Oluz Höyük - Amasya: Discovery of a Site in the North of Central Anatolia

DÖNMEZ Ş., ABDULLAEV K.

Journal of Ancient History, vol.1, no.1, pp.703-729, 2019 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 1 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.1590/1414-431x20187070
  • Journal Name: Journal of Ancient History
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, ATLA Religion Database
  • Page Numbers: pp.703-729
  • Keywords: Insomnia, Cognitive behavioral therapy, CBT-i, Child, Adolescent, Meta-analysis, RANDOMIZED CONTROLLED-TRIAL, PSYCHOMETRIC PROPERTIES, SLEEP PROBLEMS, DSM-IV, INTERNET, PROGRAM, DEPRESSION, PREVALENCE, DISORDERS, CHILDHOOD
  • Istanbul University Affiliated: Yes

Abstract

Insomnia is highly prevalent in children and adolescents. However, the efficacy of cognitive behavioral therapy for insomnia (CBT-i) in children and adolescents remains controversial. Therefore, this systematic review and meta-analysis aimed to assess the efficacy of CBT-i in children and adolescents. We conducted a search of PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, CINAHL, and PsycINFO to select primary studies evaluating CBT-i in children and adolescents that were primarily diagnosed through standardized diagnostic criteria. The primary outcomes of the meta-analysis included sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), and sleep efficiency (SE%). Six randomized controlled trials and four open-label trials met all inclusion criteria. A total of 464 participants (ranging from 5-19 years of age) were included. Based on the results from sleep logs, a significant pooled effect size was observed for SOL and SE%. However, no significant pooled effect size was found for WASO or TST. Results from actigraphy were consistent with the sleep logs. A significant pooled effect size was observed for SOL and SE%, and no significant pooled effect size was found for WASO or TST. CBT-i might be effective in the treatment of children and adolescents with insomnia.