Treating depression with a smartphone-delivered self-help cognitive behavioral therapy for insomnia
| Autor: | Christian S. Chan, Hui Vk, Wong C, Ho Fyy, Yu Bym, Cuijpers P |
|---|---|
| Přispěvatelé: | Clinical Psychology, APH - Global Health, APH - Mental Health, World Health Organization (WHO) Collaborating Center |
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
medicine.medical_specialty
business.industry insomnia smartphone intervention Cognitive behavioral therapy for insomnia sleep disturbance law.invention Self-help Psychiatry and Mental health Randomized controlled trial SDG 3 - Good Health and Well-being law Physical therapy medicine business major depression Applied Psychology Depression (differential diagnoses) |
| Zdroj: | Chan, C S, Wong, C Y F, Yu, B Y M, Hui, V K Y, Ho, F Y Y & Cuijpers, P 2023, ' Treating depression with a smartphone-delivered self-help cognitive behavioral therapy for insomnia : a parallel-group randomized controlled trial ', Psychological Medicine, vol. 53, no. 5, pp. 1799-1813 . https://doi.org/10.1017/S0033291721003421 Psychological Medicine, 53(5), 1799-1813. Cambridge University Press |
| ISSN: | 0033-2917 |
| Popis: | BackgroundDespite its efficacy in treating comorbid insomnia and depression, cognitive behavioral therapy for insomnia (CBT-I) is limited in its accessibility and, in many countries, cultural compatibility. Smartphone-based treatment is a low-cost, convenient alternative modality. This study evaluated a self-help smartphone-based CBT-I in alleviating major depression and insomnia.MethodsA parallel-group randomized, waitlist-controlled trial was conducted with 320 adults with major depression and insomnia. Participants were randomized to receive either a 6-week CBT-I via a smartphone application, proACT-S, or waitlist condition. The primary outcomes included depression severity, insomnia severity, and sleep quality. The secondary outcomes included anxiety severity, subjective health, and acceptability of treatment. Assessments were administered at baseline, post-intervention (week 6) follow-up, and week 12 follow-up. The waitlist group received treatment after the week 6 follow-up.ResultsIntention to treat analysis was conducted with multilevel modeling. In all but one model, the interaction between treatment condition and time at week 6 follow-up was significant. Compared with the waitlist group, the treatment group had lower levels of depression [Center for Epidemiologic Studies Depression Scale (CES-D): Cohen's d = 0.86, 95% CI (−10.11 to −5.37)], insomnia [Insomnia Severity Index (ISI): Cohen's d = 1.00, 95% CI (−5.93 to −3.53)], and anxiety [Hospital Anxiety and Depression Scale – Anxiety subscale (HADS-A): Cohen's d = 0.83, 95% CI (−3.75 to −1.96)]. They also had better sleep quality [Pittsburgh Sleep Quality Index (PSQI): Cohen's d = 0.91, 95% CI (−3.34 to −1.83)]. No differences across any measures were found at week 12, after the waitlist control group received the treatment.ConclusionproACT-S is an efficacious sleep-focused self-help treatment for major depression and insomnia.Trial registrationClinicalTrials.gov, NCT04228146. Retrospectively registered on 14 January 2020. https://clinicaltrials.gov/ct2/show/NCT04228146 |
| Databáze: | OpenAIRE |
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