An Investigation of Further Strategies to Optimize Early Treatment Gains in Brief Therapies for Insomnia

Identifying those who are most (and least) likely to benefit from a stepped-care approach to cognitive behavioral therapy for insomnia (CBT-I) increases access to insomnia therapies while minimizing resource consumption. The present study investigates non-targeted factors in a single-session of CBT-...

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Bibliographic Details
Published in:Behavioral sleep medicine 2024-03, Vol.22 (2), p.140-149
Main Authors: Lau, Parky H., Marway, Onkar S., Carmona, Nicole E., Starick, Elisha, Iskenderova, Irene, Carney, Colleen E.
Format: Article
Language:English
Subjects:
Brief therapy
Cognitive behavioral therapy
Cognitive-behavioral factors
Diaries
Fatigue
Insomnia
Profiles
Psychoeducational treatment
Remission (Medicine)
Severity
Sleep
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Summary:Identifying those who are most (and least) likely to benefit from a stepped-care approach to cognitive behavioral therapy for insomnia (CBT-I) increases access to insomnia therapies while minimizing resource consumption. The present study investigates non-targeted factors in a single-session of CBT-I that may act as barriers to early response and remission. Participants (N = 303) received four sessions of CBT-I and completed measures of subjective insomnia severity, fatigue, sleep-related beliefs, treatment expectations, and sleep diaries. Subjective insomnia severity and sleep diaries were completed between each treatment session. Early response was defined as a 50% reduction in Insomnia Severity Index (ISI) scores and early remission was defined by 
ISSN:1540-2002
1540-2010
DOI:10.1080/15402002.2023.2217311