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Article

Do Sleep Disturbances Improve Following Psychoanalytic Psychotherapy for Adolescent Depression?

1
Institute of Clinical Medicine, University of Oslo, P.O. Box 1171, 0318 Oslo, Norway
2
Department of Psychology, University of Oslo, Forskningsveien 3, 0370 Oslo, Norway
3
Vestfold Hospital Trust,Research Unit, Division of Mental Health and Addiction, Vestfold Hospital Trust, P.O. Box 2169, 3125 Tønsberg, Norway
4
Department of Psychiatry, Diakonhjemmet Hospital, Forskningsveien 7, 0370 Oslo, Norway
5
Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4959, 0424 Oslo, Norway
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(3), 1790; https://doi.org/10.3390/ijerph19031790
Received: 23 December 2021 / Revised: 1 February 2022 / Accepted: 2 February 2022 / Published: 4 February 2022
Sleep disturbance is often a prominent symptom in adolescents diagnosed with major depressive disorder (MDD). Recent evidence indicates that short-term psychoanalytic psychotherapy (STPP) for depression may have an effect in reducing co-occurring sleep disturbance in youth. It is unknown if transference work (exploration of the patient–therapist relationship) has an additional effect in reducing sleep disturbance. Adolescents aged 16–18 years (n = 69, 84% female) who met diagnostic criteria for MDD based on the Mini International Neuropsychiatric Interview (M.I.N.I) were randomized to either STPP with transference work or without. Sleep problems were assessed at baseline, therapy session 20 (20 weeks), post-treatment (28 weeks), and one-year follow-up (80 weeks) with the Symptom Checklist-90-R. At baseline, 69% of the adolescents exhibited moderately to extreme sleep difficulties. Sleep disturbance was significantly correlated to depression depth at session 20 and at follow-up. Symptoms of insomnia significantly decreased from baseline to the end of treatment. Treatment gains were maintained until follow-up. No differences in recovery of sleep disturbance were found between the two treatment groups. The findings suggest that sleep disturbance improves following STPP for depression, with or without transference work. Future research should assess those with residual symptoms by different sleep measures. View Full-Text
Keywords: adolescence; depression; psychotherapy; transference; sleep adolescence; depression; psychotherapy; transference; sleep
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MDPI and ACS Style

Schønning, T.; Dahl, H.-S.J.; Hummelen, B.; Ulberg, R. Do Sleep Disturbances Improve Following Psychoanalytic Psychotherapy for Adolescent Depression? Int. J. Environ. Res. Public Health 2022, 19, 1790. https://doi.org/10.3390/ijerph19031790

AMA Style

Schønning T, Dahl H-SJ, Hummelen B, Ulberg R. Do Sleep Disturbances Improve Following Psychoanalytic Psychotherapy for Adolescent Depression? International Journal of Environmental Research and Public Health. 2022; 19(3):1790. https://doi.org/10.3390/ijerph19031790

Chicago/Turabian Style

Schønning, Thea, Hanne-Sofie Johnsen Dahl, Benjamin Hummelen, and Randi Ulberg. 2022. "Do Sleep Disturbances Improve Following Psychoanalytic Psychotherapy for Adolescent Depression?" International Journal of Environmental Research and Public Health 19, no. 3: 1790. https://doi.org/10.3390/ijerph19031790

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