CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study

Schlarb A, Faber J, Hautzinger M (2018)
Neuropsychiatric Disease and Treatment 14: 2429-2438.

Zeitschriftenaufsatz | Veröffentlicht| Englisch
 
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Abstract / Bemerkung
Purpose: The aim of this study was to examine the effectiveness of a combined cognitive-behavioral therapy for insomnia (CBT-I) and hypnotherapy for insomnia (HT-I) program for insomnia patients with or without additional depression regarding depressive symptoms and various sleep parameters. Patients and methods: A sample of 63 patients suffering from insomnia received a six-session sleep intervention, which combined cognitive-behavioral and hypnotherapeutical elements. Due to violating exclusion criteria, data of 37 patients were analyzed. Ten patients had insomnia comorbid with depression, whereas 27 patients had insomnia only. Sleep diaries were implemented to measure various sleep parameters, whereas depressive symptomatology was assessed with the anxiety and depression scale and Symptom-Checklist-90-R at baseline, before and after the intervention, as well as at 3-months follow-up. Results: Depressive symptoms decreased from pre to post measurement and follow-up for patients with insomnia comorbid with depression, whereas scores of patients with only insomnia remained relatively on a low level. Both groups showed a significant increase of sleep efficiency and a significant decrease of the duration of wake after sleep onset. However, only patients with insomnia and depression revealed a significant reduction of sleep-onset latency and a higher level of regeneration. Nondepressive insomniacs, on the other hand, showed a significant increase of performance from post measurement to follow-up. For both groups, no change over time was found for number of wake after sleep onset, total sleep time, mood in the morning and evening. Conclusion: Combining CBT-I and HT-I is effective in reducing depressive symptoms and improving sleep. Therefore, nonresponders to other forms of therapy, eg, pharmacological, interpersonal, or cognitive-behavioral therapy, might benefit from the combined CBT-I/HT-I intervention.
Stichworte
CBT-I; hypnotherapy; insomnia; depression; adults; intervention
Erscheinungsjahr
2018
Zeitschriftentitel
Neuropsychiatric Disease and Treatment
Band
14
Seite(n)
2429-2438
eISSN
1178-2021
Finanzierungs-Informationen
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.
Page URI
https://pub.uni-bielefeld.de/record/2931200

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Schlarb A, Faber J, Hautzinger M. CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study. Neuropsychiatric Disease and Treatment. 2018;14:2429-2438.
Schlarb, A., Faber, J., & Hautzinger, M. (2018). CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study. Neuropsychiatric Disease and Treatment, 14, 2429-2438. doi:10.2147/ndt.s164899
Schlarb, A., Faber, J., and Hautzinger, M. (2018). CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study. Neuropsychiatric Disease and Treatment 14, 2429-2438.
Schlarb, A., Faber, J., & Hautzinger, M., 2018. CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study. Neuropsychiatric Disease and Treatment, 14, p 2429-2438.
A. Schlarb, J. Faber, and M. Hautzinger, “CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study”, Neuropsychiatric Disease and Treatment, vol. 14, 2018, pp. 2429-2438.
Schlarb, A., Faber, J., Hautzinger, M.: CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study. Neuropsychiatric Disease and Treatment. 14, 2429-2438 (2018).
Schlarb, Angelika, Faber, Jasmin, and Hautzinger, Martin. “CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression- a pilot study”. Neuropsychiatric Disease and Treatment 14 (2018): 2429-2438.
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2019-09-06T09:19:01Z
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