scholarly journals A pilot evaluation of an online cognitive behavioral therapy for insomnia disorder – targeted screening and interactive Web design lead to improved sleep in a community population

2014 ◽  
pp. 43 ◽  
Author(s):  
Kirstie Anderson ◽  
Paul Goldsmith ◽  
Alison Gardiner
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Web Design ◽  
Cognitive Behavioral ◽  
Insomnia Disorder ◽  
Targeted Screening ◽  
Community Population

scholarly journals Efficacy of cognitive-behavioral therapy for insomnia: a group format implementation in the Spanish National Health System

2021 ◽  
Vol 26 (3) ◽  
pp. 173-180
Author(s):  
Paula Lantarón-Imedio ◽  
Mª Rosario Pina-Camacho ◽  
Marcos L. Moya-Diago ◽  
Belén Pascual-Vera ◽  
César Mateu ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Health System ◽  
Behavioral Therapy ◽  
National Health System ◽  
Cognitive Behavioral ◽  
Dysfunctional Beliefs ◽  
Group Format ◽  
Insomnia Disorder ◽  
Spanish National Health System ◽  
Beliefs And Attitudes

Background. Cognitive-behavioral therapy for insomnia (CBT-i) is considered the first-line treatment for this disorder, but it is not widely implemented in clinical settings. This study aims to examine the efficacy of a CBT-i in group format in the Spanish National Health System. Method. Fifty-two participants with a Primary Insomnia Disorder (55.8% women; Mage = 47.19, SD = 11.02) were assigned to a CBT-i (n =17) or waiting list condition (n = 21). Treatment consisted of eight group format sessions (2 hours/week). Results. Significant improvements in insomnia severity, sleep quality, and insomnia-related dysfunctional beliefs and attitudes were observed in patients who received CBT-i. Emotional symptoms also decreased after the intervention in the CBT-i group. Conclusion. Findings support the efficacy of cognitive-behavioral therapy for insomnia with a group protocol for patients with primary insomnia disorder. The maintenance role of insomnia-related dysfunctional beliefs and attitudes in this disorder is also suggested.

0525 Subtypes of Efficacy of Cognitive-Behavioral Therapy for Insomnia

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A201-A201
Author(s):  
V Castronovo ◽  
M Sforza ◽  
A Galbiati ◽  
M Salsone ◽  
S Marelli ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Latent Class ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Long Term Outcome ◽  
Insomnia Disorder ◽  
Significant Difference ◽  
Class 1 ◽  
Anxiety Depression

Abstract Introduction Cognitive-Behavioral Therapy for Insomnia (CBT-I) is the first-line treatment for Insomnia disorder (ID). We aimed to identify ID patients’ subtypes based on clinical features and their response to CBT-I. Methods 294 chronic insomnia patients (61.6% female, mean age 40.7 ± 12.3 yrs) underwent 7-sessions group CBT-I. By use of latent class analysis (LCA) we identified insomnia disorder subtypes according to baseline (BL) evaluation of non-sleep indices and the response to CBT-I (Delta score of Insomnia Severity Index ISI between BL and end-of-treatment (ET). Moreover, we assessed ISI in 123 out of 294 insomnia patients (82 females (66.7%), mean age 40.59 ± 11.89 years) who completed a follow-up evaluation (FU) within a range of 4-10 years. Results We chose 3 latent classes as most parsimonious model. We identified Class 1 (insomnia+anxiety+depression+stress) (n=62), Class 2 (insomnia+anxiety+depression) (n=153) and Class 3 (only-insomnia) (n=79). The effect of CBT-I was maintained up to 10 years after the ET in the three classes but with significant difference between classes (p<0.05). At the ET, the largest percentage of responders (ISI decrease ≥ 8) was found in Class 1 (63.5%). Results of overall CBT-I effectiveness: in Class 3, 98.6% had subthreshold insomnia (ISI score=0-14) at the ET, and 97.2% at the FU; in Class 2, 89.0% at the ET, and 78.2% at the FU; in Class 1, 80.7% at ET and 51.8% at the FU. Conclusion Our analysis identified three different subtypes of insomniacs on the basis of clinical outcomes. The presence of anxiety and depression did not diminish the effect of CBT-I both short and long term. However, ID patients characterized by the presence of stress (Class 1) were the best responders at the ET but this was not maintained at the FU evaluation. We can speculate that stress could be considered a risk factor that plays an important role in the long-term outcome of CBT-I. Support No

scholarly journals The Effectiveness of Targeted Music Therapy Intervention and Cognitive-Behavioral Therapy on Sleep Quality and Symptoms of Insomnia Disorder in seniors

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Reza Mottaghi ◽  
Ali Kamkar ◽  
Alireza Mardpoor
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Quality ◽  
Music Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Group Therapy ◽  
Insomnia Disorder ◽  
Behavioral Group ◽  
The Mean ◽  
Experimental Group

Context and Objective: Due to the high prevalence of sleep disorder in seniors, this study focuses on the effect of objective music therapy or MAT and cognitive-behavioral therapy or CBT on overall sleep quality and subscale indexes of sleep quality in seniors. Methodology: The present study is an experimental one with random selection of the subjects. The sample study is taken from 5000 senior member’s if Shiraz’s Jahandedehgan day care center. This study holds 66 subjects containing the entry and exclusion criteria. Following 7.85 percent loss, 61 seniors suffering from primary insomnia disorder and mean age of 68.15 were placed into three groups, two experimental and one control group. The experimental group one takes part in musical and cognitive-behavioral group therapy and the experimental group two takes part in cognitive-behavioral group therapy while the last group received no intervention. All patients in this study were measured for the level of disorder and before and after the treatment using the PSQI scale of insomnia disorder. The collected data were measured by statistical software SPSS 21 and were analyzed by multivariate analysis of covariance or MANCOVA and ANCOVA. Findings: The mean of overall sleep quality before the intervention in experimental groups 1&2 and control were 13/31, 12/95, and 12/7 respectively and were changed into 13.31, 9.73, and 7.59 after the intervention in post-test and finally in the 3 months follow-ups the means become 7.22, 9.32, and 13.55. The mean difference in the overall sleep quality after the intervention and the subscale indexes were significant as The result showed musical therapy and cognitive behavioral caused a significant reduction on the patients with the symptoms of insomnia disorder (P<0.001). Conclusion: The present study shows that music therapy and cognitive-behavioral therapy are more effective in developing overall sleep quality and decreasing the symptoms of insomnia disorder in seniors than the cognitive-behavioral therapy alone. Using this method by experts in the field of mental health and elderly care companions is strongly recommended. Trial registration: This study is registered in the IRCT Register, IRCT2015041521754N3. Ethical approval was gained in June 2015.

scholarly journals Comparing the Effects of Cognitive-behavioral Therapy and Zolpidem 10 mg on Illness Perception and Sleep Efficiency in Individuals With Chronic Insomnia

2021 ◽  
Vol 24 (2) ◽  
pp. 292-305
Author(s):  
Behzad Salmani ◽  
◽  
Jaafar Hasani ◽  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Illness Perception ◽  
Post Treatment ◽  
Sleep Efficiency ◽  
Waiting List ◽  
Cognitive Behavioral ◽  
Chronic Insomnia ◽  
Insomnia Disorder

Background & Aim: This study aimed at comparing efficacy of cognitive behavioral therapy, Zolpidem 10 mg, and waiting list group on illness perception and sleep efficiency in individuals with chronic insomnia disorder. Materials & Methods: Participants included 74 (female = 43) individuals with chronic insomnia disorder who were recruited from 2018 December to 2020 February by purposive sampling (inclusive & exclusive criteria). Then, patients randomly allocated to one of the three conditions, including cognitive behavioral therapy (N=25), pharmacotherapy (Zolpidem 10 mg.; N=29), and the waiting list (N=20). All patients were assessed three times at pretreatment, post-treatment, and 3-month follow-up by the Persian version of Brief Illness Perception Questionnaire and Sleep Efficiency Index. The data were analyzed by mixed analysis of variance with Bonferroni post-hoc test and repeated measure analysis of variance. Ethical Considerations: All stages of the research have been carried after taking supervising and approving of Kharazmi University's ethics in research committee. Findings: The patients who received cognitive behavioral therapy compared to patients in waiting list group, obtained significantly lower scores in illness perception and sleep efficiency during post-treatment and 3-month follow-up. Efficacy of pharmacotherapy only observed during post-treatment but there were no significant differences between pharmacotherapy and waiting list patients during 3-month follow-up. Conclusion: Cognitive behavioral therapy for insomnia reduced significantly illness perceptions and sleep efficiency during 3 months. All the treatment gains remain stable even 3 months later treatment ends. In addition, not receiving any treatment in waiting list and gradually discontinued the treatment in pharmacotherapy group leads to decreasing of sleep efficiency and increasing of illness perception.

Weekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder: Relevance to adherence and efficacy

2014 ◽  
Vol 63 ◽  
pp. 147-156 ◽  
Author(s):  
Fiona Yan-Yee Ho ◽  
Ka-Fai Chung ◽  
Wing-Fai Yeung ◽  
Tommy Ho-Yee Ng ◽  
Sammy Kin-Wing Cheng
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Self Help ◽  
Insomnia Disorder
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