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
CBT-based group intervention for insomnia – a non-randomized trial in primary care
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
2016 (English)In: Journal of Sleep Disorders and Therapy, ISSN 0972-5792, E-ISSN 2327-4123, Vol. 5, no 230Article in journal (Refereed) Published
Abstract [en]

Abstract

Insomnia is a major health problem, commonly leading to pharmacological treatment. During recent years, behavioural therapies have gained stronger therapeutic position, not least cognitive behavioural therapy (CBT). The aim was to investigate the effect of a CBT-based group intervention for insomnia in primary care, by means of self-reported sleep quality and duration. In addition, cortisol in saliva, as a biological marker of stress was tested. Methods: Fifty participants with primary insomnia, attending primary care, were enrolled, 35 receiving the intervention, and 15 serving as control. The intervention group was recruited during the first two study years, and controls during a following third year, without randomization. The intervention included eight CBT-based group sessions, each two-hour long and led by a psychologist, with 4-6 participants in each group. Controls were handled in accordance with ordinary clinical routine, including pharmacological intervention. Sleep onset time, duration and quality were assessed before and after the intervention, by patients filling-out the Pittsburgh Sleep Quality Index (PSQI). Insomnia severity was assessed by the Insomnia Severity Index (ISI). Also, cortisol in saliva levels were monitored. Results: In the intervention group, significant shortening of mean sleep onset time, from 60-27 min (p<0.05) was observed, and a prolongation of mean sleep duration time, from 298-358 min (p<0.05), in neither case seen in the control group, although between-group difference was not statistically significant. Both PSQI and ISI means scores were significantly improved in the intervention group, from 12.1 to 7.9 (p<0.05) and from 19.4 to 12.5 (p<0.01), respectively, in the latter case significantly more so than in the control group (p<0.05). No effect on cortisol levels was detected, in either group. In conclusion, the tested eight-session CBT-based group intervention for insomnia appears to reduce severity and duration of insomnia, and to shorten time before falling asleep, when provided in primary care.

Place, publisher, year, edition, pages
2016. Vol. 5, no 230
Keywords [en]
Insomnia severity, Sleep duration, Cognitive behavioural therapy, Primary care, Group therapy
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-134752DOI: 10.4172/2167-0277.1000230OAI: oai:DiVA.org:liu-134752DiVA, id: diva2:1076744
Available from: 2017-02-23 Created: 2017-02-23 Last updated: 2018-03-23

Open Access in DiVA

fulltext(518 kB)54 downloads
File information
File name FULLTEXT01.pdfFile size 518 kBChecksum SHA-512
305913039c1792ac3a77628563fa5dcacef8686b5846a28ff8dd3f3d5aa03e10bad4690666a0efd2a67ea3087056cca52302dfe9b14917ff7efbbdc2c4779ab3
Type fulltextMimetype application/pdf

Other links

Publisher's full texthttps://www.omicsgroup.org/journals/cbtbased-group-intervention-for-insomnia--a-nonrandomized-trial-in-primary-care-2167-0277-1000230.php?aid=67009

Search in DiVA

By author/editor
Falk, Magnus
By organisation
Division of Community MedicineFaculty of Medicine and Health SciencesResearch & Development Unit in Local Health Care
In the same journal
Journal of Sleep Disorders and Therapy
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 54 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 205 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