000			02744nab a22002777a 4500
003			PILC
005			20221123181949.0
008			150723s9999 xx 000 0 und d
022			_a0022-0167
040			_cMANILA TYTANA COLLEGES LIBRARY
100			_aAshworth, Damon K.
245	1	3	_aA randomized controlled trial of cognitive behavioral therapy for insomnia : _ban effective treatment for comorbid insomnia and depression / _cDamon K. Ashworth, Tracey L. Sletten, Katrina Simpson, David Clarke, Moira Junge, David Cunnington, Shantha M. W. Rajaratnam
260			_cApril 2015.
440			_aJournal of Counseling Psychology _n62 : 2, page 115-123
520			_aInsomnia and depression are highly comorbid conditions that show a complex, bidirectional relationship. This study examined whether cognitive-behavioral therapy for insomnia (CBT-I) delivered by a therapist compared with self-help CBT-I (written materials only) reduces insomnia and depression severity in individuals with comorbid insomnia and depression. A total of 41 participants (18-64 years; 25 females) with comorbid depression and insomnia, treated with antidepressants for at least 6 weeks, were randomized to receive 4 sessions of either CBT-I or self-help CBT-I over 8 weeks. Insomnia (Insomnia Severity Index [ISI]) and depression (Beck Depression Inventory-II [BDI-II]) were assessed at baseline, following each session, and at 3-month follow-up. Secondary outcomes were sleep quality and duration (actigraphy and diaries), anxiety, fatigue, and daytime sleepiness. Compared with self-help CBT-I, BDI-II scores in the CBT-I group dropped by 11.93 (95% confidence interval [CI] [6.60, 17.27], p < .001) more points, and ISI scores dropped by 6.59 (95% CI [3.04, 10.15], p = .001) more points across treatment. At 3-month follow-up, 61.1% of CBT-I participants were in clinical remission from their insomnia and depression, compared with 5.6% of the self-help group. Conclusions: CBT-I administered by a therapist produced significant reductions in both insomnia and depression severity posttreatment and at follow-up, compared with a control condition in which participants received only written CBT-I material. Targeting insomnia through CBT-I is efficacious for treating comorbid insomnia and depression, and should be considered an important adjunct therapy for patients with depression whose symptoms have not remitted through antidepressant treatment.
521			_aPsychology
650			_aInsomnia.
650			_aBehavior modification.
650			_aPsychotherapy.
650			_aCognitive therapy.
650			_aQuantitative psychology.
650			_aMental depression.
650			_aComorbidity.
942			_cA _2lcc
998			_c73227 _d131590
999			_c70395 _d70395