Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms
<strong>Background</strong> Insomnia is effectively treated with online Cognitive Behavioral Therapy for Insomnia (CBT-I). Previous research has suggested the effects might not be limited to sleep and insomnia severity, but also apply to depressive symptoms. Results, however, are mixed....
| Huvudupphovsmän: | , , , , |
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| Materialtyp: | Journal article |
| Publicerad: |
Cambridge University Press
2018
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| _version_ | 1826279978387374080 |
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| author | van der Zweerde, T Van Straten, A Effting, M Kyle, S Lancee, J |
| author_facet | van der Zweerde, T Van Straten, A Effting, M Kyle, S Lancee, J |
| author_sort | van der Zweerde, T |
| collection | OXFORD |
| description | <strong>Background</strong> Insomnia is effectively treated with online Cognitive Behavioral Therapy for Insomnia (CBT-I). Previous research has suggested the effects might not be limited to sleep and insomnia severity, but also apply to depressive symptoms. Results, however, are mixed. <strong>Methods</strong> In this randomized controlled trial we investigated the effects of guided online CBT-I on depression and insomnia in people suffering from symptoms of both. Participants (n = 104) with clinical insomnia and at least subclinical depression levels were randomized to (1) guided online CBT-I and sleep diary monitoring (i-Sleep) or (2) control group (sleep diary monitoring only). The primary outcome was the severity of depressive symptoms (Patient Health Questionnaire-9 without sleep item; PHQ-WS). Secondary outcomes were insomnia severity, sleep diary parameters, fatigue, daytime consequences of insomnia, anxiety, and perseverative thinking. <strong>Results</strong> At post-test, participants in the i-Sleep condition reported significantly less depressive symptoms (PHQ-WS) compared with participants in the sleep-diary condition (d = 0.76). Large significant effects were also observed for insomnia severity (d = 2.36), most sleep diary parameters, daytime consequences of insomnia, anxiety, and perseverative thinking. Effects were maintained at 3 and 6 month follow-up. We did not find significant post-test effects on fatigue or total sleep time. <strong>Conclusions</strong> Findings indicate that guided online CBT-I is not only effective for insomnia complaints but also for depressive symptoms. The effects are large and comparable with those of depression therapy. Clinical trial registration number: NTR6049 (Netherlands Trial Register). |
| first_indexed | 2024-03-07T00:06:52Z |
| format | Journal article |
| id | oxford-uuid:77d4403b-16b9-4b4f-9b3c-0790616f71a2 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T00:06:52Z |
| publishDate | 2018 |
| publisher | Cambridge University Press |
| record_format | dspace |
| spelling | oxford-uuid:77d4403b-16b9-4b4f-9b3c-0790616f71a22022-03-26T20:26:47ZDoes online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptomsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:77d4403b-16b9-4b4f-9b3c-0790616f71a2Symplectic Elements at OxfordCambridge University Press2018van der Zweerde, TVan Straten, AEffting, MKyle, SLancee, J<strong>Background</strong> Insomnia is effectively treated with online Cognitive Behavioral Therapy for Insomnia (CBT-I). Previous research has suggested the effects might not be limited to sleep and insomnia severity, but also apply to depressive symptoms. Results, however, are mixed. <strong>Methods</strong> In this randomized controlled trial we investigated the effects of guided online CBT-I on depression and insomnia in people suffering from symptoms of both. Participants (n = 104) with clinical insomnia and at least subclinical depression levels were randomized to (1) guided online CBT-I and sleep diary monitoring (i-Sleep) or (2) control group (sleep diary monitoring only). The primary outcome was the severity of depressive symptoms (Patient Health Questionnaire-9 without sleep item; PHQ-WS). Secondary outcomes were insomnia severity, sleep diary parameters, fatigue, daytime consequences of insomnia, anxiety, and perseverative thinking. <strong>Results</strong> At post-test, participants in the i-Sleep condition reported significantly less depressive symptoms (PHQ-WS) compared with participants in the sleep-diary condition (d = 0.76). Large significant effects were also observed for insomnia severity (d = 2.36), most sleep diary parameters, daytime consequences of insomnia, anxiety, and perseverative thinking. Effects were maintained at 3 and 6 month follow-up. We did not find significant post-test effects on fatigue or total sleep time. <strong>Conclusions</strong> Findings indicate that guided online CBT-I is not only effective for insomnia complaints but also for depressive symptoms. The effects are large and comparable with those of depression therapy. Clinical trial registration number: NTR6049 (Netherlands Trial Register). |
| spellingShingle | van der Zweerde, T Van Straten, A Effting, M Kyle, S Lancee, J Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms |
| title | Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms |
| title_full | Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms |
| title_fullStr | Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms |
| title_full_unstemmed | Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms |
| title_short | Does online insomnia treatment reduce depressive symptoms? A randomized controlled trial in individuals with both insomnia and depressive symptoms |
| title_sort | does online insomnia treatment reduce depressive symptoms a randomized controlled trial in individuals with both insomnia and depressive symptoms |
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