scholarly journals Treatment Preferences for Internet-Based Cognitive Behavioral Therapy for Insomnia in Japan: Online Survey (Preprint)

2018 ◽  
Author(s):  
Daisuke Sato ◽  
Chihiro Sutoh ◽  
Yoichi Seki ◽  
Eiichi Nagai ◽  
Eiji Shimizu
Keyword(s):  
Drug Therapy ◽  
Cognitive Behavioral Therapy ◽  
Online Survey ◽  
Behavioral Therapy ◽  
Low Cost ◽  
Medication Use ◽  
Cognitive Behavioral ◽  
Treatment Preferences ◽  
Face To Face ◽  
Sleep Medication

BACKGROUND The internet has the potential to increase individuals’ access to cognitive behavioral therapy (CBT) for insomnia at low cost. However, treatment preferences regarding internet-based computerized CBT for insomnia have not been fully examined. OBJECTIVE The aim was to conduct an anonymous online survey to evaluate treatment preferences for insomnia among patients with insomnia and individuals without insomnia. METHODS We developed an online survey to recruit a total of 600 participants living in the Kanto district in Japan. There were three subgroups: 200 medicated individuals with insomnia, 200 unmedicated individuals with insomnia, and 200 individuals without insomnia. The survey asked questions about the severity of the respondent’s insomnia (using the Athens Insomnia Scale), the frequency of sleep medication use and the level of satisfaction with sleep medication use, the respondent’s knowledge of CBT, his or her preference for CBT for insomnia before drug therapy, preference for CBT versus drug therapy, and preference for internet-based CBT versus face-to-face CBT. RESULTS Of the 600 respondents, 47.7% (286/600) indicated that they received CBT before drug therapy, and 57.2% (343/600) preferred CBT for insomnia to drug therapy. In addition, 47.0% (282/600) preferred internet-based CBT for insomnia to face-to-face CBT. Although the respondents with insomnia who were taking an insomnia medication had a relatively lower preference for internet-based CBT (40.5%, 81/200), the respondents with insomnia who were not taking an insomnia medication had a relatively higher preference for internet-based CBT (55.5%, 111/200). CONCLUSIONS The results of our online survey suggest that approximately half of the people queried preferred CBT for insomnia to drug therapy, and half of the respondents preferred internet-based CBT for insomnia to face-to-face CBT.

scholarly journals Treatment Preferences for Internet-Based Cognitive Behavioral Therapy for Insomnia in Japan: Online Survey

10.2196/12635 ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. e12635
Author(s):  
Daisuke Sato ◽  
Chihiro Sutoh ◽  
Yoichi Seki ◽  
Eiichi Nagai ◽  
Eiji Shimizu
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Online Survey ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Treatment Preferences

scholarly journals Sex Offenders: Treat or Punish? (Community Quick Survey on Sex Offenders)

2016 ◽  
Vol 31 (3) ◽  
pp. 143-148
Author(s):  
Rossy Sintya Marthasari
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sex Offenders ◽  
Death Penalty ◽  
Online Survey ◽  
Behavioral Therapy ◽  
Pharmacological Therapy ◽  
Cognitive Behavioral ◽  
The Internet ◽  
Ordinary People ◽  
Chemical Castration

The aim of this study was to collect data of what ordinary people think on chemical castration and the proper punishment for sex offenders. An online survey was conducted through a questionnaire (N = 36; 19 males and 17 females). Average age was between 19 and 61; all participants have heard and known about sexual harassment. Results showed that 21% of respondents concluded that the Internet was the main cause, 36% accused the pornographic films, 18% said that the harassment was due to how the victims behave and dress themselves, and 21% said that psychopathological factors also played a role. Most of the respondents advised that the proper punishment should be death penalty (47%), while 29% chose the chemical castration and 20% chose imprisonment. Since psychoterapy (in this context cognitive-behavioral therapy) combined with pharmacological therapy has shown better outcome compared to monotherapy, the author considers to involve cognitive behavioral therapy as part of rehabilitation, so psychotherapy should be part of punishment in lieu of chemical castration. Causes underlying the sexual harassments especially the psy-chological aspects are discussed.

scholarly journals Cognitive-Behavioral Therapy for Insomnia: An Effective and Underutilized Treatment for Insomnia

2019 ◽  
Vol 13 (6) ◽  
pp. 544-547 ◽  
Author(s):  
Jeffrey Rossman
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Health Care Providers ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Chronic Insomnia ◽  
Relaxation Techniques ◽  
Care Providers ◽  
Medical Problems ◽  
Sleep Medication ◽  
Falling Asleep

Sleep difficulties are an extremely prevalent health problem, with about 33% to 50% of adults reporting regular difficulty falling asleep or staying asleep. About 7% to 18% of adults meet the criteria for an insomnia disorder.1,2 Sleep disruptions contribute to a variety of medical problems, including cognitive impairment, reduced immune function, metabolic imbalance, and exacerbation of psychiatric conditions.3 The most effective nonpharmacological treatment for chronic insomnia is cognitive-behavioral therapy for insomnia (CBT-i). CBT-i produces results that are equivalent to sleep medication, with no side effects, fewer episodes of relapse, and a tendency for sleep to continue to improve long past the end of treatment. The long-term improvements seem to result from the patient learning how to support and promote the body’s natural sleep mechanism. The five key components of CBT-i are sleep consolidation, stimulus control, cognitive restructuring, sleep hygiene, and relaxation techniques. Although CBT-i is a safe and highly effective treatment for insomnia, unfortunately, it is underutilized, primarily because of two reasons: (1) There is currently a shortage of trained CBT-i practitioners. (2) Patient are much more likely to learn about sleep medication as a treatment for their insomnia (via drug advertisements and prescribing physicians) than CBT-i. Physicians and health care providers can play an important role in educating their patients about CBT-i and recommending it as a first-line treatment for chronic insomnia.

scholarly journals 0363 Efficacy of Cognitive Behavioral Therapy Delivered via Telemedicine vs. Face-to-Face: Preliminary Results from a Randomized Controlled Non-Inferiority Trial

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A148-A148 ◽  
Author(s):  
J Todd Arnedt ◽  
Deirdre A Conroy ◽  
Ann J Mooney ◽  
Kelley Dubuc ◽  
Alexander Yang ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Face To Face ◽  
Preliminary Results ◽  
Randomized Controlled

scholarly journals Predictors of outcome for telephone and face-to-face administered cognitive behavioral therapy for depression

2015 ◽  
Vol 45 (15) ◽  
pp. 3205-3215 ◽  
Author(s):  
C. Stiles-Shields ◽  
M. E. Corden ◽  
M. J. Kwasny ◽  
S. M. Schueller ◽  
D. C. Mohr
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Rating Scale ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Classification And Regression Tree ◽  
Psychological Characteristics ◽  
Treatment Modalities ◽  
Depression Severity ◽  
Predictors Of Outcome ◽  
Face To Face

BackgroundCognitive behavioral therapy (CBT) can be delivered efficaciously through various modalities, including telephone (T-CBT) and face-to-face (FtF-CBT). The purpose of this study was to explore predictors of outcome in T-CBT and FtF-CBT for depression.MethodA total of 325 depressed participants were randomized to receive eighteen 45-min sessions of T-CBT or FtF-CBT. Depression severity was measured using the Hamilton Depression Rating Scale (HAMD) and the Patient Health Questionnaire-9 (PHQ-9). Classification and regression tree (CART) analyses were conducted with baseline participant demographics and psychological characteristics predicting depression outcomes, HAMD and PHQ-9, at end of treatment (week 18).ResultsThe demographic and psychological characteristics accurately identified 85.3% and 85.0% of treatment responders and 85.7% and 85.0% of treatment non-responders on the HAMD and PHQ-9, respectively. The Coping self-efficacy (CSE) scale predicted outcome on both the HAMD and PHQ-9; those with moderate to high CSE were likely to respond with no other variable influencing that prediction. Among those with low CSE, depression severity influenced response. Social support, physical functioning, and employment emerged as predictors only for the HAMD, and sex predicted response on the PHQ-9. Treatment delivery method (i.e. telephone or face-to-face) did not impact the prediction of outcome.ConclusionsFindings suggest that the predictors of improved depression are similar across treatment modalities. Most importantly, a moderate to high level of CSE significantly increases the chance of responding in both T-CBT and FtF-CBT. Among patients with low CSE, those with lower depressive symptom severity are more likely to do well in treatment.

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