behavioural and cognitive behavioural therapies
for insomnia on depressive and fatigue symptoms
3. Chiang, J., Kim, J., Almeida, D., Bower, J., Dahl, R., Irwin, M., . . . Fuligni, A. (2017). Sleep efficiency
modulates associations between family stress and adolescent depressive symptoms and negative affect. Journal
of Adolescent Health
4. M. J., Waloszek, J. M., Schwartz, O., Raniti, (2016). 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. Journal of Consulting and Clinical Psychology
5. Borbély, A. A., Daan, S., Wirz-Justice, A., & Deboer, T. (2016). The two-process model of sleep regulation: A
reappraisal. Journal of Sleep Research
6. Brand, S., Kirov, R., Kalak, N., Gerber, M., Schmidt, N. B., Lemola, S., . . . Holsboer-Trachsler, E. (2016).
Poor sleep is related to lower emotional competence among adolescents. Behavioral Sleep Medicine
7. Bartel, K. A., Gradisar, M. (2015). Protective and risk factors for adolescent sleep
8. Dang-Vu, T. T., Salimi, A., Boucetta, S., Wenzel, K., Byrne, J., Brandewinder, M., . . . Gouin, J.-P. (2015).
Sleep spindles predict stress-related increases in sleep disturbances. Frontiers in Human Neuroscience
9. Elnazer, H., & Baldwin, D. (2014). Investigation of cortisol levels in patients with anxiety disorders: A
structured review. Current Topics in Behavioral Neuroscience
10. Datta, S., & O'Malley, M. W. (2013). Fear extinction memory consolidation requires potentiation of pontine-
wave activity during REM sleep. Journal of Neuroscience

11. Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and
taxonomic implications. Journal of Abnormal Psychology
12. Burke, H. M., Davis, M., Otte, C., & Mohr, D. C. (2005). Depression and cortisol responses to psychological
stress: A meta-analysis. Psychoneuroendocrinology
THANK YOU!

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