Digital Delivery of Cognitive Behavioral Therapy for Insomnia

Luik, Annemarie I.; Zweerde, Tanja van der; Straten, Annemieke van; Lancee, Jaap

doi:10.1007/s11920-019-1041-0

Cited by 53 publications

(38 citation statements)

References 84 publications

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“…Cognitive behavioral therapy for insomnia (CBT-I) is the gold-standard psychological treatment for insomnia and is effective for adults [ 19 - 22 ] and adolescents [ 23 ]. CBT-I consists of two main components.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study

Li¹,

Graham²,

Werner‐Seidler³

2021

JMIR Form Res

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Background Insomnia and sleep disturbance are pervasive and debilitating conditions affecting up to 40% of adolescents. Women and girls are at greater risk of insomnia, yet differences in treatment responsiveness between genders have not been adequately investigated. Additionally, while women report greater symptom severity and burden of illness than men, this discrepancy requires further examination in adolescents. Objective The purpose of this study was to examine gender differences in sleep symptom profiles and treatment response in adolescents. Methods Digital cognitive behavioral therapy for insomnia (CBT-I) treatment responsiveness, as indexed by changes in Insomnia Severity Index (ISI) and Global Pittsburgh Sleep Quality Index (PSQI) scores, was compared in boys and girls (aged 12-16 years; N=49) who participated in a pilot evaluation of the Sleep Ninja smartphone app. Gender differences in self-reported baseline insomnia symptom severity (ISI), sleep quality (PSQI), and sleep characteristics derived from sleep diaries were also examined. Results Compared with boys, we found that girls reported greater symptom severity (P=.04) and nighttime wakefulness (P=.01 and P=.04) and reduced sleep duration (P=.02) and efficiency (P=.03), but not poorer sleep quality (P=.07), more nighttime awakenings (P=.16), or longer time to get to sleep (P=.21). However, gender differences in symptom severity and sleep duration were accounted for by boys being marginally younger in age. Treatment response to CBT-I was equivalent between boys and girls when comparing reductions in symptom severity (P=.32); there was a trend showing gender differences in improvements in sleep quality, but this was not statistically significant (P=.07). Conclusions These results demonstrate the presence of gender differences in insomnia symptoms and severity in adolescents and suggest further research is required to understand gender differences in insomnia symptom profiles to inform the development of gender-specific digital interventions delivered to adolescents.

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Section: Introductionmentioning

confidence: 99%

Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study

Li¹,

Graham²,

Werner‐Seidler³

2021

JMIR Form Res

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“…To solve the first problem, better education of clinicians and patients is warranted. Recently, a digital version of CBT‐I received attention as an effective alternative to the conventional prototype (Luik, Kyle, & Espie, 2017; Luik, van der Zweerde, van Straten, & Lancee, 2019). This may be a satisfactory solution for the second issue.…”

Section: Discussionmentioning

confidence: 99%

Zolpidem overutilisation among Korean patients with insomnia

Kim

Park

Kim

et al. 2020

Journal of Sleep Research

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Insomnia is defined as difficulty initiating or maintaining sleep, or non-restorative sleep despite adequate opportunities to sleep, with daytime consequences of poor sleep the following day (Buysse, 2013). Sleep deprivation is associated with impaired social and occupational functioning, poor quality of life, and increased mortality (Bertisch et al., 2018; Javaheri & Redline, 2017). Furthermore, insufficient sleep can result in increased healthcare utilisation and substantial economic losses (Hossain & Shapiro, 2002). A Canadian study conducted in Quebec estimated that the annual per-person insomnia-related costs averaged at $5,010 for individuals with insomnia syndrome, with costs related to lost productivity comprising the largest proportion (76%) of all costs (Daley, Morin, LeBlanc, Grégoire, & Savard, 2009). Wickwire, Shaya, & Scharf (2016) calculated the total cost of insomnia considering both direct and indirect costs, such as reduced work efficiency, increased healthcare utilisation and increased accident risk, and concluded that the total cost was more than $100 billion US dollars per year. RAND quantified the economic costs of insufficient sleep across five different OECD countries (Canada, USA, UK, Germany and Japan) using a bespoke macroeconomic model, and estimated the economic burden of insomnia at $680 billion per year (Hafner, Stepanek, Taylor, Troxel, & van Stolk, 2017). Evidence-based treatment options for insomnia are categorised into pharmacological and non-pharmacological interventions.

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“…With this in mind, one intervention that might be particularly well placed to improve sleep in people with IBD is cognitive behavioural therapy for insomnia (CBTi, Salwen-Deremer et al, 2020). CBTi is the recommended first line treatment for insomnia and has been shown to be effective at improving sleep in both face to face (Trauer et al, 2015), and digitally delivered formats (Luik et al, 2019). Importantly, improving sleep using CBTi might also improve other concomitant areas of IBD, PERCEPTIONS OF SLEEP IN IBD 21 including pain (Vitiello et al, 2009), and mental health difficulties (Christensen et al, 2016).…”

Section: Cognitive Behavioral Therapy For Insomnia (Cbti) As An Intervention Option In Ibdmentioning

confidence: 99%

Perceptions of sleep in Inflammatory Bowel Disease and the acceptability of sleep interventions in routine care: A qualitative study

Aj¹,

Flowers²,

Sheldon³

et al. 2021

Preprint

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There have been increased calls to manage poor sleep in Inflammatory Bowel Disease (IBD) care. However, it’s unclear how people with IBD perceive their sleep to fit within their experience of IBD and whether interventions to improve sleep are acceptable. This qualitative study found that people with IBD perceive their sleep to be an integral part of living with IBD, would like more sleep support than is currently available, and find interventions for sleep broadly acceptable. It is important for future research to tailor sleep interventions towards those with IBD and explore the barriers to sleep support in routine care

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Digital Delivery of Cognitive Behavioral Therapy for Insomnia

Cited by 53 publications

References 84 publications

Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study

Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study

Zolpidem overutilisation among Korean patients with insomnia

Perceptions of sleep in Inflammatory Bowel Disease and the acceptability of sleep interventions in routine care: A qualitative study

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