Effectiveness of abbreviated CBT for insomnia in psychiatric outpatients: sleep and depression outcomes
Abstract
OBJECTIVE: To test the efficacy of cogntive-behavioral therapy for insomnia (CBT-I) as a supplement treatment for psychiatric outpatients. Comorbid insomnia is prevalent among individuals with varied psychiatric disorders and evidence indicates that CBT-I may be effective for reducing insomnia and other psychiatric symptoms. METHOD: The present study randomly assigned 30 psychiatric outpatients (mean duration of treatment = 3.6 years) with low sleep quality and residual depressive symptoms to two sessions of CBT-I or a treatment as usual control group. Assessment included the Pittsburgh Sleep Quality Index (PSQI) for insomnia and the Patient Health Questionnaire (PHQ-9) for depression at pretreatment and 4 and 8 weeks posttreatment. RESULTS: Patients who received CBT-I demonstrated within group changes in PSQI and the PHQ-9 scores at both 4 and 8 weeks posttreatment, but did not show between-group differences. Additionally, 38% of the treatment participants achieved normal sleep at follow-up compared with none in the control condition. CONCLUSIONS: This study provides preliminary evidence that abbreviated behavioral treatment has beneficial effects on residual insomnia and depression in long-term psychiatric outpatients.
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“There is also evidence that the severity of affective experiences is reduced when sleep is improved through intervention [29–33].”
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- Authors
- Wagley, J. N., Rybarczyk, B., Nay, W. T., Danish, S., & Lund, H. G.
- Affiliations
- University of Virginia (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Rybarczyk, Bruce
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2012-10-26
- Volume
- 69
- Issue
- 10
- Pages
- 1043-1055
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2112906523
- Cited by
- 85
- References
- 49
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 10 · 2022: 8 · 2021: 11 · 2020: 3 · 2019: 3 · 2018: 8 · 2017: 7 · 2016: 8 · 2015: 11 · 2014: 7 · 2013: 2
- FWCI
- 8.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy for insomnia, insomnia, depression, psychiatric outpatients, sleep quality, residual depressive symptoms, comorbid insomnia, long-term psychiatric patients, adjunctive therapy
- MeSH terms
- Adult, Mental Disorders, Depression, Female, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Outpatients, Psychotherapy, Brief, Sleep, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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