Meta-analytic review of the impact of cognitive-behavior therapy for insomnia on concomitant anxiety

Belleville, Geneviève; Cousineau, Héloïse; Levrier, Katia; St-Pierre-Delorme, Marie-Ève

doi:10.1016/j.cpr.2011.02.004

Cited by 185 publications

(111 citation statements)

References 112 publications

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“…If further findings support the relation between sleep timing and RNT this could one day lead to a new avenue for treatment of individuals with internalizing disorders. Already, studying the relation between reductions in sleep duration and psychopathology has demonstrated that focusing on sleep in the clinic also lead to reductions in symptoms of psychopathology (Belleville et al 2011;Manber et al 2008). Well-developed, inexpensive, safe, and effective treatments aimed at addressing sleep timing disruptions (e.g.…”

Section: Discussionmentioning

confidence: 99%

Duration and Timing of Sleep are Associated with Repetitive Negative Thinking

Nota

Coles

2014

Cogn Ther Res

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Higher levels of repetitive negative thinking (RNT; a perseverative and abstract focus on negative aspects of one's experience) are associated with reduced sleep duration. This information is already informing theory and clinical practice. However, we are not aware of any studies examining the relation between RNT and the timing of sleep. We examined both disorder specific measures of RNT and a transdiagnostic measure of the RNT process in relation to sleep duration and timing in a sample of 100 unselected undergraduates. Replicating prior findings, shorter sleep duration was cross-sectionally associated with more rumination and delayed sleep timing was associated with more obsessive-compulsive symptoms. Further, extending this prior work, the transdiagnostic measure of RNT was associated with shorter sleep duration and delayed sleep timing. Individuals who endorsed a preference for later sleep and activity times also reported more RNT. These findings suggest that RNT may be uniquely related to both sleep duration and timing.

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Section: Discussionmentioning

confidence: 99%

Duration and Timing of Sleep are Associated with Repetitive Negative Thinking

Nota

Coles

2014

Cogn Ther Res

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“…However, 20 to 30% of patients with insomnia do not respond to CBT-I (19). The findings of a metaanalysis have shown that CBT-I has moderate effects on anxiety in patients suffering from insomnia with or without anxiety disorder (20). Another meta-analysis has indicated that cognitive behavioral therapy for anxiety disorders have moderate effects on sleep problems (21).…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effects of the Unified Protocol on Common and Specific Factors in a Comorbid Insomniac Sample: A Single-Case Experimental Design

Vand

Gharraee

Farid

et al. 2018

Iran J Psychiatry Behav Sci

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Background: Insomnia and emotional disorders share common factors that underlie and perpetuate these disorders. The Unified Protocol (UP) for the transdiagnostic treatment of emotional disorders is a new treatment approach designed to target core processes of emotional disorders. Objectives: The present study examined the effects of UP on behavioral inhibition/behavioral activation, anxiety sensitivity, and emotion dysregulation as transdiagnostic factors, as well as cognition and behaviors specific to insomnia, in a small sample of patients (N = 6) with comorbid insomnia and emotional disorders. Methods: A multiple-baseline across subjects single-case experimental design with a 3-month follow-up was used. Participants were allocated to 2, 4, and 6 baseline periods and then received 14 weekly individual sessions of UP. The outcome measures were Behavioral Inhibition/Behavioral Activation Scales (BIS/BAS), Anxiety Sensitivity Index-3 (ASI-3), Difficulties in Emotion Regulation Questionnaire (DERS), Dysfunctional Beliefs and Attitudes about Sleep Scale-10 (DBAS-10), and Sleep-Related Behaviors Questionnaire (SRBQ). Data were analyzed using visual inspection, mixed model analysis, and reliable change index (RCI). Results:The mixed model analysis showed significant changes in BIS/BAS, ASI-3, DERS, DBAS-10, and SRBQ from pre-treatment to post-treatment. Most participants achieved a reliable change in BIS, ASI-3, DERS, DBAS-10, and SRBQ at a 3-month follow-up. Conclusions: This preliminary study provides empirical evidence on the utility of UP for reducing common vulnerability and sleepspecific factors in chronic insomnia comorbid with emotional disorders. Further research is needed to test these findings in randomized controlled studies.

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“…Effects tend to be strongest for wakefulness in bed variables compared with sleep duration variables, and subjective sleep variables compared with objective sleep variables. There is also emerging evidence that CBT-I leads to improvements in mental health symptoms in adults, including depression and anxiety (Belleville, Cousineau, Levrier, & St-Pierre-Delorme, 2011;Taylor & Pruiksma, 2014).…”

mentioning

confidence: 99%

The SENSE study: Post intervention effects of a randomized controlled trial of a cognitive–behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents.

Blake

Waloszek

Schwartz

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective: Sleep problems are a major risk factor for the emergence of mental health problems in adolescence. The aim of this study was to investigate the post intervention effects of a cognitive–behavioral/mindfulness-based group sleep intervention on sleep and mental health among at-risk adolescents. Method: A randomized controlled trial (RCT) was conducted across High schools in Melbourne, Australia. One hundred forty-four adolescents (aged 12–17 years) with high levels of anxiety and sleeping difficulties, but without past or current depressive disorder, were randomized into either a sleep improvement intervention or an active control ‘study skills’ intervention. Both programs consisted of 7 90-min-long group sessions delivered over 7 weeks. One hundred twenty-three participants began the interventions (female = 60%; mean age = 14.48, SD = 0.95), with 60 in the sleep condition and 63 in the control condition. All participants were required to complete a battery of mood and sleep questionnaires, 7 days of wrist actigraphy (an objective measure of sleep), and sleep diary entry at pre- and-post intervention. Results: The sleep intervention condition was associated with significantly greater improvements in subjective sleep (global sleep quality [with a medium effect size], sleep onset latency, daytime sleepiness [with small effect sizes]), objective sleep (sleep onset latency [with a medium effect size]), and anxiety (with a small effect size) compared with the control intervention condition. Conclusion: The SENSE study provides evidence that a multicomponent group sleep intervention that includes cognitive–behavioral and mindfulness-based therapies can reduce sleep initiation problems and related daytime dysfunction, along with concomitant anxiety symptoms, among at-risk adolescents.

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Meta-analytic review of the impact of cognitive-behavior therapy for insomnia on concomitant anxiety

Cited by 185 publications

References 112 publications

Duration and Timing of Sleep are Associated with Repetitive Negative Thinking

Duration and Timing of Sleep are Associated with Repetitive Negative Thinking

Investigating the Effects of the Unified Protocol on Common and Specific Factors in a Comorbid Insomniac Sample: A Single-Case Experimental Design

The SENSE study: Post intervention effects of a randomized controlled trial of a cognitive–behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents.

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