The overall aim of this proposal is a confirmatory efficacy trial sufficiently powered and designed to test the hypothesis that improving the relationship between biological circadian timing and waketime, a novel modifiable target, improves depression outcomes in a subgroup of adolescents with depression and a misaligned relationship between biological circadian timing and waketime utilizing a cognitive-behavioral sleep intervention.
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Change in phase angle difference (PAD) between DLMO and waketime (PADDLMO WAKETIME )
Timeframe: baseline to end of treatment (0 and 2 months)
Change in Children's Depression Rating Scale (CDRS-R)
Timeframe: baseline to end of treatment (anticipated average exposure 2 months), months 8 and 14