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J Clin Psychol. 2013 Oct;69(10):1043-55. doi: 10.1002/jclp.21927. Epub 2012 Oct 26.

Effectiveness of abbreviated CBT for insomnia in psychiatric outpatients: sleep and depression outcomes.

Author information

1
University of Virginia.

Abstract

OBJECTIVE:

To test the efficacy of cogntive-behavioral therapy for insomnia (CBT-I) as a supplement treatment for psychiatric outpatients. Comorbid insomnia is prevalent among individuals with varied psychiatric disorders and evidence indicates that CBT-I may be effective for reducing insomnia and other psychiatric symptoms.

METHOD:

The present study randomly assigned 30 psychiatric outpatients (mean duration of treatment = 3.6 years) with low sleep quality and residual depressive symptoms to two sessions of CBT-I or a treatment as usual control group. Assessment included the Pittsburgh Sleep Quality Index (PSQI) for insomnia and the Patient Health Questionnaire (PHQ-9) for depression at pretreatment and 4 and 8 weeks posttreatment.

RESULTS:

Patients who received CBT-I demonstrated within group changes in PSQI and the PHQ-9 scores at both 4 and 8 weeks posttreatment, but did not show between-group differences. Additionally, 38% of the treatment participants achieved normal sleep at follow-up compared with none in the control condition.

CONCLUSIONS:

This study provides preliminary evidence that abbreviated behavioral treatment has beneficial effects on residual insomnia and depression in long-term psychiatric outpatients.

KEYWORDS:

CBT; Depression; Insomnia

PMID:
23109266
DOI:
10.1002/jclp.21927
[Indexed for MEDLINE]

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