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Article: Efficacy of Email-delivered Versus Face-to-face Group Cognitive Behavioral Therapy for Insomnia in Youths: A Randomized Controlled Trial

TitleEfficacy of Email-delivered Versus Face-to-face Group Cognitive Behavioral Therapy for Insomnia in Youths: A Randomized Controlled Trial
Authors
KeywordsAdolescence
Cognitive behavioral therapy
Email-delivered
Group-based
Insomnia
Self-help
Sleep
Youths
Issue Date1-May-2022
PublisherElsevier
Citation
Journal of Adolescent Health, 2022, v. 70, n. 5, p. 763-773 How to Cite?
Abstract

Purpose

The purpose of the study was to compare the efficacy of group-based therapy (GT) and email-delivered self-help (ESH) cognitive behavioral therapy for insomnia (CBT-I) with the wait-list (WL) control group in youths.

Methods

The study involved an assessor-blind, parallel group randomized controlled trial in youths meeting the diagnostic criteria for insomnia disorder. Participants were randomized to one of the three groups (8-week GT, 8-week ESH, or WL). Participants in all three groups were assessed at baseline and after treatment (week 9 for the WL group). The two treatment groups were additionally assessed at one month and six months after the intervention. Treatment effects were examined using linear mixed models.

Results

A total of 135 youths (mean age: 20.0 ± 2.5 years, female: 67.4%) were recruited. After treatment, both active treatment groups showed significant improvements in insomnia symptoms (GT vs. WL: Cohen's d = −1.03, ESH vs. WL: d = −.63), less presleep arousal (d = −.52 to −1.47), less sleep-related dysfunctional belief (d = −.88 to −1.78), better sleep hygiene practice (d = −.79 to −.84), and improved daytime functioning (d = −.56 to −.96) compared with the WL group. In addition, GT outperformed ESH in improving maladaptive sleep-related beliefs and mood symptoms at post-treatment and 6-month follow-up. A reduction of suicidality with moderate effect size favoring GT emerged at 6-month follow-up.

Discussion

Our findings suggested that both group-based and email-delivered CBT-I were effective in treating youth insomnia, but group-based CBT-I showed superior effects on reducing maladaptive beliefs and mood symptoms.


Persistent Identifierhttp://hdl.handle.net/10722/332001
ISSN
2023 Impact Factor: 5.5
2023 SCImago Journal Rankings: 2.265
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, NY-
dc.contributor.authorLam, SP-
dc.contributor.authorZhang, JH-
dc.contributor.authorChan, JWY-
dc.contributor.authorYu, MMW-
dc.contributor.authorSuh, S-
dc.contributor.authorYang, CM-
dc.contributor.authorOkajima, I-
dc.contributor.authorLi, AM-
dc.contributor.authorWing, YK-
dc.contributor.authorLi, SX-
dc.date.accessioned2023-09-28T05:00:10Z-
dc.date.available2023-09-28T05:00:10Z-
dc.date.issued2022-05-01-
dc.identifier.citationJournal of Adolescent Health, 2022, v. 70, n. 5, p. 763-773-
dc.identifier.issn1054-139X-
dc.identifier.urihttp://hdl.handle.net/10722/332001-
dc.description.abstract<h3>Purpose</h3><p>The purpose of the study was to compare the efficacy of group-based therapy (GT) and email-delivered self-help (ESH) cognitive behavioral therapy for insomnia (CBT-I) with the wait-list (WL) control group in youths.</p><h3>Methods</h3><p>The study involved an assessor-blind, parallel group randomized controlled trial in youths meeting the diagnostic criteria for insomnia disorder. Participants were randomized to one of the three groups (8-week GT, 8-week ESH, or WL). Participants in all three groups were assessed at baseline and after treatment (week 9 for the WL group). The two treatment groups were additionally assessed at one month and six months after the intervention. Treatment effects were examined using linear mixed models.</p><h3>Results</h3><p>A total of 135 youths (mean age: 20.0 ± 2.5 years, female: 67.4%) were recruited. After treatment, both active treatment groups showed significant improvements in insomnia symptoms (GT vs. WL: Cohen's <em>d</em> = −1.03, ESH vs. WL: <em>d</em> = −.63), less presleep arousal (<em>d</em> = −.52 to −1.47), less sleep-related dysfunctional belief (<em>d</em> = −.88 to −1.78), better sleep hygiene practice (<em>d</em> = −.79 to −.84), and improved daytime functioning (<em>d</em> = −.56 to −.96) compared with the WL group. In addition, GT outperformed ESH in improving maladaptive sleep-related beliefs and mood symptoms at post-treatment and 6-month follow-up. A reduction of suicidality with moderate effect size favoring GT emerged at 6-month follow-up.</p><h3>Discussion</h3><p>Our findings suggested that both group-based and email-delivered CBT-I were effective in treating youth insomnia, but group-based CBT-I showed superior effects on reducing maladaptive beliefs and mood symptoms.</p>-
dc.languageeng-
dc.publisherElsevier-
dc.relation.ispartofJournal of Adolescent Health-
dc.subjectAdolescence-
dc.subjectCognitive behavioral therapy-
dc.subjectEmail-delivered-
dc.subjectGroup-based-
dc.subjectInsomnia-
dc.subjectSelf-help-
dc.subjectSleep-
dc.subjectYouths-
dc.titleEfficacy of Email-delivered Versus Face-to-face Group Cognitive Behavioral Therapy for Insomnia in Youths: A Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.doi10.1016/j.jadohealth.2021.11.005-
dc.identifier.scopuseid_2-s2.0-85124224098-
dc.identifier.volume70-
dc.identifier.issue5-
dc.identifier.spage763-
dc.identifier.epage773-
dc.identifier.isiWOS:000798205100012-
dc.identifier.issnl1054-139X-

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