Brief behavioral treatment for patients with treatment-resistant insomnia

Jihui Wang, Qinling Wei, Xiaoli Wu, Zhiyong Zhong, Guanying Li Department of Psychiatry, The Third Affiliated Hospital of Sun-Yat Sen University, Guangzhou, Guangdong, People’s Republic of China Objective: To evaluate the efficacy of brief behavioral treatment for insomnia (BBTI) in trea...

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Autores principales: Wang J, Wei Q, Wu X, Zhong Z, Li G
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:62772b9e35b841f6a7042beb1b6348852021-12-02T01:52:45ZBrief behavioral treatment for patients with treatment-resistant insomnia1178-2021https://doaj.org/article/62772b9e35b841f6a7042beb1b6348852016-08-01T00:00:00Zhttps://www.dovepress.com/brief-behavioral-treatment-for-patients-with-treatment-resistant-insom-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jihui Wang, Qinling Wei, Xiaoli Wu, Zhiyong Zhong, Guanying Li Department of Psychiatry, The Third Affiliated Hospital of Sun-Yat Sen University, Guangzhou, Guangdong, People’s Republic of China Objective: To evaluate the efficacy of brief behavioral treatment for insomnia (BBTI) in treating patients with treatment-resistant insomnia.Methods: Seventy-nine adults with treatment-resistant insomnia were randomly assigned to receive either individualized BBTI (delivered in two in-person sessions and two telephone “booster” sessions, n=40) or sleep hygiene education (n=39). The primary outcome was sub­jective (sleep diary) measures of self-report symptoms and questionnaire measures of Pittsburgh sleep quality index (PSQI), insomnia severity index (ISI), Epworth sleeping scale (ESS), and dysfunctional beliefs and attitudes about sleep scale (DBAS).Results: The repeated-measures analysis of variance showed significant time effects between pretreatment and posttreatment in the scale ratings of PSQI, ESS, DBAS, ISI, sleep latency (SL), time in bed (TIB), sleep efficiency (SE), and wake after sleep onset (WASO) in both groups and group × time interaction (FPSQI =3.893, FESS =4.500, FDBAS =5.530, FISI =15.070, FSL =8.909, FTIB =7.895, FSE =2.926, and FWASO =2.595). The results indicated significant differences between BBTI and sleep hygiene in change scores of PSQI, ESS, DBAS, ISI, SL, TIB, SE, and WASO. Effect sizes were moderate to large.Conclusion: BBTI is a simple and efficacious intervention for chronic insomnia in adults. Keywords: brief behavioral treatment, treatment-resistant, insomniaWang JWei QWu XZhong ZLi GDove Medical PressarticleInsomniaCognitive behavioral treatmentBrief Behavioral TreatmentHypnoticsSleep hygiene educationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1967-1975 (2016)
institution DOAJ
collection DOAJ
language EN
topic Insomnia
Cognitive behavioral treatment
Brief Behavioral Treatment
Hypnotics
Sleep hygiene education
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Insomnia
Cognitive behavioral treatment
Brief Behavioral Treatment
Hypnotics
Sleep hygiene education
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Wang J
Wei Q
Wu X
Zhong Z
Li G
Brief behavioral treatment for patients with treatment-resistant insomnia
description Jihui Wang, Qinling Wei, Xiaoli Wu, Zhiyong Zhong, Guanying Li Department of Psychiatry, The Third Affiliated Hospital of Sun-Yat Sen University, Guangzhou, Guangdong, People’s Republic of China Objective: To evaluate the efficacy of brief behavioral treatment for insomnia (BBTI) in treating patients with treatment-resistant insomnia.Methods: Seventy-nine adults with treatment-resistant insomnia were randomly assigned to receive either individualized BBTI (delivered in two in-person sessions and two telephone “booster” sessions, n=40) or sleep hygiene education (n=39). The primary outcome was sub­jective (sleep diary) measures of self-report symptoms and questionnaire measures of Pittsburgh sleep quality index (PSQI), insomnia severity index (ISI), Epworth sleeping scale (ESS), and dysfunctional beliefs and attitudes about sleep scale (DBAS).Results: The repeated-measures analysis of variance showed significant time effects between pretreatment and posttreatment in the scale ratings of PSQI, ESS, DBAS, ISI, sleep latency (SL), time in bed (TIB), sleep efficiency (SE), and wake after sleep onset (WASO) in both groups and group × time interaction (FPSQI =3.893, FESS =4.500, FDBAS =5.530, FISI =15.070, FSL =8.909, FTIB =7.895, FSE =2.926, and FWASO =2.595). The results indicated significant differences between BBTI and sleep hygiene in change scores of PSQI, ESS, DBAS, ISI, SL, TIB, SE, and WASO. Effect sizes were moderate to large.Conclusion: BBTI is a simple and efficacious intervention for chronic insomnia in adults. Keywords: brief behavioral treatment, treatment-resistant, insomnia
format article
author Wang J
Wei Q
Wu X
Zhong Z
Li G
author_facet Wang J
Wei Q
Wu X
Zhong Z
Li G
author_sort Wang J
title Brief behavioral treatment for patients with treatment-resistant insomnia
title_short Brief behavioral treatment for patients with treatment-resistant insomnia
title_full Brief behavioral treatment for patients with treatment-resistant insomnia
title_fullStr Brief behavioral treatment for patients with treatment-resistant insomnia
title_full_unstemmed Brief behavioral treatment for patients with treatment-resistant insomnia
title_sort brief behavioral treatment for patients with treatment-resistant insomnia
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/62772b9e35b841f6a7042beb1b634885
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