Adolescents, substance abuse, and the treatment of insomnia and daytime sleepiness

Richard R. Bootzin, Sally J. Stevens

Research output: Contribution to journalArticlepeer-review

274 Scopus citations


Adolescence is a time of change that can be both exciting and stressful. In this review, we focus on the central role that disturbed sleep and daytime sleepiness occupies in interactions involving substance abuse and negative health, social, and emotional outcomes. As a means of improving sleep and lowering risk for recidivism of substance abuse, we developed and implemented a six-session group treatment to treat sleep disturbances in adolescents who have received treatment for substance abuse. The components of the treatment are stimulus control instructions, use of bright light to regularize sleep, sleep hygiene education, cognitive therapy, and Mindfulness-Based Stress Reduction. Preliminary evidence indicates that participants who completed four or more sessions in the treatment program showed improved sleep and that improving sleep may lead to a reduction in substance abuse problems at the 12-month follow-up.

Original languageEnglish (US)
Pages (from-to)629-644
Number of pages16
JournalClinical Psychology Review
Issue number5
StatePublished - Aug 2005


  • Adolescence
  • Insomnia
  • Meditation
  • Sleep
  • Substance abuse
  • Treatment

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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