A randomized controlled trial of an internet intervention for adults with insomnia: effects on comorbid psychological and fatigue symptoms.
| Autor: | Thorndike FP; University of Virginia Health System., Ritterband LM, Gonder-Frederick LA, Lord HR, Ingersoll KS, Morin CM |
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| Jazyk: | angličtina |
| Zdroj: | Journal of clinical psychology [J Clin Psychol] 2013 Oct; Vol. 69 (10), pp. 1078-93. Date of Electronic Publication: 2013 Aug 28. |
| DOI: | 10.1002/jclp.22032 |
| Abstrakt: | Objective: Insomnia is frequently comorbid with other medical and psychological disorders. This secondary data analysis investigated whether an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) intervention could also reduce comorbid psychological and fatigue symptoms. Method: Data from a pilot randomized controlled trial (RCT) testing the efficacy of Internet-delivered CBT-I relative to a waitlist control was used to examine changes in symptoms of depression, anxiety, mental health quality of life (QOL), and fatigue. Results: Group by time interactions from repeated measures analyses revealed significant post intervention improvements in Internet participants (n = 22) relative to control participants (n = 22) on all psychological symptoms, mental health QOL, and fatigue. A small post hoc subsample of Internet participants with mild or moderate depression also showed large effect size changes in these constructs (depression, anxiety, mental health QOL, and fatigue). Conclusion: Internet-delivered CBT-I appears to not only improve sleep but also reduce comorbid psychological and fatigue symptoms. (© 2013 Wiley Periodicals, Inc.) |
| Databáze: | MEDLINE |
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