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Positive impacts of e-aid cognitive behavioural therapy on the sleep quality and mood of nurses on site during the COVID-19 pandemic
Open accessAbstract
Objective To investigate the positive impact of e-aid cognitive behavioural therapy on the sleep quality, anxiety, and depression of nurses on site during the COVID-19 pandemic.Methods Nurses on site at the Tianjin Medical University General Hospital Airport Site experiencing insomnia, anxiety and depression during the COVID-19 prevention and control period, from February 2020 to April 2021, were selected and divided into either an e-aid cognitive behavioural therapy (eCBT-I) group or a control group using a randomized grouping method. The eCBT-I group was given standard eCBT-I for 6 weeks; the control group did not get any intervention. The Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) were used to evaluate the sleep quality of the subjects. The Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire (PHQ-9) were used to assess the subjects' anxiety and depression. Changes in sleep quality, anxiety and depression before and after treatment were compared between the two groups.Results Of 118 nurses randomized, the PSQI and ISI scores within the eCBT-I group (n=60) were significantly lower after treatment (5.9 ± 3.9, 6.7 ± 4.5) than before treatment (10.4 ± 3.5, 12.4 ± 4.7) (p <0.05). Compared to the scores of the control group (n=58) (9.1 ± 3.9, 10.6 ± 4.1), the PSQI and ISI scores in the eCBT-I group (5.9 ± 3.9, 6.7 ± 4.5) were lower after treatment (p <0.05). The GAD-7 and PHQ-9 scores in the eCBT-I group were all lower after treatment (3.7±3.4, 4.2±4.1) than before treatment (6.7±4.9, 7.7±5.1) (p <0.05). Compared with subjects in the control group (7.1±5.6, 7.3±5.1), subjects in the eCBT-I group (3.7±3.4, 4.2±4.1) had lower scores on the GAD-7 and PHQ-9 scales after treatment (p <0.05).Conclusion eCBT-I improved the sleep quality of frontline nurses during the COVID-19 prevention and control period and relieved anxiety and depression.
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“Based on previous studies on the efficacy of eCBTi (86–92), we expect a partial eta-squared of 0.08 (medium effect); alpha: 0.05; Power: 0.95; number of groups: 2; number of measurements: 3; total sample size: 32, that is, 16 per condition.”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [91]
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“We follow the standardized and validated intervention protocol for eCBTi (87, 91, 92; see Table 2).”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [91]
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Metadata
- Authors
- Zhou, K., Kong, J., Wan, Y., Zhang, X., Liu, X., Qu, B., Wang, B., & Xue, R.
- Affiliations
- Tianjin Medical University General Hospital (CN)
- Corresponding author
- Zhou, Kaili
- Kong, Jing
- Xue, Rong
- Venue
- Sleep and Breathing
- Published
- 2022-01-08
- Volume
- 26
- Issue
- 4
- Pages
- 1947-1951
- ISSN
- 1520-9512 (ISSN-L)
- 1522-1709
- PMC
- PMC8742558
- OpenAlex
- W4206259398
- Cited by
- 20
- References
- 18
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 2 · 2023: 6 · 2022: 2
- FWCI
- 3.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sleep And Breathing (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- cognitive behavioral therapy, sleep quality, insomnia, anxiety, depression, nurses, COVID-19 pandemic, healthcare workers, online psychological intervention, workplace mental health
- MeSH terms
- COVID-19, Sleep Quality, Anxiety, Humans, Sleep Initiation and Maintenance Disorders, Cognitive Behavioral Therapy, Pandemics
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