Treating co-morbid insomnia and social anxiety disorder with sequential CBT protocols: A single-case experimental study

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Treating co-morbid insomnia and social anxiety disorder with sequential CBT protocols : A single-case experimental study

Wallsten, Daniel (author): Karlstads universitet,Institutionen för sociala och psykologiska studier (from 2013),Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden,Karlstad University

Norell-Clarke, Annika, 1979- (author): Karlstads universitet,Institutionen för sociala och psykologiska studier (from 2013),Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden; Faculty of Health and Science, Kristianstad University, Kristianstad, Sweden,Department of Nursing and Integrated Health Sciences,Forskningsplattformen Hälsa i samverkan,Childrens and Young Peoples Health in Social Context (CYPHiSCO),Karlstad University,Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap

Alfonsson, S. (author): Karolinska Institutet,Stockholm County Council,Region Stockholm

Gryphon, D. (author): Department of Law, Psychology and Social Work, Örebro University, Örebro, Sweden,Örebro University

Eriksson, H. (author): Department of Law, Psychology and Social Work, Örebro University, Örebro, Sweden,Örebro University

Tillfors, Maria, 1963- (author): Karlstads universitet,Institutionen för sociala och psykologiska studier (from 2013),Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden,Karlstad University

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Cambridge University Press, 2021
2021
English.
In: Behavioural and Cognitive Psychotherapy. - : Cambridge University Press. - 1352-4658 .- 1469-1833. ; 49:6, s. 641-657

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Journal article (peer-reviewed)

Abstract Subject headings

Background: Although insomnia disorder and social anxiety disorder are among the most prevalent psychiatric disorders, no studies have yet evaluated the use of sequential evidence-based treatment protocols in the population with co-morbid social anxiety disorder and insomnia disorder. Aims: This study aimed to investigate the effects of sequential treatments on co-morbid insomnia disorder and social anxiety disorder. As depression is a common co-morbid syndrome for both insomnia and social anxiety, a secondary aim was to examine depressive symptoms. Method: A single-case repeated crossover AB design was used. Ten participants between 18 and 59 years of age with co-morbid DSM-5 diagnoses of insomnia disorder and social anxiety disorder received sequential treatments with cognitive behavioural therapy (CBT). Seven participants completed the treatment course. The primary outcomes were symptoms of insomnia and social anxiety, and the secondary outcome was symptoms of depression. Results: The effects of CBT on people with co-morbid social anxiety disorder and insomnia disorder were mixed. The majority of participants improved their sleep quality and lessened symptoms of social anxiety and depression. However, participants differed in their degree of improvement concerning all three disorders. Conclusions: Sequential CBT treatments are potentially effective at decreasing symptoms of social anxiety and insomnia for people with co-morbid social anxiety disorder and insomnia disorder. The variation in outcome across participants makes firm conclusions about the treatment efficacy difficult to draw.

Subject headings

SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)

Keyword

co-morbidity
cognitive behavioural therapy
depression
insomnia
Keywords
single case experimental design
social anxiety
Psykologi
Psychology

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ref (subject category)
art (subject category)

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By the author/editor: Wallsten, Daniel; Norell-Clarke, A ...; Alfonsson, S.; Gryphon, D.; Eriksson, H.; Tillfors, Maria, ...

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology; and Applied Psycholo ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

Articles in the publication: Behavioural and ...

By the university: Karlstad University; Örebro University; Karolinska Institutet; Kristianstad University College

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