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Article: Effectiveness of one-week internet-delivered cognitive behavioral therapy for insomnia to prevent progression from acute to chronic insomnia: A two-arm, multi-center, randomized controlled trial

TitleEffectiveness of one-week internet-delivered cognitive behavioral therapy for insomnia to prevent progression from acute to chronic insomnia: A two-arm, multi-center, randomized controlled trial
Authors
KeywordsAcute insomnia
Digital health
Mental health
Psychotherapy
Issue Date1-Mar-2023
PublisherElsevier
Citation
Psychiatry Research, 2023, v. 321 How to Cite?
Abstract

Acute insomnia is common and a substantial proportion of people with acute insomnia (i.e. 3 days to 3 months) transit into chronic insomnia (i.e. 3 months or longer). Therefore, early intervention for acute insomnia is vital to prevent chronicity. Previous trials with small sample sizes have shown that brief versions of both individual and group-based face-to-face cognitive behavioral therapy for insomnia (CBT-I) can improve insomnia symptoms among those with acute insomnia. However, it is unknown whether one-week internet-delivered cognitive behavioral therapy for insomnia (CBT-I) is effective in treating acute insomnia. This was a randomized controlled trial and 192 participants were randomly assigned to the CBT-I group (n = 95) or control group (n = 97). The primary outcome was the incidence of chronic insomnia, determined via a structured diagnostic questionnaire for insomnia disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Secondary outcomes were Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes about Sleep (DBAS), Epworth Sleepiness Scale (ESS), Pre-sleep Arousal Scale (PSAS), Ford Insomnia Response to Stress Test (FIRST), Sleep Hygiene and Practices Scale (SHPS), Hospital Anxiety and Depression Scale (HADS), and Short-Form 12Item Health Survey version 2 (SF-12v2). At week 12, the incidence of chronic insomnia was significantly lower in the CBT-I group compared with control group (33.3% [27/81] vs. 65.8% [52/79]). Participants in the CBT-I group achieved significantly more improvements in ISI, ESS, PSAS, FIRST, SHPS, HADS-Depression, and the mental component summary and physical component summary of SF-12v2 than control group, but not DBAS and HADS-Anxiety. This one-week internet-delivered CBT-I program is an effective tool to prevent the chronicity of acute insomnia.


Persistent Identifierhttp://hdl.handle.net/10722/331987
ISSN
2023 Impact Factor: 4.2
2023 SCImago Journal Rankings: 2.189
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYang, Lulu-
dc.contributor.authorZhang, Jihui-
dc.contributor.authorLuo, Xian-
dc.contributor.authorYang, Yuan-
dc.contributor.authorZhao, Yuhan-
dc.contributor.authorFeng, Fei-
dc.contributor.authorLiu, Shuai-
dc.contributor.authorZhang, Chenxi-
dc.contributor.authorLi, Zhe-
dc.contributor.authorWang, Chao-
dc.contributor.authorWang, Wei-
dc.contributor.authorJiang, Fan-
dc.contributor.authorZhang, Yunshu-
dc.contributor.authorHu, Yuanyuan-
dc.contributor.authorSu, Changjun-
dc.contributor.authorWu, Huijuan-
dc.contributor.authorYu, Huan-
dc.contributor.authorLi, Shirley Xin-
dc.contributor.authorWing, Yun Kwok-
dc.contributor.authorLuo, Ying-
dc.contributor.authorZhang, Bin-
dc.date.accessioned2023-09-28T05:00:04Z-
dc.date.available2023-09-28T05:00:04Z-
dc.date.issued2023-03-01-
dc.identifier.citationPsychiatry Research, 2023, v. 321-
dc.identifier.issn0165-1781-
dc.identifier.urihttp://hdl.handle.net/10722/331987-
dc.description.abstract<p>Acute insomnia is common and a substantial proportion of people with acute insomnia (i.e. 3 days to 3 months) transit into chronic insomnia (i.e. 3 months or longer). Therefore, early intervention for acute insomnia is vital to prevent chronicity. Previous trials with small sample sizes have shown that brief versions of both individual and group-based face-to-face cognitive behavioral therapy for insomnia (CBT-I) can improve insomnia symptoms among those with acute insomnia. However, it is unknown whether one-week internet-delivered cognitive behavioral therapy for insomnia (CBT-I) is effective in treating acute insomnia. This was a randomized controlled trial and 192 participants were randomly assigned to the CBT-I group (n = 95) or control group (n = 97). The primary outcome was the incidence of chronic insomnia, determined via a structured diagnostic questionnaire for insomnia disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Secondary outcomes were Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes about Sleep (DBAS), Epworth Sleepiness Scale (ESS), Pre-sleep Arousal Scale (PSAS), Ford Insomnia Response to Stress Test (FIRST), Sleep Hygiene and Practices Scale (SHPS), Hospital Anxiety and Depression Scale (HADS), and Short-Form 12Item Health Survey version 2 (SF-12v2). At week 12, the incidence of chronic insomnia was significantly lower in the CBT-I group compared with control group (33.3% [27/81] vs. 65.8% [52/79]). Participants in the CBT-I group achieved significantly more improvements in ISI, ESS, PSAS, FIRST, SHPS, HADS-Depression, and the mental component summary and physical component summary of SF-12v2 than control group, but not DBAS and HADS-Anxiety. This one-week internet-delivered CBT-I program is an effective tool to prevent the chronicity of acute insomnia.<br></p>-
dc.languageeng-
dc.publisherElsevier-
dc.relation.ispartofPsychiatry Research-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAcute insomnia-
dc.subjectDigital health-
dc.subjectMental health-
dc.subjectPsychotherapy-
dc.titleEffectiveness of one-week internet-delivered cognitive behavioral therapy for insomnia to prevent progression from acute to chronic insomnia: A two-arm, multi-center, randomized controlled trial-
dc.typeArticle-
dc.identifier.doi10.1016/j.psychres.2023.115066-
dc.identifier.scopuseid_2-s2.0-85147218728-
dc.identifier.volume321-
dc.identifier.isiWOS:000927472000001-
dc.identifier.issnl0165-1781-

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