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Authors Schlarb AA, Friedrich A, Claßen M
Received 18 May 2017
Accepted for publication 27 June 2017
Published 26 July 2017 Volume 2017:13 Pages 1989—2001
DOI https://doi.org/10.2147/NDT.S142067
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Prof. Dr. Roumen Kirov
Peer reviewer comments 2
Editor who approved publication: Dr Roger Pinder
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.
Keywords: sleep quality,
insomnia, nightmares, college students, CBT-I, HT-I
摘要视频链接:Sleep problems in university students – an
intervention