Effects of integrated telehealth-delivered cognitive-behavioral therapy for depression and insomnia in rural older adults
| Autor: | Forrest Scogin, Anna C. McFadden, Haley D. Byers, Christina Pierpaoli Parker, S. Justin Thomas, Elizabeth A. DiNapoli, Lisa Mieskowski, Kenneth L. Lichstein, Julie A. Woosley, Michael A. LaRocca, Jason M. Parton, Xin Yang, James D. Geyer |
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| Rok vydání: | 2018 |
| Předmět: |
Telemedicine
medicine.medical_specialty Psychotherapist medicine.medical_treatment Telehealth behavioral disciplines and activities Article Primary care clinic Cognitive behavioral therapy 03 medical and health sciences Psychiatry and Mental health Clinical Psychology 0302 clinical medicine mental disorders Group interaction Insomnia medicine Physical therapy Integrative psychotherapy 030212 general & internal medicine medicine.symptom Psychology 030217 neurology & neurosurgery Depression (differential diagnoses) |
| Zdroj: | Journal of Psychotherapy Integration. 28:292-309 |
| ISSN: | 1573-3696 1053-0479 |
| Popis: | Background We examined the effects of integrated cognitive-behavioral therapy for depression and insomnia (CBT-D + CBT-I) delivered via videoconferening in rural, middle aged and older adults with depressive and insomnia symptoms. Method Forty patients with depressive and insomnia symptoms were randomized to receive either 10 sessions of CBT-D + CBT-I or usual care (UC). Patients in the integrated CBT condition were engaged in telehealth treatment through Skype at their primary care clinic. Assessments were conducted at baseline, post-treatment, and 3-month follow-up. Results CBT-D +CBT-I participants had significantly greater improvements in sleep at post-treatment and 3-month follow-up as compared to the UC participants. The time by group interaction for depression was not significant; both the CBT-D + CBT-I and UC conditions had a decrease in depressive symptoms over time. Conclusion While integrated CBT benefits both depression and insomnia symptoms, its effects on depression are more equivocal. Further research should consider expanding the depression treatment component of integrated CBT to enhance effectiveness. |
| Databáze: | OpenAIRE |
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