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Digital cognitive behavioral therapy for insomnia for people with comorbid psychological distress: A large scale randomized controlled trial.
Skoglund, Helene; Sivertsen, Børge; Kallestad, Håvard; Vedaa, Øystein.
Afiliación
  • Skoglund H; Department of Psychosocial Science, University of Bergen, Norway. Electronic address: helene.skoglund@uib.no.
  • Sivertsen B; Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway; Department of Research & Innovation, Helse Fonna HF, Haugesund, Norway.
  • Kallestad H; Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway; St Olavs University Hospital, Østmarka, Trondheim, Norway.
  • Vedaa Ø; Department of Psychosocial Science, University of Bergen, Norway; Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway; Voss District Psychiatric Hospital, NKS Bjørkeli, Voss, Norway.
Sleep Med ; 121: 241-250, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39024778
ABSTRACT
STUDY

OBJECTIVES:

To examine if comorbid anxiety and depression symptoms (psychological distress) moderate intervention effect in participants receiving digital Cognitive Behavioral Therapy for Insomnia (dCBT-I) in a large-scale randomized controlled trial (RCT), compared to a patient education (PE) control condition. Further, we investigate if dCBT-I reduced levels of psychological distress for those with insomnia and comorbid psychological distress.

METHODS:

1721 participants with insomnia completed online assessments of sleep, fatigue and psychological distress, at baseline and at nine-week follow-up. Primary outcome was Insomnia Severity Index (ISI), and secondary outcomes included self-reported sleep (diary), cognition, fatigue, and psychological distress. Participants with psychological distress (HADS>16) were separated from participants without psychological distress. Linear mixed models in SPSS were conducted to test the effects of the intervention.

RESULTS:

At nine-week follow-up we found no difference in effect of the intervention between those who had comorbid psychological distress vs. those without psychological distress in terms of insomnia severity (p = 0.552) and fatigue (p = 0.744). Both groups had large effect size improvements on insomnia severity (p < 0.001=), small to medium (Cohen d < 0.08) improvements on fatigue (p < 0.01=) and sleep efficiency (p < 0.001), and small improvement on other sleep diary measures, compared to their respective control group. The psychological distress group showed a small, but statistically significant decrease in psychological distress (d = 0.2, p < 0.05) with dCBT-I compared to PE.

CONCLUSION:

dCBT-I is a viable treatment for Insomnia also for those who have comorbid psychological distress.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Distrés Psicológico / Trastornos del Inicio y del Mantenimiento del Sueño Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Sleep Med Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Distrés Psicológico / Trastornos del Inicio y del Mantenimiento del Sueño Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Sleep Med Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos