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Cited by 168Sleep and related disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

Who is at risk for dropout from group cognitive-behavior therapy for insomnia?

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Ong, Jason C., Kuo, Tracy F., Manber, Rachel·2008·Journal of Psychosomatic Research
DOI 10.1016/j.jpsychores.2007.10.009PMC PMC2435302
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Abstract

Objective The aim of the present study was to identify characteristics of patients who are at risk for dropout from a seven-session group cognitive-behavior therapy for insomnia (CBT-I) in a clinical setting using the receiver operating characteristic curve (ROC) approach.Methods Two separate ROC analyses were conducted using predictor variables taken from questionnaire packets and sleep diaries collected at baseline including age, gender, Beck Depression Inventory (BDI), Morningness-Eveningness Questionnaire, Beliefs and Attitudes about Sleep, use of sleep medication, sleep onset latency, wake time after sleep onset, and total sleep time (TST).Results The first ROC analysis was conducted on the entire sample of 528 patients with treatment completion vs. dropout (noncompletion) as the outcome variable. No significant predictor variables were found in this analysis. The second ROC analysis was conducted on the 211 patients who did not complete treatment with early termination (prior to fourth session) vs. late termination (at or after fourth session) as the outcome variable. The results revealed that patients who reported an average baseline TST <3.65 h were at greatest risk for early termination. Sixty percent of patients in this group terminated early compared to 9.3% of patients with TST > or =3.65 h. Among patients with TST > or =3.65 h, 22% of those with BDI scores > or =16 were early dropouts compared to 4.3% of those who reported BDI <16.Conclusion These findings indicate that short sleep duration and elevated symptoms of depression at baseline are associated with increased risk of early termination from CBT-I.

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  1. Kuo, 2001, Insomniacs with comorbid conditions achieved comparable improvement in a cognitive behavioral group treatment program as insomniacs without comorbid depression, Sleep, 14, A62

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Metadata

Authors
Ong, J. C., Kuo, T. F., & Manber, R.
Affiliations
Stanford Medicine (US)
Corresponding author
Ong, Jason C.
ORCID
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2008-04
Volume
64
Issue
4
Pages
419-425
ISSN
0022-3999 (ISSN-L)
DOI
10.1016/j.jpsychores.2007.10.009
PMC
PMC2435302
OpenAlex
W2070584913
Cited by
168
References
41
Citations by year
2026: 6 · 2025: 13 · 2024: 10 · 2023: 26 · 2022: 6 · 2021: 11 · 2020: 12 · 2019: 12 · 2018: 10 · 2017: 11 · 2016: 10 · 2015: 13 · 2014: 7 · 2013: 5 · 2012: 1
FWCI
6.77
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (MH-19938, T32MH019938)
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, treatment discontinuation, early termination, risk factors, total sleep time, depression, sleep duration, sleep medication use, sleep diary, group therapy
MeSH terms
Adult, Aged, Circadian Rhythm, Culture, Depression, Female, Humans, Hypnotics and Sedatives, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Dropouts, Personality Inventory, Psychotherapy, Group, Risk Factors, ROC Curve, Sleep Deprivation, Cognitive Behavioral Therapy

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