A cognitive behavioural therapy in the form of self-help for patients with sleep disturbance and chronic health conditions
Year: 2015
Type: dissertation
Study design: Clinical Trial
Abstract: Background: Sleep disturbance, including insomnia disorder, is common among \npatients with chronic health conditions, and is associated with psychological \ndifficulties and impaired health-related quality of life (HRQoL). Less is known about \nwhether a similar relationship exists in individuals with chronic health conditions \nwho do not have a clinical diagnosis of sleep disturbance (NCSD). Recent evidence \nsuggests that Cognitive Behavioural Therapy (CBT) in the form of self-help (SH) is \nan effective treatment for individuals with chronic health conditions and has the \nadvantage of low cost and ease of access. Any form of sleep disturbance may be \nperceived as problematic for individuals with chronic health conditions. This study \naims to: a) examine whether the NCSD population with chronic health conditions at \nbaseline have poor sleep quality, insomnia symptoms, high levels of psychological \ndistress (anxiety, depression and stress), sleep-related dysfunctional beliefs and \nimpaired HRQoL, and b) assess the effectiveness of the CBT-SH booklet. \nMethod: Participants were recruited from outpatient clinics and received a 6-week \nCBT-SH booklet for sleep-related problems. Outcome measures included evaluations \nof subjective sleep quality and the severity of insomnia symptoms, psychological \ndistress (anxiety, depression and stress) sleep-related dysfunctional beliefs and \nHRQoL. Measures were completed before and after the intervention. \nResults: Forty-nine participants (44 females) completed the study. Prior to the \nintervention, 46 participants reported poor sleep quality and 47 participants reported \nclinical or subthreshold insomnia. Mean scores for the measures of psychological \ndistress indicated moderate levels of anxiety, depression and stress and sleep-related \ndysfunctional beliefs respectively. HRQoL was also impaired. Following the CBT \nintervention, participants showed significant improvements in sleep outcomes, sleeprelated \ndysfunctional and stress levels. No significant differences were found in \nHRQoL depression and anxiety outcomes. \nConclusion: A brief CBT-SH booklet for sleep-related problems is effective for \npatients with chronic health conditions and NCSD in clinical settings.
Author: Nicola kazamia
Language: English
Topic: Sleep and related disorders
Subfield: Experimental and Cognitive Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2559614697