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Sleep. 2017 Aug 1;40(8). doi: 10.1093/sleep/zsx108.

Three-Year Follow-Up Comparing Cognitive Behavioral Therapy for Depression to Cognitive Behavioral Therapy for Insomnia, for Patients With Both Diagnoses.

Author information

1
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
2
Section of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Abstract

This 3-year follow-up compared insomnia treatment to depression treatment for patients with both diagnoses. Forty-three participants were randomized to either treatment, in the form of Internet-delivered therapist-guided cognitive behavior therapy (CBT), and 37 (86%) participants provided primary outcome data at the 3-year follow-up. After 3 years, reductions on depression severity were similar in both groups (between-group effect size, d = 0.33, p = .45), while the insomnia treatment had superior effects on insomnia severity (d = 0.66, p < .05). Overall, insomnia treatment was thus more beneficial than depression treatment. The implication for practitioners, supported by previous research, is that patients with co-occurring depression and insomnia should be offered CBT for insomnia, in addition to medication or psychological treatment for depression.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01256099.

KEYWORDS:

Cognitive behavioral therapy; Depression; Insomnia; Insomnia–comorbid; Long-term follow-up

PMID:
28655183
DOI:
10.1093/sleep/zsx108
[Indexed for MEDLINE]

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