oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Group cognitive behavioural therapy for insomnia: Effects on sleep and depressive symptomatology in a sample with comorbidity
Centre for Research on Child and Adolescent Mental Health, Karlstad University, Karlstad, Sweden.
Örebro University, School of Law, Psychology and Social Work. Department of Psychology, Stockholm University, Stockholm, Sweden.ORCID iD: 0000-0003-2059-1621
Örebro University, School of Law, Psychology and Social Work.ORCID iD: 0000-0002-9688-5805
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. University Health Care Research Centre, Örebro, Sweden.ORCID iD: 0000-0001-9500-7763
Show others and affiliations
2015 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 74, 80-93 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate the effects of group CBT for insomnia (CBT-I) on insomnia and depressive symptomatology in a comorbid sample through a randomised controlled trial with a 6 month follow-up.

Methods: 64 participants were recruited through advertisements and randomised to receive CBT-I or an active control (relaxation training: RT) during four group sessions. Insomnia Severity Index and BDI-II were the primary outcome measures, assessed pre-treatment, post-treatment and at 6 month follow-up. Insomnia and depressive diagnoses, and functional impairment were assessed before and after treatment, whereas sleep diary data was gathered continuously from one week before treatment until after treatment.

Results: CBT-I was more efficient than RT in reducing insomnia severity and equally effective in reducing depressive symptoms, although CBT-I was associated with a higher proportion of remitted persons than RT, regarding both insomnia and depression diagnoses. Also, CBT-I was associated with less functional impairment, shorter sleep onset latency and wake after sleep onset but both treatments had equal improvements of sleep quality, early morning awakenings and total sleep time.

Conclusion: Group CBT-I is an efficient form of insomnia-treatment for people with insomnia comorbid with depressive symptomatology. The mixed results regarding depression outcomes warrants replication and further studies into treatment mechanisms. (C) 2015 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 74, 80-93 p.
Keyword [en]
Insomnia, Depression, Cognitive behavioural therapy, Relaxation, Co-morbidity, RCT
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-46833DOI: 10.1016/j.brat.2015.09.005ISI: 000364269400010PubMedID: 26433466Scopus ID: 2-s2.0-84943149291OAI: oai:DiVA.org:oru-46833DiVA: diva2:874554
Note

Funding Agencies:

Stiftelsen Professor Bror Gadelius Minnesfond

Psykiatrifonden

Research Committee of Örebro County Council, Sweden

Available from: 2015-11-27 Created: 2015-11-27 Last updated: 2017-10-17Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Jansson-Fröjmark, MarkusTillfors, MariaHolländare, FredrikEngström, Ingemar
By organisation
School of Law, Psychology and Social WorkSchool of Health and Medical Sciences, Örebro University, Sweden
In the same journal
Behaviour Research and Therapy
Psychology

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 294 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf