Evidence map›Paper›PMID 40619649›Full record

Trial reportThe British journal of clinical psychology2026

Sleep disruption and its psychological treatment in young people at risk of psychosis: A peer methods qualitative evaluation.

Felicity Waite, Steven Evans, Abreen Rebello, Tom Sharpe, Jummy Otaiku, Ellen Iredale, Thomas Kabir, Emma Černis, Daniel Freeman

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The British journal of clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Felicity WaiteDepartment of Experimental Psychology, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-2749-1386
Steven EvansMcPin Foundation, London, UK.
Abreen RebelloMcPin Foundation, London, UK.
Tom SharpeMcPin Foundation, London, UK.
Jummy OtaikuMcPin Foundation, London, UK.
Ellen IredaleDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Thomas KabirDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Emma ČernisDepartment of Experimental Psychology, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-7275-6144
Daniel FreemanDepartment of Experimental Psychology, University of Oxford, Oxford, UK.

Funding

NHS Research for Patient Benefit (RfPB) NIHR200481NIHR Oxford Health Biomedical Research Centre BRC-1215-2000/NIHR203316Wellcome Trust Clinical Doctoral Fellowship 102176/B/13/Z
6 · The paper itself

Abstract

objectivesA recent randomized controlled feasibility trial showed that sleep problems in young people at risk of psychosis can be successfully treated with psychological therapy and that this may bring additional benefits such as reducing depression, anxiety and paranoia. Here we report participants' qualitative experience of sleep problems and therapy.

designA peer-methods qualitative study employing reflexive thematic analysis.

methodsSemi-structured interviews, co-facilitated by peer researchers, were conducted with 16 young patients at risk of psychosis and having sleep problems who participated in the SleepWell Trial (ISRCTN85601537). Ten interviewees had received the 12-week sleep therapy.

resultsFour themes were generated: (1) the challenge to access mental health treatment ('bouncing between services'), (2) sleep problems and mental health difficulties are intertwined ('an obvious link'), (3) flexibility in therapy provision matters ('tailored to me as a person') and (4) improving sleep leads to wider benefits ('fixing the sleep helped everything else'). Participants described a frustrating journey to access mental health treatment, marked by rejection and invalidation, which resulted in hopelessness and often resignation. The interaction between sleep disruption and other mental health difficulties was seen as obvious. Treatment for sleep problems was highly valued. The clear focus, therapeutic style and flexible delivery of the treatment was seen to create patient ownership, active engagement and hope. Participants described transformative changes: better sleep, fewer voices and fears and improved mood and confidence. Improving sleep made a difference to everyday life.

conclusionsTreating sleep problems in people at risk of psychosis is highly valued and often brings rapid and widespread improvements across a range of domains.

Indexed as

Psychotic DisordersSleep Wake DisordersAdolescentAdultFemaleHumansMalePeer GroupQualitative ResearchYoung Adultat risk mental stateCBTclinical high riskcognitive therapyinsomniainterventionschizophrenia

Identifiers

PMID40619649
PMCPMC13456408

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.