A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
Insomnia is a highly prevalent disorder among the population with schizophrenia and has a significant impact on their quality of life. Cognitive behavioural therapies (CBT) have shown effectiveness in the treatment of insomnia in the general population. The aim of this this pilot study was to evalua...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/19/6147 |
| _version_ | 1797575716288593920 |
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| author | David Batalla-Martin Maria-Antonia Martorell-Poveda Angel Belzunegui-Eraso Alejandro Marieges Gordo Helena Batlle Lleal Raquel Pasqual Melendez Raquel Querol Girona Marina López-Ruiz |
| author_facet | David Batalla-Martin Maria-Antonia Martorell-Poveda Angel Belzunegui-Eraso Alejandro Marieges Gordo Helena Batlle Lleal Raquel Pasqual Melendez Raquel Querol Girona Marina López-Ruiz |
| author_sort | David Batalla-Martin |
| collection | DOAJ |
| description | Insomnia is a highly prevalent disorder among the population with schizophrenia and has a significant impact on their quality of life. Cognitive behavioural therapies (CBT) have shown effectiveness in the treatment of insomnia in the general population. The aim of this this pilot study was to evaluate the effectiveness of a group intervention led by nurses in an outpatient mental health centre. The group work combined cognitive behavioural and psychoeducational therapeutic interventions to improve insomnia in patients with schizophrenic disorder and their health-related quality of life. This randomized clinical trial included intervention and control groups with follow-up assessments at 6 and 9 months, using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and EuroQol-5D (EQ-5D) scales. The inclusion criteria were as follows: over 18 years of age, diagnosis of schizophrenia, and a score of >7 on the ISI scale. The total sample was 40 participants. The ISI scale showed a mean difference of 3.63 (CI 95%: 2.02–5.23) (<i>p</i> = 0.000) and 4.10 (CI 95%: 2.45–5.75) (<i>p</i> = 0.000) and a large effect size (F: 28.36; <i>p</i> = 0.000; ηp2: 0.427). Regarding the PSQI scale, the mean difference was 3.00 (CI 95%: 1.53–4.49) (<i>p</i> = 0.000) and 2.30 (CI 95%: 0.85–3.75) (<i>p</i> = 0.000), with a medium effect size (F: 18.31; <i>p</i> = 0.000 ηp2: 0.325). The EQ-VAS scale showed a difference in mean scores between the groups of 10.48 (CI 95%: −19.66–−1.29) (<i>p</i> = 0.027). CBT adapted for populations with mental disorders, carried out by nurses, is effective in improving insomnia and health-related quality of life. |
| first_indexed | 2024-03-10T21:43:11Z |
| format | Article |
| id | doaj.art-dce077e75ceb43e78c6daec1f1460f17 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:43:11Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-dce077e75ceb43e78c6daec1f1460f172023-11-19T14:34:47ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011219614710.3390/jcm12196147A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness TrialDavid Batalla-Martin0Maria-Antonia Martorell-Poveda1Angel Belzunegui-Eraso2Alejandro Marieges Gordo3Helena Batlle Lleal4Raquel Pasqual Melendez5Raquel Querol Girona6Marina López-Ruiz7Nou Barris Mental Health Center, 08016 Barcelona, SpainNursing Department, Faculty of Nursing, Rovira and Virgili University, 43002 Tarragona, SpainSocial Inclusion Chair, Rovira i Virgili University, 43002 Tarragona, SpainNou Barris Mental Health Center, 08016 Barcelona, SpainNou Barris Mental Health Center, 08016 Barcelona, SpainNou Barris Mental Health Center, 08016 Barcelona, SpainNou Barris Mental Health Center, 08016 Barcelona, SpainService of Psychiatry and Psychology, HM-Sant Jordi Clinic, 08030 Barcelona, SpainInsomnia is a highly prevalent disorder among the population with schizophrenia and has a significant impact on their quality of life. Cognitive behavioural therapies (CBT) have shown effectiveness in the treatment of insomnia in the general population. The aim of this this pilot study was to evaluate the effectiveness of a group intervention led by nurses in an outpatient mental health centre. The group work combined cognitive behavioural and psychoeducational therapeutic interventions to improve insomnia in patients with schizophrenic disorder and their health-related quality of life. This randomized clinical trial included intervention and control groups with follow-up assessments at 6 and 9 months, using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and EuroQol-5D (EQ-5D) scales. The inclusion criteria were as follows: over 18 years of age, diagnosis of schizophrenia, and a score of >7 on the ISI scale. The total sample was 40 participants. The ISI scale showed a mean difference of 3.63 (CI 95%: 2.02–5.23) (<i>p</i> = 0.000) and 4.10 (CI 95%: 2.45–5.75) (<i>p</i> = 0.000) and a large effect size (F: 28.36; <i>p</i> = 0.000; ηp2: 0.427). Regarding the PSQI scale, the mean difference was 3.00 (CI 95%: 1.53–4.49) (<i>p</i> = 0.000) and 2.30 (CI 95%: 0.85–3.75) (<i>p</i> = 0.000), with a medium effect size (F: 18.31; <i>p</i> = 0.000 ηp2: 0.325). The EQ-VAS scale showed a difference in mean scores between the groups of 10.48 (CI 95%: −19.66–−1.29) (<i>p</i> = 0.027). CBT adapted for populations with mental disorders, carried out by nurses, is effective in improving insomnia and health-related quality of life.https://www.mdpi.com/2077-0383/12/19/6147insomniaschizophreniasleep disturbancequality of lifecognitive behavioural therapy for insomnia |
| spellingShingle | David Batalla-Martin Maria-Antonia Martorell-Poveda Angel Belzunegui-Eraso Alejandro Marieges Gordo Helena Batlle Lleal Raquel Pasqual Melendez Raquel Querol Girona Marina López-Ruiz A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial Journal of Clinical Medicine insomnia schizophrenia sleep disturbance quality of life cognitive behavioural therapy for insomnia |
| title | A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial |
| title_full | A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial |
| title_fullStr | A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial |
| title_full_unstemmed | A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial |
| title_short | A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial |
| title_sort | pilot nurse administered cbt intervention for insomnia in patients with schizophrenic disorder a randomized clinical effectiveness trial |
| topic | insomnia schizophrenia sleep disturbance quality of life cognitive behavioural therapy for insomnia |
| url | https://www.mdpi.com/2077-0383/12/19/6147 |
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