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...
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Dove Medical Press
2016-08-01
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| Series: | Neuropsychiatric Disease and Treatment |
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| Online Access: | https://www.dovepress.com/brief-behavioral-treatment-for-patients-with-treatment-resistant-insom-peer-reviewed-fulltext-article-NDT |
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| 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 |
| collection | DOAJ |
| 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 |
| id | doaj-art-1f075c2033b44d6b9229aa659d1ca01a |
| institution | Matheson Library |
| issn | 1178-2021 |
| language | English |
| publishDate | 2016-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj-art-1f075c2033b44d6b9229aa659d1ca01a2025-06-26T01:58:36ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-08-01Volume 12Issue 11967197528267Brief behavioral treatment for patients with treatment-resistant insomniaWang J0Wei Qwu XZhong ZLi GDepartment of PsychiatryJihui 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, insomniahttps://www.dovepress.com/brief-behavioral-treatment-for-patients-with-treatment-resistant-insom-peer-reviewed-fulltext-article-NDTInsomniaCognitive behavioral treatmentBrief Behavioral TreatmentHypnoticsSleep hygiene education |
| spellingShingle | Wang J Wei Q wu X Zhong Z Li G Brief behavioral treatment for patients with treatment-resistant insomnia Neuropsychiatric Disease and Treatment Insomnia Cognitive behavioral treatment Brief Behavioral Treatment Hypnotics Sleep hygiene education |
| title | 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_short | Brief behavioral treatment for patients with treatment-resistant insomnia |
| title_sort | brief behavioral treatment for patients with treatment resistant insomnia |
| topic | Insomnia Cognitive behavioral treatment Brief Behavioral Treatment Hypnotics Sleep hygiene education |
| url | https://www.dovepress.com/brief-behavioral-treatment-for-patients-with-treatment-resistant-insom-peer-reviewed-fulltext-article-NDT |
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