CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

Angelika Anita Schlarb,1 Jasmin Faber,1 Martin Hautzinger2 1Department of Clinical Psychology and Psychotherapy for Children and Adolescents, Faculty of Psychology and Sports Science, Bielefeld University, Bielefeld, Germany; 2Department of Clinical Psychology and Psychotherapy, Faculty of Science,...

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Autores principales: Schlarb AA, Faber J, Hautzinger M
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
CBT-I
Hypnotherapy
Insomnia
Depression
Adults
Intervention
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/1f945f13dee24e278d606cd237c35564
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spelling oai:doaj.org-article:1f945f13dee24e278d606cd237c355642021-12-02T07:24:23ZCBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study1178-2021https://doaj.org/article/1f945f13dee24e278d606cd237c355642018-09-01T00:00:00Zhttps://www.dovepress.com/cbt-i-and-ht-i-group-therapy-for-adults-with-insomnia-in-comparison-to-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Angelika Anita Schlarb,1 Jasmin Faber,1 Martin Hautzinger2 1Department of Clinical Psychology and Psychotherapy for Children and Adolescents, Faculty of Psychology and Sports Science, Bielefeld University, Bielefeld, Germany; 2Department of Clinical Psychology and Psychotherapy, Faculty of Science, Eberhard Karls University Tübingen, Tübingen, Germany Purpose: The aim of this study was to examine the effectiveness of a combined cognitive-behavioral therapy for insomnia (CBT-I) and hypnotherapy for insomnia (HT-I) program for insomnia patients with or without additional depression regarding depressive symptoms and various sleep parameters.Patients and methods: A sample of 63 patients suffering from insomnia received a six-session sleep intervention, which combined cognitive-behavioral and hypnotherapeutical elements. Due to violating exclusion criteria, data of 37 patients were analyzed. Ten patients had insomnia comorbid with depression, whereas 27 patients had insomnia only. Sleep diaries were implemented to measure various sleep parameters, whereas depressive symptomatology was assessed with the anxiety and depression scale and Symptom-Checklist-90-R at baseline, before and after the intervention, as well as at 3-months follow-up.Results: Depressive symptoms decreased from pre to post measurement and follow-up for patients with insomnia comorbid with depression, whereas scores of patients with only insomnia remained relatively on a low level. Both groups showed a significant increase of sleep efficiency and a significant decrease of the duration of wake after sleep onset. However, only patients with insomnia and depression revealed a significant reduction of sleep-onset latency and a higher level of regeneration. Nondepressive insomniacs, on the other hand, showed a significant increase of performance from post measurement to follow-up. For both groups, no change over time was found for number of wake after sleep onset, total sleep time, mood in the morning and evening.Conclusion: Combining CBT-I and HT-I is effective in reducing depressive symptoms and improving sleep. Therefore, nonresponders to other forms of therapy, eg, pharmacological, interpersonal, or cognitive-behavioral therapy, might benefit from the combined CBT-I/HT-I intervention. Keywords: CBT-I, hypnotherapy, insomnia, depression, adults, interventionSchlarb AAFaber JHautzinger MDove Medical PressarticleCBT-IHypnotherapyInsomniaDepressionAdultsInterventionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 2429-2438 (2018)
institution DOAJ
collection DOAJ
language EN
topic CBT-I
Hypnotherapy
Insomnia
Depression
Adults
Intervention
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle CBT-I
Hypnotherapy
Insomnia
Depression
Adults
Intervention
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Schlarb AA
Faber J
Hautzinger M
CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
description Angelika Anita Schlarb,1 Jasmin Faber,1 Martin Hautzinger2 1Department of Clinical Psychology and Psychotherapy for Children and Adolescents, Faculty of Psychology and Sports Science, Bielefeld University, Bielefeld, Germany; 2Department of Clinical Psychology and Psychotherapy, Faculty of Science, Eberhard Karls University Tübingen, Tübingen, Germany Purpose: The aim of this study was to examine the effectiveness of a combined cognitive-behavioral therapy for insomnia (CBT-I) and hypnotherapy for insomnia (HT-I) program for insomnia patients with or without additional depression regarding depressive symptoms and various sleep parameters.Patients and methods: A sample of 63 patients suffering from insomnia received a six-session sleep intervention, which combined cognitive-behavioral and hypnotherapeutical elements. Due to violating exclusion criteria, data of 37 patients were analyzed. Ten patients had insomnia comorbid with depression, whereas 27 patients had insomnia only. Sleep diaries were implemented to measure various sleep parameters, whereas depressive symptomatology was assessed with the anxiety and depression scale and Symptom-Checklist-90-R at baseline, before and after the intervention, as well as at 3-months follow-up.Results: Depressive symptoms decreased from pre to post measurement and follow-up for patients with insomnia comorbid with depression, whereas scores of patients with only insomnia remained relatively on a low level. Both groups showed a significant increase of sleep efficiency and a significant decrease of the duration of wake after sleep onset. However, only patients with insomnia and depression revealed a significant reduction of sleep-onset latency and a higher level of regeneration. Nondepressive insomniacs, on the other hand, showed a significant increase of performance from post measurement to follow-up. For both groups, no change over time was found for number of wake after sleep onset, total sleep time, mood in the morning and evening.Conclusion: Combining CBT-I and HT-I is effective in reducing depressive symptoms and improving sleep. Therefore, nonresponders to other forms of therapy, eg, pharmacological, interpersonal, or cognitive-behavioral therapy, might benefit from the combined CBT-I/HT-I intervention. Keywords: CBT-I, hypnotherapy, insomnia, depression, adults, intervention
format article
author Schlarb AA
Faber J
Hautzinger M
author_facet Schlarb AA
Faber J
Hautzinger M
author_sort Schlarb AA
title CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
title_short CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
title_full CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
title_fullStr CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
title_full_unstemmed CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
title_sort cbt-i and ht-i group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/1f945f13dee24e278d606cd237c35564
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