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Guided Internet-del...
Guided Internet-delivered cognitive behavioural treatment for insomnia: a randomized trial
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- van Straten, A. (författare)
- VU University Amsterdam, The Netherlands ; EMGO Institute Health and Care Research, The Netherlands
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- Emmelkamp, J. (författare)
- VU University Amsterdam, The Netherlands; EMGO Institute Health and Care Research, The Netherlands
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- de Wit, J. (författare)
- VU University Amsterdam, The Netherlands; EMGO Institute Health and Care Research, The Netherlands
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- Lancee, J. (författare)
- University of Amsterdam, The Netherlands
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- Andersson, Gerhard (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutet för handikappvetenskap (IHV)
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- van Someren, E. J. W. (författare)
- Institute Royal Netherlands Academic Arts and Science, Amsterdam; VU University and Medical Centre, Amsterdam, The Netherlands
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- Cuijpers, P. (författare)
- VU University Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, The Netherlands
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(creator_code:org_t)
- Cambridge University Press, 2014
- 2014
- Engelska.
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Ingår i: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 44:7, s. 1521-1532
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- BACKGROUND:Insomnia is a prevalent problem with a high burden of disease (e.g. reduced quality of life, reduced work capacity) and a high co-morbidity with other mental and somatic disorders. Cognitive behavioural therapy (CBT) is effective in the treatment of insomnia but is seldom offered. CBT delivered through the Internet might be a more accessible alternative. In this study we examined the effectiveness of a guided Internet-delivered CBT for adults with insomnia using a randomized controlled trial (RCT).METHOD:A total of 118 patients, recruited from the general population, were randomized to the 6-week guided Internet intervention (n = 59) or to a wait-list control group (n = 59). Patients filled out an online questionnaire and a 7-day sleep diary before (T0) and after (T1) the 6-week period. The intervention group received a follow-up questionnaire 3 months after baseline (T2).RESULTS:Almost three-quarters (72.9%) of the patients completed the whole intervention. Intention-to-treat (ITT) analysis showed that the treatment had statistically significant medium to large effects (p < 0.05; Cohen's d between 0.40 and 1.06), and resulted more often in clinically relevant changes, on all sleep and secondary outcomes with the exception of sleep onset latency (SOL) and number of awakenings (NA). There was a non-significant difference in the reduction in sleep medication between the intervention (a decrease of 6.8%) and control (an increase of 1.8%) groups (p = 0.20). Data on longer-term effects were inconclusive.CONCLUSIONS:This study adds to the growing body of literature that indicates that guided CBT for insomnia can be delivered through the Internet. Patients accept the format and their sleep improves.
Nyckelord
- sleep disorders; sleep initiation and maintenance disorders; cognitive therapy; Behaviour therapy; Internet
- SOCIAL SCIENCES
- SAMHÄLLSVETENSKAP
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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