Different patterns of treatment response to Cognitive-Behavioural Therapy for Insomnia (CBT-I) in psychosis

Waters, Flavie; Chiu, Vivian; Dragović, Milan; Ree, Melissa J.

doi:10.1016/j.schres.2020.03.054

Cited by 27 publications

(9 citation statements)

References 48 publications

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“…Similar results were have been reported in a non-randomised study, with inpatients, over eight weeks (Hwang, Nam, & Lee, 2019). Other studies have investigated sleep profiles and associated treatment response in psychosis (Hwang et al, 2019;Waters, Chiu, Dragovic, & Ree, 2020). However, few studies have evaluated the potential of CBT-I within an early intervention service, and digital CBT has the added benefit of not requiring staff to be trained in CBT-I.…”

Section: Introductionsupporting

confidence: 81%

Exploring digital cognitive behavioural therapy for insomnia in an early intervention in psychosis service – a study protocol for an initial feasibility study with process evaluation

Beattie¹,

Robb²,

Spanswick³

et al. 2022

Preprint

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AimEarly psychosis may be a critical time at which clinical trajectories are still evolving, and sleep interventions hold promise to improve outcomes at this stage. Although cognitive behavioural therapy (CBT) for insomnia shows promise in psychosis, there has been limited evaluation of delivery within current care. This study aims to evaluate the feasibility and acceptability of providing fully-automated digital CBT for insomnia within an early intervention in psychosis service.Methods/designWe will conduct a single-arm feasibility trial within an early psychosis intervention service, and individuals experiencing a first episode of psychosis and with evidence of insomnia can be enrolled. Additional service user inclusion criteria include capacity to consent and access to a suitable technological device to access digital CBT. Participants will be offered access to a fully-automated digital CBT (Sleepio) program delivered using web and/or mobile app. The study comprises pre- and post- intervention questionnaire assessments and interviews with service users and staff to provide initial outcome signals.AnalysesQuantitative questionnaire data will be analysed descriptively, alongside rates of eligibility, consent, uptake and completion. Qualitative data will be analysed using thematic analysis. Results will be used to develop a logic model describing feasibility and implementation. Recruitment for this study began in May 2021.ConclusionsFrom this study we hope to better understand how to deliver digital CBT for insomnia within an early intervention in psychosis service. This study will help inform further research, including how best to support staff in using Sleepio, and inform the design of subsequent trials in this area.

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Section: Introductionsupporting

confidence: 81%

Exploring digital cognitive behavioural therapy for insomnia in an early intervention in psychosis service – a study protocol for an initial feasibility study with process evaluation

Beattie¹,

Robb²,

Spanswick³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…For now, more (adequately powered) studies are necessary to appropriately appraise the efficacy of (adapted) CBT-I in this population. For future studies we may bear in mind that differences in responsivity to CBT-I exist between clusters of SSD patients, based on factors such as baseline insomnia symptoms, presence of other sleep disorders [ 139 ], psychopathology, and antipsychotic use [ 140 ].…”

Section: Evaluation Of Adapted Versions Of Cbt-i In Specific Mental H...mentioning

confidence: 99%

Effectivity of (Personalized) Cognitive Behavioral Therapy for Insomnia in Mental Health Populations and the Elderly: An Overview

Mijnster

Boersma

Meijer

et al. 2022

JPM

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Insomnia is very prevalent in psychiatry and is considered a transdiagnostic symptom of mental disorders. Yet, it is not only a consequence of a mental condition but may also exert detrimental effects on psychiatric symptom severity and therapeutic response; thus, adequate insomnia treatment is particularly important in psychiatric populations. The first choice of intervention is cognitive behavioral therapy for insomnia (CBT-I) as it is rather effective, also in the long run without side effects. It is offered in various forms, ranging from in-person therapy to internet-delivered applications. CBT-I protocols are typically developed for individuals with insomnia disorder without co-occurring conditions. For an optimal therapeutic outcome of CBT-I in individuals with comorbid mental disorders, adaptations of the protocol to tailor the treatment might be beneficial. Based on a literature search using major search engines (Embase; Medline; APA Psych Info; and Cochrane Reviews), this paper provides an overview of the effectiveness of the different CBT-I applications in individuals with diverse comorbid mental conditions and older adults and describes the functionality of CBT-I protocols that have been personalized to specific psychiatric populations, such as depression, substance abuse, and schizophrenia spectrum disorder. Finally, we discuss urgent needs for insomnia therapy targeted to improve both sleep and psychopathologies.

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“…Concerns over the specificity of sleep biomarkers in psychosis do remain. Nevertheless, resetting healthy sleep oscillations ( Manoach et al, 2020 ; Zhang et al, 2020 ) through cognitive-behavioral therapy ( Waters et al, 2020 ) and neuromodulation ( Fröhlich and Lustenberger, 2020 ) may improve overall treatment outcomes in schizophrenia.…”

Section: Sleep and Behaviormentioning

confidence: 99%

A redux of schizophrenia research in 2021

Suhas

Mehta

2022

Schizophrenia Research

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Different patterns of treatment response to Cognitive-Behavioural Therapy for Insomnia (CBT-I) in psychosis

Cited by 27 publications

References 48 publications

Exploring digital cognitive behavioural therapy for insomnia in an early intervention in psychosis service – a study protocol for an initial feasibility study with process evaluation

Exploring digital cognitive behavioural therapy for insomnia in an early intervention in psychosis service – a study protocol for an initial feasibility study with process evaluation

Effectivity of (Personalized) Cognitive Behavioral Therapy for Insomnia in Mental Health Populations and the Elderly: An Overview

A redux of schizophrenia research in 2021

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