Web-based cognitive behaviour therapy for insomnia shows long-term efficacy in improving chronic insomnia

Insomnia is a widespread health problem, with cognitive behavioural therapy for insomnia (CBT-I) considered as first-line treatment.1 Unfortunately, access to CBT-I treatment is limited due to limited numbers of trained therapists and cost. Randomised controlled trials (RCTs) have provided strong evidence for web-based CBT-I as an effective treatment for insomnia.2 However, these studies have been of short duration and excluded people with comorbidities.3 –5
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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Publication date: Available online 7 January 2019Source: The Lancet PsychiatryAuthor(s): Tessa F Blanken, Jeroen S Benjamins, Denny Borsboom, Jeroen K Vermunt, Casey Paquola, Jennifer Ramautar, Kim Dekker, Diederick Stoffers, Rick Wassing, Yishul Wei, Eus J W Van SomerenSummaryBackgroundInsomnia disorder is the second most prevalent mental disorder, and it is a primary risk factor for depression. Inconsistent clinical and biomarker findings in patients with insomnia disorder suggest that heterogeneity exists and that subtypes of this disease remain unrecognised. Previous top-down proposed subtypes in nosologies have had in...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
Source: International Journal of Audiology - Category: Audiology Authors: Source Type: research
This study examined the impact and durability of cognitive-behavioural therapy for insomnia on improving the accuracy of sleep and wake perceptions in older adults, and tested whether changes in sleep quality were related to changes in the accuracy of sleep/wake perceptions. One-hundred and fifty-nine older veterans (97% male, mean age 72.2 years) who met diagnostic criteria for insomnia disorder were randomized to: (1) cognitive-behavioural therapy for insomnia (n = 106); or (2) attention control (n = 53). Assessments were conducted at baseline, post-treatment, 6-months and 12-months follow-up. Sleep measures in...
Source: Journal of Sleep Research - Category: Sleep Medicine Authors: Tags: J Sleep Res Source Type: research
CONCLUSIONS: There is no evidence to support the superiority of sound therapy for tinnitus over waiting list control, placebo or education/information with no device. There is insufficient evidence to support the superiority or inferiority of any of the sound therapy options (hearing aid, sound generator or combination hearing aid) over each other. The quality of evidence for the reported outcomes, assessed using GRADE, was low. Using a combination device, hearing aid or sound generator might result in little or no difference in tinnitus symptom severity.Future research into the effectiveness of sound therapy in patients w...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Conditions:   Rheumatoid Arthritis;   Insomnia Intervention:   Behavioral: Cognitive behavioural therapy (CBT-i) Sponsors:   Bente Appel Esbensen;   University of Copenhagen;   Rigshospitalet, Denmark;   Danish Cancer Society;   Parker Research Institute Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionThe findings support Sleep ‐e as a helpful treatment for insomnia in a public hospital outpatient population for at least a subgroup of patients. However, significant lessons were learned regarding the importance of educating health care providers and patients about novel models of internet service delivery. Potential model s of adaptive or blended stepped‐care are discussed to facilitate program implementation. Future research should identify how to implement internet interventions more effectively in public health settings to take advantage of their potential to improve clinical efficiency.
Source: Australian Psychologist - Category: Psychiatry & Psychology Authors: Tags: ORIGINAL ARTICLE Source Type: research
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