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
Enkomponentsbehandling bestående av sömnrestriktion-sömnkomprimering jämfört med multikomponent KBT för insomni: En benchmark, non-inferiority studie
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
2019 (Swedish)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesisAlternative title
One-component Treatment Consisting of Sleep Restriction-Sleep Compression Compared to Multicomponent CBT for Insomnia : A Benchmark, Non-inferiority Study (English)
Abstract [sv]

Insomni är ett vanligt problem och det finns behov av ökad tillgänglighet till kostnadseffektiva behandlingar. Syftet var att undersöka om en enkomponentsbehandling (EK), bestående av sömnrestriktion/sömnkomprimering, var non-inferior till en multikomponent (MK) KBT- behandling vid insomni och om det fanns en skillnad i symtomreduktion. Gränsvärden för non- inferiority var d = 0.8, utifrån tidigare forskning, respektive en strängare gräns d = 0.4. Data från en forskningsstudie där deltagarna erhöll EK (n = 193) jämfördes mot en riktlinje i form av en KBT-behandling i reguljärvården, MK (n = 289). Båda grupper erhöll behandling via samma internetplattform, och Insomnia Severity Index (ISI) användes som utfallsmått. Resultaten visade att EK inte kunde bekräftas som non-inferior till MK direkt efter behandling eller vid 1-årsuppföljning när en sträng gräns användes. När en liberal gräns användes kunde EK bekräftas som non-inferior direkt efter behandling men inte ett år senare. Direkt efter behandling och vid 1-årsuppföljningen visade båda grupperna en signifikant minskning av insomnisymtom, men vid 1-årsuppföljningen visade MK en större minskning. Ett stort bortfall vid 1-årsuppföljning och mer terapeutstöd för MK kan ha påverkat resultaten. Fler RCT-studier med långtidsuppföljningar behövs inom området, och även studier på andra populationer. MK är att föredra, men vid begränsade resurser kan EK erbjudas med god effekt på både kort och lång sikt.

Abstract [en]

Insomnia is a common problem and there is a need for increased accessibility to cost-effective treatments. The purpose was to examine if an one-component treatment (EK), consisting of sleep-restriction/sleep-compression, were non-inferior to a multi-component (MK) CBT treatment for insomnia and if there was a difference in symptom reduction. The prestated margins for non-inferiority were d = 0.8, based on previous research, and a stricter margin of d = 0.4. Data from a research study where participants received EK (n = 193) was compared to a benchmark consisting of a CBT treatment in regular health care (MK) (n = 289). Both groups received treatment at the same Internet platform, and Insomnia Severity Index (ISI) was used as outcome measurement. The results showed that EK could not be confirmed as non-inferior to MK directly after treatment or at the one-year follow up when using a strict limit. When a liberal limit was used, EK could be confirmed as non-inferior directly after treatment but not one year later. Directly after treatment and at the one-year follow up both groups showed a significant symptom reduction, but at the one-year follow up MK showed a greater reduction. A large number of missing data at the one-year follow up and more therapeutic support in MK may have affected the results. More RCT-studies with longterm follow ups are needed in the area, and also studies of other populations. MK is preferable, but with limited resources EK can be offered with good effect both short term and long term.

Place, publisher, year, edition, pages
2019. , p. 33
Keywords [en]
CBT, insomnia, Sleep Wake Disorder, Internet, ICBT-i, sleep-restriction, sleep-compression, non-inferiority, benchmark, response, remission, Insomnia Severity Index (ISI)
Keywords [sv]
KBT, insomni, sömnstörning, internet, IKBT-i, sömnrestriktion, sömnkomprimering, non-inferiority, benchmark, respons, remission, Insomnia Severity Index (ISI)
National Category
Psychiatry Applied Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-84893OAI: oai:DiVA.org:lnu-84893DiVA, id: diva2:1322466
External cooperation
Karolinska Institutet
Subject / course
Psychology
Educational program
Psychologist Programme, 300 credits
Supervisors
Examiners
Available from: 2019-06-12 Created: 2019-06-10 Last updated: 2019-06-12Bibliographically approved

Open Access in DiVA

IKBT-i(945 kB)18 downloads
File information
File name FULLTEXT01.pdfFile size 945 kBChecksum SHA-512
96f9356e947d5965a341adc7aa546eafacea3f57b3309089ed3e5d5d07e62d8c87d29d27684941939647597f1c37a3938c3a982628ddbfc2962da683cfd6c963
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Rilöv, SaraBrunosson, Frida
By organisation
Department of Psychology
PsychiatryApplied Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 18 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

urn-nbn

Altmetric score

urn-nbn
Total: 33 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