Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis: A Feasibility Case Series

Research output: Contribution to journalArticle

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Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis : A Feasibility Case Series. / Bradley, Jonathan; Freeman, Daniel; Chadwick, Eleanor; Harvey, Allison G; Mullins, Bradley; Johns, Louise; Sheaves, Bryony; Lennox, Belinda; Broome, Matthew; Waite, Felicity.

In: Behavioural and Cognitive Psychotherapy, Vol. 46, No. 3, 30.10.2017, p. 276-291.

Research output: Contribution to journalArticle

Harvard

Bradley, J, Freeman, D, Chadwick, E, Harvey, AG, Mullins, B, Johns, L, Sheaves, B, Lennox, B, Broome, M & Waite, F 2017, 'Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis: A Feasibility Case Series', Behavioural and Cognitive Psychotherapy, vol. 46, no. 3, pp. 276-291. https://doi.org/10.1017/S1352465817000601

APA

Bradley, J., Freeman, D., Chadwick, E., Harvey, A. G., Mullins, B., Johns, L., Sheaves, B., Lennox, B., Broome, M., & Waite, F. (2017). Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis: A Feasibility Case Series. Behavioural and Cognitive Psychotherapy, 46(3), 276-291. https://doi.org/10.1017/S1352465817000601

Vancouver

Author

Bradley, Jonathan ; Freeman, Daniel ; Chadwick, Eleanor ; Harvey, Allison G ; Mullins, Bradley ; Johns, Louise ; Sheaves, Bryony ; Lennox, Belinda ; Broome, Matthew ; Waite, Felicity. / Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis : A Feasibility Case Series. In: Behavioural and Cognitive Psychotherapy. 2017 ; Vol. 46, No. 3. pp. 276-291.

Bibtex

@article{d83b5f9c5d0e431784162f53c10c5bb0,
title = "Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis: A Feasibility Case Series",
abstract = "BACKGROUND: Our view is that sleep disturbance may be a contributory causal factor in the development and maintenance of psychotic experiences. A recent series of randomized controlled intervention studies has shown that cognitive-behavioural approaches can improve sleep in people with psychotic experiences. However, the effects of psychological intervention for improving sleep have not been evaluated in young people at ultra-high risk of psychosis. Improving sleep might prevent later transition to a mental health disorder.AIMS: To assess the feasibility and acceptability of an intervention targeting sleep disturbance in young people at ultra-high risk of psychosis.METHOD: Patients were sought from NHS mental health services. Twelve young people at ultra-high risk of psychosis with sleep problems were offered an eight-session adapted CBT intervention for sleep problems. The core treatment techniques were stimulus control, circadian realignment, and regulating day-time activity. Participants were assessed before and after treatment and at a one month follow-up.RESULTS: All eligible patients referred to the study agreed to take part. Eleven patients completed the intervention, and one patient withdrew after two sessions. Of those who completed treatment, the attendance rate was 89% and an average of 7.6 sessions (SD = 0.5) were attended. There were large effect size improvements in sleep. Post-treatment, six patients fell below the recommended cut-off for clinical insomnia. There were also improvements in negative affect and psychotic experiences.CONCLUSION: This uncontrolled feasibility study indicates that treating sleep problems in young people at ultra-high of psychosis is feasible, acceptable, and may be associated with clinical benefits.",
keywords = "at-risk mental state, sleep, insomnia, psychosis, ultra-high risk of psychosis",
author = "Jonathan Bradley and Daniel Freeman and Eleanor Chadwick and Harvey, {Allison G} and Bradley Mullins and Louise Johns and Bryony Sheaves and Belinda Lennox and Matthew Broome and Felicity Waite",
year = "2017",
month = oct,
day = "30",
doi = "10.1017/S1352465817000601",
language = "English",
volume = "46",
pages = "276--291",
journal = "Behavioural and Cognitive Psychotherapy",
issn = "1352-4658",
publisher = "Cambridge University Press",
number = "3",

}

RIS

TY - JOUR

T1 - Treating Sleep Problems in Young People at Ultra-High Risk of Psychosis

T2 - A Feasibility Case Series

AU - Bradley, Jonathan

AU - Freeman, Daniel

AU - Chadwick, Eleanor

AU - Harvey, Allison G

AU - Mullins, Bradley

AU - Johns, Louise

AU - Sheaves, Bryony

AU - Lennox, Belinda

AU - Broome, Matthew

AU - Waite, Felicity

PY - 2017/10/30

Y1 - 2017/10/30

N2 - BACKGROUND: Our view is that sleep disturbance may be a contributory causal factor in the development and maintenance of psychotic experiences. A recent series of randomized controlled intervention studies has shown that cognitive-behavioural approaches can improve sleep in people with psychotic experiences. However, the effects of psychological intervention for improving sleep have not been evaluated in young people at ultra-high risk of psychosis. Improving sleep might prevent later transition to a mental health disorder.AIMS: To assess the feasibility and acceptability of an intervention targeting sleep disturbance in young people at ultra-high risk of psychosis.METHOD: Patients were sought from NHS mental health services. Twelve young people at ultra-high risk of psychosis with sleep problems were offered an eight-session adapted CBT intervention for sleep problems. The core treatment techniques were stimulus control, circadian realignment, and regulating day-time activity. Participants were assessed before and after treatment and at a one month follow-up.RESULTS: All eligible patients referred to the study agreed to take part. Eleven patients completed the intervention, and one patient withdrew after two sessions. Of those who completed treatment, the attendance rate was 89% and an average of 7.6 sessions (SD = 0.5) were attended. There were large effect size improvements in sleep. Post-treatment, six patients fell below the recommended cut-off for clinical insomnia. There were also improvements in negative affect and psychotic experiences.CONCLUSION: This uncontrolled feasibility study indicates that treating sleep problems in young people at ultra-high of psychosis is feasible, acceptable, and may be associated with clinical benefits.

AB - BACKGROUND: Our view is that sleep disturbance may be a contributory causal factor in the development and maintenance of psychotic experiences. A recent series of randomized controlled intervention studies has shown that cognitive-behavioural approaches can improve sleep in people with psychotic experiences. However, the effects of psychological intervention for improving sleep have not been evaluated in young people at ultra-high risk of psychosis. Improving sleep might prevent later transition to a mental health disorder.AIMS: To assess the feasibility and acceptability of an intervention targeting sleep disturbance in young people at ultra-high risk of psychosis.METHOD: Patients were sought from NHS mental health services. Twelve young people at ultra-high risk of psychosis with sleep problems were offered an eight-session adapted CBT intervention for sleep problems. The core treatment techniques were stimulus control, circadian realignment, and regulating day-time activity. Participants were assessed before and after treatment and at a one month follow-up.RESULTS: All eligible patients referred to the study agreed to take part. Eleven patients completed the intervention, and one patient withdrew after two sessions. Of those who completed treatment, the attendance rate was 89% and an average of 7.6 sessions (SD = 0.5) were attended. There were large effect size improvements in sleep. Post-treatment, six patients fell below the recommended cut-off for clinical insomnia. There were also improvements in negative affect and psychotic experiences.CONCLUSION: This uncontrolled feasibility study indicates that treating sleep problems in young people at ultra-high of psychosis is feasible, acceptable, and may be associated with clinical benefits.

KW - at-risk mental state

KW - sleep

KW - insomnia

KW - psychosis

KW - ultra-high risk of psychosis

U2 - 10.1017/S1352465817000601

DO - 10.1017/S1352465817000601

M3 - Article

C2 - 29081329

VL - 46

SP - 276

EP - 291

JO - Behavioural and Cognitive Psychotherapy

JF - Behavioural and Cognitive Psychotherapy

SN - 1352-4658

IS - 3

ER -