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An open-ended primary-care group intervention for insomnia based on a self-help book - A randomized controlled trial and 4-year follow-up
Stockholm University, Faculty of Social Sciences, Department of Psychology. Stockholm County Council, Sweden.
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Number of Authors: 112020 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 29, no 1, article id e12881Article in journal (Refereed) Published
Abstract [en]

Chronic insomnia is a common and burdensome problem for patients seeking primary care. Cognitive behavioural therapy has been shown to be effective for insomnia, also when presented with co-morbidities, but access to sleep therapists is limited. Group-treatment and self-administered treatment via self-help books have both been shown to be efficacious treatment options, and the present study aimed to evaluate the effect of an open-ended group intervention based on a self-help book for insomnia, adapted to fit a primary-care setting. Forty primary-care patients with insomnia (mean age 55 years, 80% women) were randomized to the open-ended group intervention based on a cognitive behavioural therapy for insomnia self-help book or to a care as usual/wait-list control condition. Results show high attendance to group sessions and high treatment satisfaction. Participants in the control group later received the self-help book, but without the group intervention. The book-based group treatment resulted in significantly improved insomnia severity, as well as shorter sleep-onset latency, less wake time after sleep onset, and less use of sleep medication compared with treatment as usual. The improvements were sustained at a 4-year follow-up assessment. A secondary analysis found a significant advantage of the combination of the book and the open-ended group intervention compared with when the initial control group later used only the self-help book. An open-ended treatment group based on a self-help book for insomnia thus seems to be an effective and feasible intervention for chronic insomnia in primary-care settings.

Place, publisher, year, edition, pages
2020. Vol. 29, no 1, article id e12881
Keywords [en]
cognitive behavioural therapy, sleep problems
National Category
Psychology
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URN: urn:nbn:se:su:diva-178798DOI: 10.1111/jsr.12881ISI: 000505736000006PubMedID: 31184796OAI: oai:DiVA.org:su-178798DiVA, id: diva2:1394218
Available from: 2020-02-18 Created: 2020-02-18 Last updated: 2020-02-18Bibliographically approved

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