Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial
IntroductionRepetitive negative thinking (RNT) has been described as a maintaining transdiagnostic factor for psychopathology within the areas of depression, anxiety and insomnia. We investigated the effects of rumination-focused cognitive-behaviour therapy (RF-CBT) in a group format at a primary he...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-09-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1196945/full |
| _version_ | 1797690300858105856 |
|---|---|
| author | Daniel Wallsten Annika Norell Annika Norell Malin Anniko Oskar Eriksson Varja Lamourín Ida Halldin Tina Kindbom Hugo Hesser Hugo Hesser Edward Watkins Maria Tillfors |
| author_facet | Daniel Wallsten Annika Norell Annika Norell Malin Anniko Oskar Eriksson Varja Lamourín Ida Halldin Tina Kindbom Hugo Hesser Hugo Hesser Edward Watkins Maria Tillfors |
| author_sort | Daniel Wallsten |
| collection | DOAJ |
| description | IntroductionRepetitive negative thinking (RNT) has been described as a maintaining transdiagnostic factor for psychopathology within the areas of depression, anxiety and insomnia. We investigated the effects of rumination-focused cognitive-behaviour therapy (RF-CBT) in a group format at a primary health care centre on symptoms of depression, anxiety, insomnia, RNT, and quality of life. The participants presented clinical symptom levels of worry and at least two disorders among anxiety disorders, major depressive disorder, and insomnia disorder.MethodsA randomised controlled superiority parallel arm trial was used. 73 participants were included and randomised in pairs to either group-administered RF-CBT or a waiting list condition. The primary outcomes were self-rated worry and transdiagnostic symptoms (depression, anxiety, and insomnia). Intention-to-treat analyses of group differences were conducted using linear mixed models. Adverse side effects and incidents were presented descriptively.ResultsGroup RF-CBT significantly reduced self-reported insomnia at post-treatment and self-reported insomnia and depression at the 2 month-follow-up, relative to the wait-list control group. There was no significant difference in change in RNT, anxiety, or quality of life.DiscussionThe current study suggests that group-administered RF-CBT may be effective for insomnia and potentially effective for depression symptomatology. However, the study was underpowered to detect small and moderate effects and the results should therefore be interpreted with caution. |
| first_indexed | 2024-03-12T01:57:34Z |
| format | Article |
| id | doaj.art-c4a32579593d4f6cada779047b47c5d6 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-12T01:57:34Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-c4a32579593d4f6cada779047b47c5d62023-09-08T00:28:59ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-09-011410.3389/fpsyg.2023.11969451196945Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trialDaniel Wallsten0Annika Norell1Annika Norell2Malin Anniko3Oskar Eriksson4Varja Lamourín5Ida Halldin6Tina Kindbom7Hugo Hesser8Hugo Hesser9Edward Watkins10Maria Tillfors11Department of Social and Psychological Studies, Karlstad University, Karlstad, SwedenFaculty of Health and Science, Kristianstad University, Kristianstad, SwedenSchool of Behavioral, Social and Legal Sciences, Örebro University, Örebro, SwedenSchool of Behavioral, Social and Legal Sciences, Örebro University, Örebro, SwedenKronoparken Primary Healthcare Center, Karlstad, SwedenSchool of Behavioral, Social and Legal Sciences, Örebro University, Örebro, SwedenSchool of Behavioral, Social and Legal Sciences, Örebro University, Örebro, SwedenSchool of Behavioral, Social and Legal Sciences, Örebro University, Örebro, SwedenSchool of Behavioral, Social and Legal Sciences, Örebro University, Örebro, SwedenDepartment of Behavioral Sciences and Learning, Linköping University, Linköping, SwedenMood Disorders Centre, School of Psychology, University of Exeter, Exeter, United KingdomDepartment of Social and Psychological Studies, Karlstad University, Karlstad, SwedenIntroductionRepetitive negative thinking (RNT) has been described as a maintaining transdiagnostic factor for psychopathology within the areas of depression, anxiety and insomnia. We investigated the effects of rumination-focused cognitive-behaviour therapy (RF-CBT) in a group format at a primary health care centre on symptoms of depression, anxiety, insomnia, RNT, and quality of life. The participants presented clinical symptom levels of worry and at least two disorders among anxiety disorders, major depressive disorder, and insomnia disorder.MethodsA randomised controlled superiority parallel arm trial was used. 73 participants were included and randomised in pairs to either group-administered RF-CBT or a waiting list condition. The primary outcomes were self-rated worry and transdiagnostic symptoms (depression, anxiety, and insomnia). Intention-to-treat analyses of group differences were conducted using linear mixed models. Adverse side effects and incidents were presented descriptively.ResultsGroup RF-CBT significantly reduced self-reported insomnia at post-treatment and self-reported insomnia and depression at the 2 month-follow-up, relative to the wait-list control group. There was no significant difference in change in RNT, anxiety, or quality of life.DiscussionThe current study suggests that group-administered RF-CBT may be effective for insomnia and potentially effective for depression symptomatology. However, the study was underpowered to detect small and moderate effects and the results should therefore be interpreted with caution.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1196945/fullanxietydepressiongroup therapyinsomniarepetitive negative thinkingrumination-focused CBT |
| spellingShingle | Daniel Wallsten Annika Norell Annika Norell Malin Anniko Oskar Eriksson Varja Lamourín Ida Halldin Tina Kindbom Hugo Hesser Hugo Hesser Edward Watkins Maria Tillfors Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial Frontiers in Psychology anxiety depression group therapy insomnia repetitive negative thinking rumination-focused CBT |
| title | Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial |
| title_full | Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial |
| title_fullStr | Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial |
| title_full_unstemmed | Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial |
| title_short | Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial |
| title_sort | treatment of worry and comorbid symptoms within depression anxiety and insomnia with a group based rumination focused cognitive behaviour therapy in a primary health care setting a randomised controlled trial |
| topic | anxiety depression group therapy insomnia repetitive negative thinking rumination-focused CBT |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1196945/full |
| work_keys_str_mv | AT danielwallsten treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT annikanorell treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT annikanorell treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT malinanniko treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT oskareriksson treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT varjalamourin treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT idahalldin treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT tinakindbom treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT hugohesser treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT hugohesser treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT edwardwatkins treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial AT mariatillfors treatmentofworryandcomorbidsymptomswithindepressionanxietyandinsomniawithagroupbasedruminationfocusedcognitivebehaviourtherapyinaprimaryhealthcaresettingarandomisedcontrolledtrial |