Table 2.
Pre-treatment |
Post-treatment |
Effect size (d) | |||
---|---|---|---|---|---|
CBT plus BLT | WL | CBT plus BLT | WL | ||
Sleep onset latency (min) | |||||
school* | 78.1 ± 41.0 | 78.8 ± 31.3 | 22.2 ± 12.8 | 65.3 ± 42.0 | 1.13 |
weekend* | 68.5 ± 42.3 | 62.7 ± 37.2 | 26.1 ± 18.7 | 52.6 ± 43.7 | 0.65 |
Sleep onset time (clock time) | |||||
school* | 00:06 ± 67.2min | 23:48 ± 69.4min | 23:28 ± 58.8min | 00:10 ± 65.3min | 0.89 |
weekend* | 00:56 ± 84.6min | 00:09 ± 62.1min | 23:45 ± 60.0min | 00:37 ± 78.9min | 1.24 |
Total sleep time (h) | |||||
school* | 7.1 ± 1.3 | 6.9 ± 1.4 | 8.1 ± 0.6 | 6.9 ± 1.1 | 0.81 |
weekend | 8.3 ± 1.5 | 8.4 ± 1.6 | 8.4 ± 1.0 | 8.1 ± 1.7 | 0.22 |
WASO (min)* | 26.6 ± 27.5 | 14.6 ± 22.6 | 4.6 ± 7.2 | 16.1 ± 19.2 | 1.14 |
Rise time (clock time) | |||||
school* | 07:32 ± 33.0min | 07:22 ± 28.9min | 07:06 ± 27.5min | 07:29 ± 40.1min | 0.92 |
weekend*a | 09:28 ± 81.6min | 09:22 ± 63.2min | 08:42 ± 72.8min | 09:33 ± 56.8min | 0.92 |
Discrepant rise time (h) | 1.8 ± 1.2 | 2.0 ± 1.1 | 1.3 ± 1.0 | 2.1 ± 1.0 | 0.45 |
Daytime sleepiness (0-32)* | 20.4 ± 4.8 | 18.1 ± 4.4 | 14.0 ± 3.6 | 16.0 ± 3.7 | 0.79 |
Fatigue (0-31)* | 17.2 ± 1.2 | 16.6 ± 1.3 | 10.2 ± 1.2 | 14.9 ± 1.3 | 0.75 |
Depression symptoms (0-26) | 7.6 ± 3.6 | 7.4 ± 5.5 | 3.9 ± 2.8 | 6.2 ± 4.5 | 0.71 |
significant interaction (i.e., significant improvement in CBT plus BLT group vs. WL group) with P < 0.05; effect sizes are: d < 0.20 = small, d < 0.50 = moderate, d < 0.80 = large;
despite the mean weekend rise time of ∼09:30, many parents placed some limits on their adolescents' sleep-in, and when adolescents slept-in on their first day of light therapy they often slept till after 10:30. Process variables = sleep onset time and rise time; Primary outcome variables = sleep onset latency, total sleep time, daytime sleepiness; Secondary outcome variables = fatigue, depression symptoms.