Evaluation and treatment of sleep disorders in adolescents with depression; a scoping review
Abstract
BACKGROUND: Adolescent depression is a common and disabling disorder that is frequently associated with large-scale sleep disturbances. Adolescents with depression frequently experience poor sleep quality, insomnia, and delayed sleep phase syndrome, which intensify and prolong depressive symptoms. Since mood disorder and sleep disorder are bidirectional, early diagnosis and treatment of sleep disorders in adolescent with depression are clinically critical. OBJECTIVE: This scoping review aimed to synthesize existing evidence on the evaluation and intervention of sleep disorders among adolescents with depression. The objective was to describe assessment methods, synthesize evidence on both non-pharmacological (e.g., CBT-I, mindfulness) and pharmacological (e.g., melatonin) interventions, and identify key research gaps for clinical practice and future trials. METHODS: The review followed Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Searches of PubMed, Web of Science, CINAHL, PsycINFO, and Scopus were conducted for studies published between January 2000 and January 2024. Twenty-six peer-reviewed studies meeting the inclusion criteria were analyzed. RESULTS: From the study, 26 papers met the inclusion criteria. 17 of these were considered CBT-I or CBT-I-based interventions, 3 examined mindfulness-based interventions, 3 evaluated the use of melatonin, 2 considered psychoeducation or sleep hygiene, and 1 focused on group treatment. CBT-I was able to produce consistent…
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