Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study

Hongjing Mao,1,* Yutian Ji,2,* You Xu,1 Guangzheng Tang,1 Zhenghe Yu,1 Lianlian Xu,1 Chanchan Shen,2 Wei Wang1,2 1Department of Psychosomatic Disorders, The Seventh People’s Hospital, Mental Health Center, 2Department of Clinical Psychology and Psychiatry, School of Public Health, Zhejian...

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Autores principales: Mao H, Ji Y, Xu Y, Tang G, Yu Z, Xu L, Shen C, Wang W
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:beec9897322940218615253849f361a62021-12-02T06:50:51ZGroup cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study1178-2021https://doaj.org/article/beec9897322940218615253849f361a62017-11-01T00:00:00Zhttps://www.dovepress.com/group-cognitive-behavioral-therapy-in-insomnia-a-cross-sectional-case--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hongjing Mao,1,* Yutian Ji,2,* You Xu,1 Guangzheng Tang,1 Zhenghe Yu,1 Lianlian Xu,1 Chanchan Shen,2 Wei Wang1,2 1Department of Psychosomatic Disorders, The Seventh People’s Hospital, Mental Health Center, 2Department of Clinical Psychology and Psychiatry, School of Public Health, Zhejiang University College of Medicine, Hangzhou, Zhejiang, People’s Republic of China *These authors contributed equally to this work Background: Group cognitive–behavioral therapy (GCBT) might meet the considerable treatment demand of insomnia, but its effectiveness needs to be addressed.Participants: This study recruited 27 insomnia patients treated with 16-weeks of zolpidem (zolpidem group), 26 patients treated with 4-weeks of zolpidem and also treated with 12-weeks of GCBT (GCBT group), and 31 healthy control volunteers.Methods: Before treatment and 16 weeks after intervention, participants were evaluated using the Patient Health Questionnaires (Patient Health Questionnaire-9 [PHQ-9] and Patient Health Questionnaire-15 [PHQ-15]), the Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS-16), and the Pittsburgh Sleep Quality Index (PSQI).Results: Compared to the zolpidem and healthy control groups, the scale scores of PHQ-9, PHQ-15, DBAS-16 and PSQI were significantly reduced after intervention in the GCBT group. Regarding the score changes, there were correlations between PSQI, DBAS-16, PHQ-9, and PHQ-15 scales in the zolpidem group, but there were limited correlations between PSQI and some DBAS-16 scales in the GCBT group.Conclusion: Our results indicate that GCBT is effective to treat insomnia by improving sleep quality and reducing emotional and somatic disturbances; thus, the study supports the advocacy of applying group psychotherapy to the disorder. Keywords: cognitive–behavioral therapy, group psychotherapy, insomnia Mao HJi YXu YTang GYu ZXu LShen CWang WDove Medical PressarticleCognitive-behavioral therapyGroup psychotherapyInsomniaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2841-2848 (2017)
institution DOAJ
collection DOAJ
language EN
topic Cognitive-behavioral therapy
Group psychotherapy
Insomnia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Cognitive-behavioral therapy
Group psychotherapy
Insomnia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Mao H
Ji Y
Xu Y
Tang G
Yu Z
Xu L
Shen C
Wang W
Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
description Hongjing Mao,1,* Yutian Ji,2,* You Xu,1 Guangzheng Tang,1 Zhenghe Yu,1 Lianlian Xu,1 Chanchan Shen,2 Wei Wang1,2 1Department of Psychosomatic Disorders, The Seventh People’s Hospital, Mental Health Center, 2Department of Clinical Psychology and Psychiatry, School of Public Health, Zhejiang University College of Medicine, Hangzhou, Zhejiang, People’s Republic of China *These authors contributed equally to this work Background: Group cognitive–behavioral therapy (GCBT) might meet the considerable treatment demand of insomnia, but its effectiveness needs to be addressed.Participants: This study recruited 27 insomnia patients treated with 16-weeks of zolpidem (zolpidem group), 26 patients treated with 4-weeks of zolpidem and also treated with 12-weeks of GCBT (GCBT group), and 31 healthy control volunteers.Methods: Before treatment and 16 weeks after intervention, participants were evaluated using the Patient Health Questionnaires (Patient Health Questionnaire-9 [PHQ-9] and Patient Health Questionnaire-15 [PHQ-15]), the Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS-16), and the Pittsburgh Sleep Quality Index (PSQI).Results: Compared to the zolpidem and healthy control groups, the scale scores of PHQ-9, PHQ-15, DBAS-16 and PSQI were significantly reduced after intervention in the GCBT group. Regarding the score changes, there were correlations between PSQI, DBAS-16, PHQ-9, and PHQ-15 scales in the zolpidem group, but there were limited correlations between PSQI and some DBAS-16 scales in the GCBT group.Conclusion: Our results indicate that GCBT is effective to treat insomnia by improving sleep quality and reducing emotional and somatic disturbances; thus, the study supports the advocacy of applying group psychotherapy to the disorder. Keywords: cognitive–behavioral therapy, group psychotherapy, insomnia 
format article
author Mao H
Ji Y
Xu Y
Tang G
Yu Z
Xu L
Shen C
Wang W
author_facet Mao H
Ji Y
Xu Y
Tang G
Yu Z
Xu L
Shen C
Wang W
author_sort Mao H
title Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
title_short Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
title_full Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
title_fullStr Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
title_full_unstemmed Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
title_sort group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/beec9897322940218615253849f361a6
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