Treating primary insomnia: Clinical effectiveness and predictors of outcomes on sleep, daytime function and health-related quality of life
Abstract
Primary insomnia, as defined by DSM-IV-TR, refers to a persistent sleep disturbance which is not connected to a current psychiatric or physical condition, but significantly impairs social and occupational functioning. This study explored the impact of Cognitive Behavioral Therapy for Insomnia (CBT-i) on sleep, daytime functioning and health-related quality of life (HRQoL). Next, we investigated which factors predicted positive treatment outcome by examining demographics, insomnia characteristics, baseline levels of daytime function, HRQoL, sleep-disruptive beliefs and psychological health on post-treatment sleep quality, daytime function and HRQoL. 138 consecutive primary insomnia patients completed questionnaires pre- and post-treatment and at 6 months follow-up. After CBT-i, robust clinical improvements were observed in sleep, daytime function and HRQoL, regardless of age, gender, type or duration of the complaint. Patients with pre-treatment severe insomnia, pronounced daytime impairment and low psychological well-being benefited most.
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Research has demonstrated benefits of CBT-I on health-related quality of life.
“These findings are consistent with research demonstrating the benefits of CBT-I on health-related QoL (Van Houdenhove, Buyse, Gabriëls, & Van den Bergh, 2011).”
From Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder (2022) · cites this paper as Van Houdenhove, Buyse, Gabriëls, & Van den Bergh, 2011
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References 53 · Cited by 76
- Authors
- Van Houdenhove, L., Buyse, B., Gabriëls, L., & Van den Bergh, O.
- Affiliations
- KU Leuven (BE)
- ORCID
- Buyse, B.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2011-06-01
- Volume
- 18
- Issue
- 3
- Pages
- 312-321
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W2128337363
- Cited by
- 76
- References
- 53
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 3
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion)
- 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
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- primary insomnia, cognitive behavioral therapy for insomnia, treatment outcome predictors, daytime functioning, health-related quality of life, sleep quality, psychological well-being
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Attitude to Health, Mental Disorders, Female, Follow-Up Studies, Health Status, Humans, Sleep Initiation and Maintenance Disorders, Male, Mental Health, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Sleep, Cognitive Behavioral Therapy, Treatment Outcome, Age Distribution, Sex Distribution, Young Adult
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