Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study
Abstract Background Digital cognitive behavior therapy for insomnia (dCBT-I) is an effective treatment in alleviating insomnia. This study examined the effect of dCBT-I for improving sleep quality in patients with insomnia complaints from a clinical population in a real-world setting. Methods The st...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-022-04411-2 |
| _version_ | 1811178973243113472 |
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| author | Sugai Liang Hongjing Mao Jingyun Yang Wei Deng Bo Cao Zhenghe Yu Lili Yang You Xu Nannan Hu Wenjuan Liu Andrew J. Greenshaw Tao Li |
| author_facet | Sugai Liang Hongjing Mao Jingyun Yang Wei Deng Bo Cao Zhenghe Yu Lili Yang You Xu Nannan Hu Wenjuan Liu Andrew J. Greenshaw Tao Li |
| author_sort | Sugai Liang |
| collection | DOAJ |
| description | Abstract Background Digital cognitive behavior therapy for insomnia (dCBT-I) is an effective treatment in alleviating insomnia. This study examined the effect of dCBT-I for improving sleep quality in patients with insomnia complaints from a clinical population in a real-world setting. Methods The study included 6,002 patients aged 18 years and above with primary complaints of dissatisfying sleep from a sleep clinic in a psychiatric hospital from November 2016 to April 2021. Patients were diagnosed with insomnia, anxiety disorders, or anxiety comorbid with insomnia or depression according to ICD-10. A mobile app was developed for self-reported assessment and delivering dCBT-I interventions and treatment prescriptions to participants. The primary outcome was change in global sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). At 8- and 12-week follow-up, 509 patients were reassessed. Data were analyzed with non-parametric tests for repeated measures. Results Patients treated with dCBT-I monotherapy were younger, with a more frequent family history of insomnia compared to those with medication monotherapy and those with combined dCBT-I and medication therapy. Improvements of sleep quality from baseline to 8-week follow-up were significant in each treatment type. Compared to 8-week follow-up, PSQI scores at 12-week were significantly decreased in the depression group receiving combined therapy and in the anxiety group treated with dCBT-I monotherapy and with combined therapy. A time-by-treatment interaction was detected in anxiety patients indicating differential reduction in PSQI scores over time between different treatment options. Conclusion The current findings suggest dCBT-I is a practical and effective approach for lessening insomnia symptoms, especially for patients with anxiety symptoms suggesting with a more extended intervention period (i.e., 12 weeks). Trial registration Chinese Clinical Trial Registry (ChiCTR1900022699). |
| first_indexed | 2024-04-11T06:28:04Z |
| format | Article |
| id | doaj.art-28948e93240a4442ab2dd9a70f99b04e |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-11T06:28:04Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-28948e93240a4442ab2dd9a70f99b04e2022-12-22T04:40:16ZengBMCBMC Psychiatry1471-244X2022-12-012211910.1186/s12888-022-04411-2Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world studySugai Liang0Hongjing Mao1Jingyun Yang2Wei Deng3Bo Cao4Zhenghe Yu5Lili Yang6You Xu7Nannan Hu8Wenjuan Liu9Andrew J. Greenshaw10Tao Li11Affiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineDepartment of Neurological Sciences, Rush University Medical CenterAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, University of AlbertaAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, University of AlbertaAffiliated Mental Health Centre & Hangzhou Seventh People’s Hospital, Zhejiang University School of MedicineAbstract Background Digital cognitive behavior therapy for insomnia (dCBT-I) is an effective treatment in alleviating insomnia. This study examined the effect of dCBT-I for improving sleep quality in patients with insomnia complaints from a clinical population in a real-world setting. Methods The study included 6,002 patients aged 18 years and above with primary complaints of dissatisfying sleep from a sleep clinic in a psychiatric hospital from November 2016 to April 2021. Patients were diagnosed with insomnia, anxiety disorders, or anxiety comorbid with insomnia or depression according to ICD-10. A mobile app was developed for self-reported assessment and delivering dCBT-I interventions and treatment prescriptions to participants. The primary outcome was change in global sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). At 8- and 12-week follow-up, 509 patients were reassessed. Data were analyzed with non-parametric tests for repeated measures. Results Patients treated with dCBT-I monotherapy were younger, with a more frequent family history of insomnia compared to those with medication monotherapy and those with combined dCBT-I and medication therapy. Improvements of sleep quality from baseline to 8-week follow-up were significant in each treatment type. Compared to 8-week follow-up, PSQI scores at 12-week were significantly decreased in the depression group receiving combined therapy and in the anxiety group treated with dCBT-I monotherapy and with combined therapy. A time-by-treatment interaction was detected in anxiety patients indicating differential reduction in PSQI scores over time between different treatment options. Conclusion The current findings suggest dCBT-I is a practical and effective approach for lessening insomnia symptoms, especially for patients with anxiety symptoms suggesting with a more extended intervention period (i.e., 12 weeks). Trial registration Chinese Clinical Trial Registry (ChiCTR1900022699).https://doi.org/10.1186/s12888-022-04411-2Digital cognitive behavior therapy (dCBT)InsomniaDepressionAnxietySleep quality |
| spellingShingle | Sugai Liang Hongjing Mao Jingyun Yang Wei Deng Bo Cao Zhenghe Yu Lili Yang You Xu Nannan Hu Wenjuan Liu Andrew J. Greenshaw Tao Li Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study BMC Psychiatry Digital cognitive behavior therapy (dCBT) Insomnia Depression Anxiety Sleep quality |
| title | Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study |
| title_full | Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study |
| title_fullStr | Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study |
| title_full_unstemmed | Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study |
| title_short | Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study |
| title_sort | digital cognitive behavior therapy for insomnia improving sleep quality a real world study |
| topic | Digital cognitive behavior therapy (dCBT) Insomnia Depression Anxiety Sleep quality |
| url | https://doi.org/10.1186/s12888-022-04411-2 |
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