Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic
PurposeThe purpose of the study was to determine the long-term effects of one-week self-guided internet cognitive behavioral treatments for insomnia (CBTI) on situational insomnia during the COVID-19 pandemic.Patients and MethodsThe participants with situational insomnia (n = 194) were recruited fro...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.837399/full |
| _version_ | 1811297859881926656 |
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| author | Fei Feng Fei Feng Fei Feng Chenxi Zhang Chenxi Zhang Hanwen Liang Hanwen Liang Guojian Xu Xian Luo Xian Luo Shuai Liu Shuai Liu Yan Xu Yan Xu Lulu Yang Lulu Yang Lulu Yang Li Zhang Li Zhang Lianhong Lin Lianhong Lin Bin Zhang Bin Zhang |
| author_facet | Fei Feng Fei Feng Fei Feng Chenxi Zhang Chenxi Zhang Hanwen Liang Hanwen Liang Guojian Xu Xian Luo Xian Luo Shuai Liu Shuai Liu Yan Xu Yan Xu Lulu Yang Lulu Yang Lulu Yang Li Zhang Li Zhang Lianhong Lin Lianhong Lin Bin Zhang Bin Zhang |
| author_sort | Fei Feng |
| collection | DOAJ |
| description | PurposeThe purpose of the study was to determine the long-term effects of one-week self-guided internet cognitive behavioral treatments for insomnia (CBTI) on situational insomnia during the COVID-19 pandemic.Patients and MethodsThe participants with situational insomnia (n = 194) were recruited from March 2020 to April 2020 in Guangzhou, China. The insomnia severity index (ISI), pre-sleep arousal scale (PSAS), and hospital anxiety and depression scale (HADS) were evaluated at baseline and a one-week internet CBTI program was delivered to all individuals. The participants were divided into the complete treatment group (the participants completed all seven modules of the CBTI course, n = 75), and the incomplete treatment group (the participants completed 0–6 modules of the CBTI course, n = 119). A total of 135 participants completed the post-intervention assessments. At 3 months follow-up, a total of 117 participants (complete treatment group: n = 51; incomplete treatment group: n = 66) completed the assessments of the ISI, PSAS and HADS. The transition rate from situational insomnia to chronic insomnia (duration of insomnia ≥ 3 months and ISI ≥ 8) was calculated in the two groups. Linear mixed effect model was used to investigate the effect of group (between the two groups), time (baseline vs. follow-up), and interaction (group x time) on various questionnaire score.ResultsThe transition rate from situational insomnia to chronic insomnia was significantly lower in the complete treatment group compared to the incomplete treatment group (27.5%, 14/51 vs. 48.5%, 32/66, p = 0.023). There were significant differences in group effect (p = 0.032), time effect (p = 0.000) and group × time effect (p = 0.048) between the two groups in the ISI total score. The ISI total scores decreased in both groups during follow-up compared to their baseline values, with a greater magnitude of decrease in the complete treatment group. There were no significant group x time effects between the two groups in the PSAS-total score, PSAS-somatic, PSAS-cognitive score, HADS total score, HADS anxiety score or HADS depression score.ConclusionOur results suggested that one-week self-guided internet CBTI prevented the development of chronic insomnia from situational insomnia during the COVID-19 pandemic. |
| first_indexed | 2024-04-13T06:11:17Z |
| format | Article |
| id | doaj.art-02e94cf765804d7cab3896f3f5992ed9 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T06:11:17Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-02e94cf765804d7cab3896f3f5992ed92022-12-22T02:59:03ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-03-011310.3389/fpsyt.2022.837399837399Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 PandemicFei Feng0Fei Feng1Fei Feng2Chenxi Zhang3Chenxi Zhang4Hanwen Liang5Hanwen Liang6Guojian Xu7Xian Luo8Xian Luo9Shuai Liu10Shuai Liu11Yan Xu12Yan Xu13Lulu Yang14Lulu Yang15Lulu Yang16Li Zhang17Li Zhang18Lianhong Lin19Lianhong Lin20Bin Zhang21Bin Zhang22Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaShenzhen Kangning Hospital, Shenzhen, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaShenzhen Kangning Hospital, Shenzhen, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, ChinaPurposeThe purpose of the study was to determine the long-term effects of one-week self-guided internet cognitive behavioral treatments for insomnia (CBTI) on situational insomnia during the COVID-19 pandemic.Patients and MethodsThe participants with situational insomnia (n = 194) were recruited from March 2020 to April 2020 in Guangzhou, China. The insomnia severity index (ISI), pre-sleep arousal scale (PSAS), and hospital anxiety and depression scale (HADS) were evaluated at baseline and a one-week internet CBTI program was delivered to all individuals. The participants were divided into the complete treatment group (the participants completed all seven modules of the CBTI course, n = 75), and the incomplete treatment group (the participants completed 0–6 modules of the CBTI course, n = 119). A total of 135 participants completed the post-intervention assessments. At 3 months follow-up, a total of 117 participants (complete treatment group: n = 51; incomplete treatment group: n = 66) completed the assessments of the ISI, PSAS and HADS. The transition rate from situational insomnia to chronic insomnia (duration of insomnia ≥ 3 months and ISI ≥ 8) was calculated in the two groups. Linear mixed effect model was used to investigate the effect of group (between the two groups), time (baseline vs. follow-up), and interaction (group x time) on various questionnaire score.ResultsThe transition rate from situational insomnia to chronic insomnia was significantly lower in the complete treatment group compared to the incomplete treatment group (27.5%, 14/51 vs. 48.5%, 32/66, p = 0.023). There were significant differences in group effect (p = 0.032), time effect (p = 0.000) and group × time effect (p = 0.048) between the two groups in the ISI total score. The ISI total scores decreased in both groups during follow-up compared to their baseline values, with a greater magnitude of decrease in the complete treatment group. There were no significant group x time effects between the two groups in the PSAS-total score, PSAS-somatic, PSAS-cognitive score, HADS total score, HADS anxiety score or HADS depression score.ConclusionOur results suggested that one-week self-guided internet CBTI prevented the development of chronic insomnia from situational insomnia during the COVID-19 pandemic.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.837399/fullCBTIinsomnia severity index (ISI)pre-sleep arousal scale (PSAS)hospital anxiety and depression scale (HADS)hyperarousalCOVID-19 |
| spellingShingle | Fei Feng Fei Feng Fei Feng Chenxi Zhang Chenxi Zhang Hanwen Liang Hanwen Liang Guojian Xu Xian Luo Xian Luo Shuai Liu Shuai Liu Yan Xu Yan Xu Lulu Yang Lulu Yang Lulu Yang Li Zhang Li Zhang Lianhong Lin Lianhong Lin Bin Zhang Bin Zhang Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic Frontiers in Psychiatry CBTI insomnia severity index (ISI) pre-sleep arousal scale (PSAS) hospital anxiety and depression scale (HADS) hyperarousal COVID-19 |
| title | Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic |
| title_full | Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic |
| title_fullStr | Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic |
| title_full_unstemmed | Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic |
| title_short | Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic |
| title_sort | decreased transition rate from situational insomnia to chronic insomnia by one week internet cognitive behavioral treatments for insomnia during the covid 19 pandemic |
| topic | CBTI insomnia severity index (ISI) pre-sleep arousal scale (PSAS) hospital anxiety and depression scale (HADS) hyperarousal COVID-19 |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.837399/full |
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