Sleep problems in university students - an intervention

Schlarb A, Friedrich A, Claßen M (2017)
Neuropsychiatric Disease and Treatment 2017(13): 1989-2001.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
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Abstract / Bemerkung
Introduction: Up to 60% of all college students suffer from a poor sleep quality, and 7.7% meet all criteria of an insomnia disorder. Sleep problems have a great impact on the students’ daily life, for example, the grade point average. Due to irregular daytime routines, chronotype changes, side jobs and exam periods, they need specialized treatments for improving sleep. “Studieren wie im Schlaf” (SWIS; (studying in your sleep)) is a multicomponent sleep training that combines Cognitive Behavioral Therapy for Insomnia and Hypnotherapy for Insomnia to improve students’ sleep, insomnia symptoms and nightmares. The aim of the present study is to evaluate the acceptance, feasibility and the first effects of SWIS. Methods: Twenty-seven students (mean =24.24, standard deviation =3.57) participated in a study of pre–post design. The acceptance and feasibility were measured with questionnaires. In addition, the Pittsburgh Sleep Quality Index (PSQI), sleep logs and actigraphy were implemented. Further variables encompassed daytime sleepiness, sleep-related personality traits and cognitions about sleep. Results: Seventy-four percent of the participants reported symptoms of an insomnia disorder, and 51.9% fulfilled all criteria of an insomnia disorder according to the Diagnostic and Statistical Manual of Mental Disorders (fifth edition). Correspondingly, the students suffered from clinically relevant sleep problems according to the PSQI. The SWIS sleep training is a well-accepted and feasible program. Significant improvements were observed in the subjective sleep quality and sleep-related personality traits, as well as clinical improvements in objective sleep measures. Discussion: Findings showed that SWIS is a feasible program for the treatment of sleep problems in college and university students due to its various effects on sleep and cognitive outcomes. Further evaluation of follow-up measurements and additional variables, that is, cognitive performance and mental health, is needed.
sleep quality; insomnia; nightmares; college students; CBT-I; HT-I
Neuropsychiatric Disease and Treatment
Open-Access-Publikationskosten wurden durch die Deutsche Forschungsgemeinschaft und die Universität Bielefeld gefördert.
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Schlarb A, Friedrich A, Claßen M. Sleep problems in university students - an intervention. Neuropsychiatric Disease and Treatment. 2017;2017(13):1989-2001.
Schlarb, A., Friedrich, A., & Claßen, M. (2017). Sleep problems in university students - an intervention. Neuropsychiatric Disease and Treatment, 2017(13), 1989-2001. doi:10.2147/ndt.s142067
Schlarb, Angelika, Friedrich, Anja, and Claßen, Merle. 2017. “Sleep problems in university students - an intervention”. Neuropsychiatric Disease and Treatment 2017 (13): 1989-2001.
Schlarb, A., Friedrich, A., and Claßen, M. (2017). Sleep problems in university students - an intervention. Neuropsychiatric Disease and Treatment 2017, 1989-2001.
Schlarb, A., Friedrich, A., & Claßen, M., 2017. Sleep problems in university students - an intervention. Neuropsychiatric Disease and Treatment, 2017(13), p 1989-2001.
A. Schlarb, A. Friedrich, and M. Claßen, “Sleep problems in university students - an intervention”, Neuropsychiatric Disease and Treatment, vol. 2017, 2017, pp. 1989-2001.
Schlarb, A., Friedrich, A., Claßen, M.: Sleep problems in university students - an intervention. Neuropsychiatric Disease and Treatment. 2017, 1989-2001 (2017).
Schlarb, Angelika, Friedrich, Anja, and Claßen, Merle. “Sleep problems in university students - an intervention”. Neuropsychiatric Disease and Treatment 2017.13 (2017): 1989-2001.
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54 References

Daten bereitgestellt von Europe PubMed Central.

Epidemiology of insomnia in college students: relationship with mental health, quality of life, and substance use difficulties.
Taylor DJ, Bramoweth AD, Grieser EA, Tatum JI, Roane BM., Behav Ther 44(3), 2012
PMID: 23768662
Sleep habits and patterns of college students: a preliminary study.
Buboltz WC Jr, Brown F, Soper B., J Am Coll Health 50(3), 2001
PMID: 11765249
Sleep patterns and predictors of disturbed sleep in a large population of college students.
Lund HG, Reider BD, Whiting AB, Prichard JR., J Adolesc Health 46(2), 2009
PMID: 20113918
Nightmares and associations with sleep quality and self-efficacy among university students
Schlarb AA, Bihlmaier I, Hautzinger M, Gulewitsch MD, Schwerdtle B., 2015
How is good and poor sleep in older adults and college students related to daytime sleepiness, fatigue, and ability to concentrate?
Alapin I, Fichten CS, Libman E, Creti L, Bailes S, Wright J., J Psychosom Res 49(5), 2000
PMID: 11164064
Sleep loss, learning capacity and academic performance.
Curcio G, Ferrara M, De Gennaro L., Sleep Med Rev 10(5), 2006
PMID: 16564189
The relation between insomnia and chronic fatigue among a non-clinical sample using questionnaires
Abdel-Khalek AM., 2009
Insomnia and mental health in college students.
Taylor DJ, Gardner CE, Bramoweth AD, Williams JM, Roane BM, Grieser EA, Tatum JI., Behav Sleep Med 9(2), 2011
PMID: 21491233
Sleep hygiene and sleep-onset insomnia.
Harvey AG., J. Nerv. Ment. Dis. 188(1), 2000
PMID: 10665463
The impact of rumination on sleep quality following a stressful life event
Guastella AJ, Moulds ML., 2007
A seven day actigraphy-based study of rumination and sleep disturbance among young adults with depressive symptoms.
Pillai V, Steenburg LA, Ciesla JA, Roth T, Drake CL., J Psychosom Res 77(1), 2014
PMID: 24913345
Distinguishing rumination from worry in clinical insomnia.
Carney CE, Harris AL, Moss TG, Edinger JD., Behav Res Ther 48(6), 2010
PMID: 20362977
Sleep-related arousal versus general cognitive arousal in primary insomnia.
Spiegelhalder K, Regen W, Feige B, Hirscher V, Unbehaun T, Nissen C, Riemann D, Baglioni C., J Clin Sleep Med 8(4), 2012
PMID: 22893774
Repetitive thought and self-reported sleep disturbance.
Takano K, Iijima Y, Tanno Y., Behav Ther 43(4), 2012
PMID: 23046780
Relationship between sleep quality and health risk behaviors in undergraduate college students
Vail-Smith K, Felts WM, Becker C., 2009
Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students.
Lohsoonthorn V, Khidir H, Casillas G, Lertmaharit S, Tadesse MG, Pensuksan WC, Rattananupong T, Gelaye B, Williams MA., Sleep Breath 17(3), 2012
PMID: 23239460
Medikamentenkonsum bei Studierenden
Lohmann K, Gusy B, Drewes J., 2010
Influence of chronotype, season, and sex of subject on sleep behavior of young adults.
Lehnkering H, Siegmund R., Chronobiol. Int. 24(5), 2007
PMID: 17994343
The relationships between sleep-wake cycle and academic performance in medical students
Medeiros ALD, Mendes DB, Lima PF, Araujo JF., 2001
The Chronotype-Academic Performance Model (CAM): daytime sleepiness and learning motivation link chronotype and school performance in adolescents
Roeser K, Schlarb AA, Kübler A., 2013
Let’s talk about sleep: a systematic review of psychological interventions to improve sleep in university students
Friedrich A, Schlarb AA., 2017
[Mini-KiSS--a multimodal group therapy intervention for parents of young children with sleep disorders: a pilot study].
Schlarb AA, Brandhorst I, Hautzinger M., Z Kinder Jugendpsychiatr Psychother 39(3), 2011
PMID: 21563111

Schlarb AA., 2010
JuSt - a multimodal program for treatment of insomnia in adolescents: a pilot study.
Schlarb AA, Liddle CC, Hautzinger M., Nat Sci Sleep 3(), 2010
PMID: 23616715

The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research.
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ., Psychiatry Res 28(2), 1989
PMID: 2748771
NISAS-2000 – die “Nationwide Insomnia Screening and Awareness Study” [NISAS-2000 – the “Nationwide Insomnia Screening and Awareness Study”]
Wittchen HU, Krause P, Höfler M., 2001
Sleep and quality of life in the Austrian population.
Zeitlhofer J, Schmeiser-Rieder A, Tribl G, Rosenberger A, Bolitschek J, Kapfhammer G, Saletu B, Katschnig H, Holzinger B, Popovic R, Kunze M., Acta Neurol. Scand. 102(4), 2000
PMID: 11071111
Validity of the Italian version of the Pittsburgh Sleep Quality Index (PSQI).
Curcio G, Tempesta D, Scarlata S, Marzano C, Moroni F, Rossini PM, Ferrara M, De Gennaro L., Neurol. Sci. 34(4), 2012
PMID: 22526760
Psychometric evaluation of the Pittsburgh Sleep Quality Index.
Carpenter JS, Andrykowski MA., J Psychosom Res 45(1), 1998
PMID: 9720850
Psychometric comparison of two circadian rhythm questionnaires and their relationship with personality
Neubauer AC., 1992
Fragebogen zur Erfassung spezifischer Persönlichkeitsmerkmale Schlafgestörter (FEPS-II) [Questionnaire for recording general and specific personality characteristics of sleep disorders]
Hoffmann RM, Schnieder G, Heyden T., 1996
Weingartz S, Pillmann F., 2009
Deepening sleep by hypnotic suggestion.
Cordi MJ, Schlarb AA, Rasch B., Sleep 37(6), 2014
PMID: 24882909
Hypnotherapy for insomnia: a systematic review and meta-analysis of randomized controlled trials.
Lam TH, Chung KF, Yeung WF, Yu BY, Yung KP, Ng TH., Complement Ther Med 23(5), 2015
PMID: 26365453
Actigraphy validation with insomnia.
Lichstein KL, Stone KC, Donaldson J, Nau SD, Soeffing JP, Murray D, Lester KW, Aguillard RN., Sleep 29(2), 2006
PMID: 16494091
(Mis)perception of sleep in insomnia: a puzzle and a resolution.
Harvey AG, Tang NK., Psychol Bull 138(1), 2011
PMID: 21967449
A pilot randomized controlled trial of the effects of cognitive-behavioral therapy for insomnia on sleep and daytime functioning in college students.
Taylor DJ, Zimmerman MR, Gardner CE, Williams JM, Grieser EA, Tatum JI, Bramoweth AD, Francetich JM, Ruggero C., Behav Ther 45(3), 2014
PMID: 24680232

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