Effects of cognitive behavioral therapy in patients with depressive disorder and comorbid insomnia: A propensity score-matched outcome study

Hsu, Hui Min; Chou, Kuei‐Ru; Lin, Kuan Chia; Chen, Kuan‐Yu; Su, Shu; Chung, Min Huey

doi:10.1016/j.brat.2015.07.016

Cited by 17 publications

(25 citation statements)

References 47 publications

(63 reference statements)

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“… 42 , 44 Although both groups did not significantly differ at baseline, patients with insomnia and comorbid depression exceeded the clinical cutoff, supposedly due to their comorbidity, which might lead to more thoughts that are negative and rumination, as well as a higher presleep arousal. 23 In the study by Hsu et al, an intervention contributed to the reduction of patients’ presleep arousal and an improvement of sleep parameters. 23 Furthermore, anticipation and hope for therapy seemed to play a major role for these changes in depressive patients, due to a tremendous decline from baseline to pre and post measurement.…”

Section: Discussionmentioning

confidence: 99%

“… 23 In the study by Hsu et al, an intervention contributed to the reduction of patients’ presleep arousal and an improvement of sleep parameters. 23 Furthermore, anticipation and hope for therapy seemed to play a major role for these changes in depressive patients, due to a tremendous decline from baseline to pre and post measurement. 30 Nondepressed patients did not show these effects of anticipation; however, a higher level of psychological distress in the group of depressives might explain the clinical difference at baseline.…”

Section: Discussionmentioning

confidence: 99%

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CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

Schlarb¹,

Faber²,

Hautzinger³

2018

NDT

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PurposeThe aim of this study was to examine the effectiveness of a combined cognitive-behavioral therapy for insomnia (CBT-I) and hypnotherapy for insomnia (HT-I) program for insomnia patients with or without additional depression regarding depressive symptoms and various sleep parameters.Patients and methodsA sample of 63 patients suffering from insomnia received a six-session sleep intervention, which combined cognitive-behavioral and hypnotherapeutical elements. Due to violating exclusion criteria, data of 37 patients were analyzed. Ten patients had insomnia comorbid with depression, whereas 27 patients had insomnia only. Sleep diaries were implemented to measure various sleep parameters, whereas depressive symptomatology was assessed with the anxiety and depression scale and Symptom-Checklist-90-R at baseline, before and after the intervention, as well as at 3-months follow-up.ResultsDepressive symptoms decreased from pre to post measurement and follow-up for patients with insomnia comorbid with depression, whereas scores of patients with only insomnia remained relatively on a low level. Both groups showed a significant increase of sleep efficiency and a significant decrease of the duration of wake after sleep onset. However, only patients with insomnia and depression revealed a significant reduction of sleep-onset latency and a higher level of regeneration. Nondepressive insomniacs, on the other hand, showed a significant increase of performance from post measurement to follow-up. For both groups, no change over time was found for number of wake after sleep onset, total sleep time, mood in the morning and evening.ConclusionCombining CBT-I and HT-I is effective in reducing depressive symptoms and improving sleep. Therefore, nonresponders to other forms of therapy, eg, pharmacological, interpersonal, or cognitive-behavioral therapy, might benefit from the combined CBT-I/HT-I intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

Schlarb¹,

Faber²,

Hautzinger³

2018

NDT

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“…In selecting the topic for our active control, we considered the use of HE or sleep hygiene. As described above, HE has been established as an ineffective, yet attentionally equivalent control condition in studies of exercise [ 4 , 11 ], and as a feasible control group in various trials investigating psychological interventions such as CBT for insomnia, anxiety, depression and quality of life in non-ABI populations [ 12 – 15 ]. To our knowledge, only two studies have used HE as a control condition in a sample of individuals with TBI [ 6 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

The design and evaluation of a health education control for comparison with cognitive behavioural therapy for individuals with acquired brain injury

Ymer

McKay

Wong

et al. 2022

Pilot Feasibility Stud

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Background In psychological research, control conditions in the form of “treatment as usual” provide support for intervention efficacy, but do not allow the attribution of positive outcomes to the unique components of the treatment itself. Attentionally and structurally equivalent active control conditions, such as health education (HE), have been implemented in recent trials of cognitive behavioural therapy (CBT). However, descriptions and evaluations of these control conditions are limited. The aims of this paper were to (i) provide a detailed description and rationale for a novel HE active control condition and (ii) to evaluate the face validity, treatment integrity and feasibility of HE. Method We developed a HE active control similar in structure and duration to a CBT intervention for reducing sleep disturbance and fatigue (CBT-SF) in a pilot randomised controlled trial (n = 51). Face validity was measured using post-treatment participant satisfaction and helpfulness ratings for fatigue and sleep symptoms, treatment fidelity was measured with integrity monitoring ratings from an independent expert and feasibility was measured with completion and attrition rates. HE and CBT-SF groups were compared using Wilcoxon rank-sum tests and chi-square tests of independence. Results There were no significant differences in participant ratings of overall satisfaction between HE (n = 17) and CBT (n = 34) or in how helpful each intervention was for fatigue symptoms. Participants rated helpfulness for sleep symptoms higher in the CBT-SF group compared to HE. Integrity monitoring ratings were not significantly different for overall treatment delivery and therapist competency, but HE had greater module adherence than CBT-SF. There were no significant differences in completion or attrition rates between groups. Conclusion Our findings suggest that the HE control had adequate face validity, was delivered with fidelity and was feasible and suitable for use as a comparator for CBT-SF. In providing a real-world example of practical and theoretical issues we considered when designing this control condition, we aim to provide a framework and guidance for future investigators. Trial registration ACTRN12617000879369 (registered 15/06/2017) and ACTRN12617000878370 (registered 15/06/2017).

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“…Indeed, loving-kindness meditation (LKM) has a large effect on self-reported and clinician-reported reduction in depression ( 113 ). Furthermore, it was found that general sleep quality was significantly improved in patients who received cognitive behavioral therapy for insomnia (CBT-I), which suggests that CBT-I might be an useful strategy to improve sleep quality in patients with depression and comorbid insomnia ( 114 ). The results suggest the effectiveness of focusing on reducing negative emotion and building positive emotion in boosting resilience in patients with MDD ( 115 ).…”

Section: Psychological Vaccination: Implications To Prevent and Cure ...mentioning

confidence: 99%

Resilience to depression: Implication for psychological vaccination

Dai

Smith²

2023

Front. Psychiatry

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From the vulnerability perspective, we often ask the question “why someone suffers from depression?” Despite outstanding achievements along this line, we still face high occurrence or recurrence and unsatisfied therapeutic efficacy of depression, suggesting that solely focusing on vulnerability perspective is insufficient to prevent and cure depression. Importantly, although experiencing same adversity, most people do not suffer from depression but manifest certain resilience, which could be used to prevent and cure depression, however, the systematic review is still lack. Here, we propose the concept “resilience to depression” to emphasize resilient diathesis against depression, by asking the question “why someone is exempted from depression?” Research evidence of resilience to depression has been reviewed systematically: positive cognitive style (clear purpose in life, hopefulness, et al.), positive emotion (emotional stability, et al.), adaptive behavior (extraversion, internal self-control, et al.), strong social interaction (gratitude and love, et al.), and neural foundation (dopamine circuit, et al.). Inspired by these evidence, “psychological vaccination” could be achieved by well-known real-world natural-stress vaccination (mild, controllable, and adaptive of stress, with help from parents or leaders) or newly developed “clinical vaccination” (positive activity intervention for current depression, preventive cognitive therapy for remitted depression, et al.), both of which aim to enhance the resilient psychological diathesis against depression, through events or training. Potential neural circuit vaccination was further discussed. This review calls for directing attention to resilient diathesis against depression, which offers a new thinking “psychological vaccination” in both prevention and therapy of depression.

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Effects of cognitive behavioral therapy in patients with depressive disorder and comorbid insomnia: A propensity score-matched outcome study

Cited by 17 publications

References 47 publications

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

The design and evaluation of a health education control for comparison with cognitive behavioural therapy for individuals with acquired brain injury

Resilience to depression: Implication for psychological vaccination

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Effects of cognitive behavioral therapy in patients with depressive disorder and comorbid insomnia: A propensity score-matched outcome study

Cited by 17 publications

References 47 publications

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression &ndash; a pilot study

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression &ndash; a pilot study

The design and evaluation of a health education control for comparison with cognitive behavioural therapy for individuals with acquired brain injury

Resilience to depression: Implication for psychological vaccination

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Product

Resources

About

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study

CBT-I and HT-I group therapy for adults with insomnia in comparison to those with insomnia and comorbid depression – a pilot study