scholarly journals Efficacy of cognitive-behavioral therapy for insomnia: a group format implementation in the Spanish National Health System

2021 ◽  
Vol 26 (3) ◽  
pp. 173-180
Author(s):  
Paula Lantarón-Imedio ◽  
Mª Rosario Pina-Camacho ◽  
Marcos L. Moya-Diago ◽  
Belén Pascual-Vera ◽  
César Mateu ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Health System ◽  
Behavioral Therapy ◽  
National Health System ◽  
Cognitive Behavioral ◽  
Dysfunctional Beliefs ◽  
Group Format ◽  
Insomnia Disorder ◽  
Spanish National Health System ◽  
Beliefs And Attitudes

Background. Cognitive-behavioral therapy for insomnia (CBT-i) is considered the first-line treatment for this disorder, but it is not widely implemented in clinical settings. This study aims to examine the efficacy of a CBT-i in group format in the Spanish National Health System. Method. Fifty-two participants with a Primary Insomnia Disorder (55.8% women; Mage = 47.19, SD = 11.02) were assigned to a CBT-i (n =17) or waiting list condition (n = 21). Treatment consisted of eight group format sessions (2 hours/week). Results. Significant improvements in insomnia severity, sleep quality, and insomnia-related dysfunctional beliefs and attitudes were observed in patients who received CBT-i. Emotional symptoms also decreased after the intervention in the CBT-i group. Conclusion. Findings support the efficacy of cognitive-behavioral therapy for insomnia with a group protocol for patients with primary insomnia disorder. The maintenance role of insomnia-related dysfunctional beliefs and attitudes in this disorder is also suggested.

scholarly journals “Thinking About Thinking” in Insomnia Disorder: The Effect of Cognitive-Behavioral Therapy for Insomnia on Sleep-Related Metacognition

2021 ◽  
Vol 12 ◽  
Author(s):  
Andrea Galbiati ◽  
Marco Sforza ◽  
Alessandro Scarpellino ◽  
Andrea Salibba ◽  
Caterina Leitner ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Sleep Diary ◽  
Dysfunctional Beliefs ◽  
Beneficial Effects ◽  
Group Format ◽  
Insomnia Disorder ◽  
Insomnia Symptoms

Metacognition is defined as the ability to reflect on one’s mental state and to govern thoughts and beliefs. Metacognitive dysfunctions are typical of several psychopathologic conditions, and also a feature of insomnia disorder, possibly playing a crucial role in its genesis and maintenance. In the context of insomnia, metacognition describes how individuals react to their own sleep-related thoughts and beliefs, boosting the hyperarousal state experienced by these patients. Up to now, no studies evaluated the effect of cognitive behavioral therapy for insomnia (CBT-I) on metacognitive functioning. Therefore, the aim of our study was to evaluate the effect of CBT-I administered in group format in patients with insomnia disorder. As expected, all patients showed significant improvements in both insomnia and sleep diary parameters after treatment. Furthermore, an improvement was observed also in dysfunctional metacognitive levels, assessed by means of the Metacognitions Questionnaire-Insomnia (MCQ-I). However, 63% of patients still showed a MCQ-I score above the clinical cutoff after treatment. Dividing the sample on the basis of MCQ-I questionnaire scores after CBT-I, we found that patients, who still presented metacognitive impairment, received significant beneficial effects from CBT-I both on insomnia symptoms and on dysfunctional beliefs, but not on dysfunctional metacognitive functioning. These findings suggest that metacognition should be carefully evaluated in insomnia patients and further studies are needed to evaluate long-term implications of this remaining dysfunction.

scholarly journals COGNITIVE-BEHAVIORAL THERAPY: AN ALLY OF THE UNIFIED HEALTH SYSTEM

2020 ◽  
Vol 5 (9) ◽  
pp. 45-56
Author(s):  
Rafael Zaneripe de Souza Nunes ◽  
Lisiane Tuon ◽  
Rosimeri Vieira da Cruz de Souza ◽  
Karin Martins Gomes
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Health System ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Unified Health System

0525 Subtypes of Efficacy of Cognitive-Behavioral Therapy for Insomnia

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A201-A201
Author(s):  
V Castronovo ◽  
M Sforza ◽  
A Galbiati ◽  
M Salsone ◽  
S Marelli ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Latent Class ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Long Term Outcome ◽  
Insomnia Disorder ◽  
Significant Difference ◽  
Class 1 ◽  
Anxiety Depression

Abstract Introduction Cognitive-Behavioral Therapy for Insomnia (CBT-I) is the first-line treatment for Insomnia disorder (ID). We aimed to identify ID patients’ subtypes based on clinical features and their response to CBT-I. Methods 294 chronic insomnia patients (61.6% female, mean age 40.7 ± 12.3 yrs) underwent 7-sessions group CBT-I. By use of latent class analysis (LCA) we identified insomnia disorder subtypes according to baseline (BL) evaluation of non-sleep indices and the response to CBT-I (Delta score of Insomnia Severity Index ISI between BL and end-of-treatment (ET). Moreover, we assessed ISI in 123 out of 294 insomnia patients (82 females (66.7%), mean age 40.59 ± 11.89 years) who completed a follow-up evaluation (FU) within a range of 4-10 years. Results We chose 3 latent classes as most parsimonious model. We identified Class 1 (insomnia+anxiety+depression+stress) (n=62), Class 2 (insomnia+anxiety+depression) (n=153) and Class 3 (only-insomnia) (n=79). The effect of CBT-I was maintained up to 10 years after the ET in the three classes but with significant difference between classes (p<0.05). At the ET, the largest percentage of responders (ISI decrease ≥ 8) was found in Class 1 (63.5%). Results of overall CBT-I effectiveness: in Class 3, 98.6% had subthreshold insomnia (ISI score=0-14) at the ET, and 97.2% at the FU; in Class 2, 89.0% at the ET, and 78.2% at the FU; in Class 1, 80.7% at ET and 51.8% at the FU. Conclusion Our analysis identified three different subtypes of insomniacs on the basis of clinical outcomes. The presence of anxiety and depression did not diminish the effect of CBT-I both short and long term. However, ID patients characterized by the presence of stress (Class 1) were the best responders at the ET but this was not maintained at the FU evaluation. We can speculate that stress could be considered a risk factor that plays an important role in the long-term outcome of CBT-I. Support No

Applying Trauma-Focused Cognitive–Behavioral Therapy in Group Format

2015 ◽  
Vol 21 (1) ◽  
pp. 59-73 ◽  
Author(s):  
Esther Deblinger ◽  
Elisabeth Pollio ◽  
Shannon Dorsey
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Group Format
Sign in / Sign up

Export Citation Format

Share Document