Online cognitive behavioral group therapy (iCBT-I) for insomnia for school children and their parents

Schlarb, Angelika; Schulte, Hannah; Selbmann, Anika; Och, Ina

doi:10.1007/s11818-020-00280-7

Cited by 11 publications

(13 citation statements)

References 16 publications

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“…Concerning the training application, in contrast to a previous study addressing children, our study had no personal contact [ 22 ] and no meeting each other in person [ 20 ]. However, some of the participants recommended the possibility of additive personal contacts for questions or further information (e.g., concerning specific sleep-related questions of asthma patients).…”

Section: Discussionmentioning

confidence: 99%

Modularized iCBT‑I self-learn training for university staff—prevention and early intervention in the SARS-CoV-2 crisis

et al. 2021

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Background Insomnia is a widespread disease in adults and has a high prevalence rate. As sleep disturbances are a risk factor concerning mental and physical health, prevention and early intervention are necessary. Thus, the aim of this study was to implement a self-learning prevention and early intervention training for university staff members. We adapted an established cognitive behavioral therapy for insomnia (CBT-I) intervention as an online version for use during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) crisis. Methods Development and adaptation procedure of the internet-based CBT‑I (iCBT-I) prevention and early intervention training is described. Sessions and topics are shown in detail. The Online Sleep Prevention and Treatment Acceptance questionnaire (OSTA) and the Online Sleep Prevention and Treatment Feedback questionnaire (OSTF) were used to assess acceptance. Sleep problems of university staff members were assessed using the Pittsburgh Sleep Questionnaire (PSQI). Results The online-adapted version consisted of seven modules. Contents of sessions and topics were implemented based on video clips. Drawings were added to information regarding sleep and sleep hygiene as well as addressing stress and cognitions. In all, 15 individuals participated in this pilot study. The new iCBT‑I self-learning prevention training was well accepted. In addition, participants scored the online version as helpful based on the OSTA. Prior to online training, 89% of the participants reported impaired sleep quality or insomnia symptoms, and 56% had a PSQI score over 10. After training 78% of participants showed reduced sleep problems according to PSQI and 56% reached clinically significant enhancement. In addition, after training 44% were healthy sleepers. Discussion This is the first iCBT‑I prevention and early intervention training for university staff members. The training by participants was very well accepted and they scored the videos as very helpful. Sleep problems decreased after online training. However, further studies with larger samples and more sleep-related assessment strategies, e.g., actigraphy and sleep log, are necessary.

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Section: Discussionmentioning

confidence: 99%

Modularized iCBT‑I self-learn training for university staff—prevention and early intervention in the SARS-CoV-2 crisis

et al. 2021

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“…Thirty-nine described disturbed sleep in the context of psychosocial and neuropsychiatric symptoms. As to specific management of sleep dysfunction during COVID-19, five studies of cognitive behavioral therapy (CBT) were available – two controlled trials of insomnia [ 11 , 12 ], one focused on worry and secondary insomnia [ 13 ], one case study [ 14 ] and a small online study in children [ 15 ]. Four similar treatment trials have begun or been proposed (see Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

“… 5-10 y/o children with insomnia during COVID-19 6 children + parents Telehealth, online sessions of 3 h with parent; video session with child 67% of children showed reduced sleep problems according to parental rating. [ 15 ] Proposed Studies Elder et al. Public DSM-5 Insomniac vs. Good Sleepers Self-help leaflet for worry; stimulus control Await results; follow up at Day 7, 30 and 90 [ 31 ] Weiner et al.…”

Section: Methodsmentioning

confidence: 99%

“…The digital CBT-i group had significantly less insomnia symptoms, stress, cognitive intrusions and depression [ 12 ]. Benefit of behavioral therapy as well has been noted in a case report [ 14 ] and in a small group of children with insomnia [ 15 ]. There are various commercially available online CBTi treatments with Somryst having undergone two randomized controlled trials that resulted in FDA approval for treatment of insomnia disorder [ 30 ].…”

Section: Managing Sleep Disturbance In the Publicmentioning

confidence: 96%

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Overview of sleep management during COVID-19

Becker

2022

Sleep Medicine

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The sleep of millions has suffered during the global COVID-19 pandemic. Prevalence rates of 20–45% are reported globally for insomnia symptoms during the pandemic. Affected populations include the public and health care workers. A sleep deprived society faces the increased burden of COVID-related economic disruption, psychosocial problems, substance abuse, and suicide. Disordered sleep is not expected to disappear with control of infection, making interventions acutely necessary. The question becomes how to manage the sleep dysfunction during and after the pandemic. Depression and anxiety are prominent complaints during pandemic restrictions. Insomnia symptoms and fatigue continue even as mood improves in those who are in recovery from COVID-19 infection. Management of disturbed sleep and mental health is particularly needed in frontline health care workers. This overview describes 53 publications, as of February 2021, on disturbed sleep during the pandemic, treatment studies on COVID-related sleep disturbance, and need to rely on current treatment guidelines for common sleep disorders. The available research during the first year of COVID-19 has generally described symptoms of poor sleep rather than addressing treatment strategies. It covers digital cognitive behavioral therapy for insomnia (CBT-i) for the public and frontline workers, recognizing the need of greater acceptance and efficacy of controlled trials of CBT for affected groups. Recommendations based on a tiered public health model are discussed.

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“…Out of the total test subjects, ∼37% of people had moderate to severe insomnia. Similarly, Schlarb et.al [ 72 ] conducted a study on children of age 5-10 years old along with their parents. The study found that 67% of children showed reduced sleep patterns during COVID-19.…”

Section: Covid-19 and Sleepmentioning

confidence: 99%

COVID-19 associated nervous system manifestations

2022

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The novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused a global pandemic in the last year. Along with major respiratory distress, a myriad of neurological manifestations was also reported to be associated with COVID-19 patients. These cases indicate that SARS-CoV-2 can be considered as an opportunistic pathogen of the brain. SARS-CoV-2 enters the brain through the olfactory bulb, retrograde axonal transport from peripheral nerve endings, or via hematogenous or lymphatic routes. Notably, COVID-19 infection can cause or even present with different neurological features including encephalopathy, impaired consciousness, confusion, agitation, seizure, ataxia, headache, anosmia, ageusia, neuropathies, and neurodegenerative diseases. In this paper, we provide a brief review of observed neurological manifestations associated with COVID-19.

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Online cognitive behavioral group therapy (iCBT-I) for insomnia for school children and their parents

Cited by 11 publications

References 16 publications

Modularized iCBT‑I self-learn training for university staff—prevention and early intervention in the SARS-CoV-2 crisis

Modularized iCBT‑I self-learn training for university staff—prevention and early intervention in the SARS-CoV-2 crisis

Overview of sleep management during COVID-19

COVID-19 associated nervous system manifestations

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