دورية أكاديمية
[Effectiveness of an online cognitive behavioral therapy for insomnia].
| العنوان: | [Effectiveness of an online cognitive behavioral therapy for insomnia]. |
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| عنوان ترانسليتريتد: | Árangur hugrænnar atferlismeðferðar við svefnleysi sem veitt er á netinu. |
| المؤلفون: | Friðgeirsdóttir G, Jóhannsson G, Ellertsson S, Björnsdóttir E |
| المصدر: | Laeknabladid [Laeknabladid] 2015 Apr; Vol. 101 (4), pp. 203-8. |
| نوع المنشور: | Clinical Study; Journal Article |
| اللغة: | Icelandic |
| بيانات الدورية: | Publisher: Icelandic Medical Association and the Medical Society of Reykjavik Country of Publication: Iceland NLM ID: 7901326 Publication Model: Print Cited Medium: Print ISSN: 0023-7213 (Print) Linking ISSN: 00237213 NLM ISO Abbreviation: Laeknabladid Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Reykjavik : Icelandic Medical Association and the Medical Society of Reykjavik Original Publication: Reykjavik, Domus Medica |
| مواضيع طبية MeSH: | Internet* , Sleep*/drug effects , Therapy, Computer-Assisted*, Cognitive Behavioral Therapy/*methods , Sleep Initiation and Maintenance Disorders/*therapy, Adolescent ; Adult ; Aged ; Female ; Humans ; Hypnotics and Sedatives/therapeutic use ; Male ; Middle Aged ; Patient Dropouts ; Recovery of Function ; Sleep Initiation and Maintenance Disorders/diagnosis ; Sleep Initiation and Maintenance Disorders/physiopathology ; Sleep Initiation and Maintenance Disorders/psychology ; Time Factors ; Treatment Outcome ; Young Adult |
| مستخلص: | Introduction: Insomnia is a common health problem with serious mental and physical consequences as well as increased economical costs. The use of hypnotics in Iceland is immense in spite of cognitive behavioral therapy for insomnia (CBT-I) being recommended as the first choice treatment of chronic insomnia. To meet the needs of more individuals suffering from insomnia, online CBT-I was established at betrisvefn.is. The objective of this research was to evaluate the effectiveness of this internet-based CBT-I. Material and Methods: One hundred seventy-five users (mean age 46 y (18-79 y)) started a 6 week online intervention for insomnia. The drop-out rate was 29%, leaving a final sample of 125 users. The intervention is based on well-established face-to-face CBT-I. Sleep diaries were used to determine changes in sleep efficiency, sleep onset latency and wake after sleep onset. Treatment effects were assesed after 6 weeks of treatment and at the 6 week follow-up. Results: Significant improvement was found in all main sleep variables except for 5% decrease in total sleep time (TST). Effects were sustained at 6 week follow-up and TST increased. The use of hypnotics decreased significantly. This form of treatment seems to suit its users very well and over 94% would recommend the treatment. Conclusion: Internet interventions for insomnia seem to have good potential. CBT-I will hopefully be offered as the first line treatment for chronic insomnia in Iceland instead of hypnotics as the availability of the CBT-I is growing. Thus, the burden on health care clinics might reduce along with the hypnotics use and the considerable costs of insomnia. |
| المشرفين على المادة: | 0 (Hypnotics and Sedatives) |
| تواريخ الأحداث: | Date Created: 20150421 Date Completed: 20160119 Latest Revision: 20191018 |
| رمز التحديث: | 20231215 |
| DOI: | 10.17992/lbl.2015.04.20 |
| PMID: | 25894498 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0023-7213 |
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| DOI: | 10.17992/lbl.2015.04.20 |