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Guided internet cog...
Guided internet cognitive behavioral therapy for insomnia compared to a control treatment - A randomized trial
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- Kaldo, Viktor (författare)
- Karolinska Institutet
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- Jernelöv, Susanna (författare)
- Karolinska Institutet
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- Blom, Kerstin (författare)
- Karolinska Institutet
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- Ljotsson, Brjann (författare)
- Karolinska Institutet
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- Brodin, Maria (författare)
- Karolinska Institutet
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- Jörgensen, Mia (författare)
- Karolinska Institutet
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- Kraepelien, Martin (författare)
- Karolinska Institutet
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- Rück, Christian (författare)
- Karolinska Institutet
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- Lindefors, Nils (författare)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier, 2015
- 2015
- Engelska.
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Ingår i: Behaviour Research and Therapy. - : Elsevier. - 0005-7967 .- 1873-622X. ; 71, s. 90-100
- Relaterad länk:
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https://doi.org/10.1...
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https://doi.org/10.1...
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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
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- Aim: To evaluate if internet-delivered Cognitive Behavioral Therapy for insomnia (ICBT-i) with brief therapist support outperforms an active control treatment. Method: Adults diagnosed with insomnia were recruited via media (n = 148) and randomized to either eight weeks of ICBT-i or an active internet-based control treatment. Primary outcome was the insomnia severity index (ISI) assessed before and after treatment, with follow-ups after 6 and 12 months. Secondary outcomes were use of sleep medication, sleep parameters (sleep diary), perceived stress, and a screening of negative treatment effects. Hierarchical Linear Mixed Models were used for intent-to-treat analyses and handling of missing data. Results: ICBT-i was significantly more effective than the control treatment in reducing ISI (Cohen's d = 0.85), sleep medication, sleep efficiency, sleep latency, and sleep quality at post-treatment. The positive effects were sustained. However, after 12 months the difference was no longer significant due to a continuous decrease in ISI among controls, possibly due to their significantly higher utilization of insomnia relevant care after treatment Forty-six negative effects were reported but did not differ between interventions. Conclusions: Supported ICBT-i is more effective than an active control treatment in reducing insomnia severity and treatment gains remain stable one year after treatment (C) 2015 The Authors. Published by Elsevier Ltd.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Nyckelord
- Insomnia
- Internet
- CBT
- Guided self-help
- Psychological treatment
- Psychotherapy
- Psychology
- Psykologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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