An Open Pilot of Cognitive-Behavioral Therapy for Insomnia in Women with Postpartum Depression
Abstract
Sleep disturbances and depression are commonly experienced by postpartum women. We evaluated the preliminary efficacy of a modified version of cognitive-behavioral therapy for insomnia on mood, sleep, and fatigue in postpartum women with insomnia and depression in an open pilot study. Twelve postpartum women participated in five weekly individual treatment sessions. Statistically significant improvements were observed in sleep diary-rated sleep efficiency and total wake time, and subjective mood, insomnia severity, sleep quality, and fatigue. Further evaluation of the treatment using a controlled design is warranted.
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Small open pilot studies of cognitive behavioral therapy for insomnia in pregnancy and postpartum have found large effect sizes, Cohen's d of 1.7, for improvement in the PSQI.
“Small open pilot studies of cognitive behavioral therapy for insomnia in pregnancy [9] and postpartum [23] have found large effect sizes, Cohen’s d of 1.7, for improvement in the PSQI.”
From Online prenatal trial in mindfulness sleep management (OPTIMISM): Protocol for a pilot randomized controlled trial (2020) · cites this paper as [23]
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- Authors
- Swanson, L. M., Flynn, H., Adams-Mundy, J. D., Armitage, R., & Arnedt, J. T.
- Affiliations
- University of Michigan (US)
- Florida State University (US)
- Northeastern University (US)
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2013-09
- Volume
- 11
- Issue
- 4
- Pages
- 297-307
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W2046838919
- Cited by
- 98
- References
- 41
- Citations by year
- 2025: 8 · 2024: 4 · 2023: 6 · 2022: 12 · 2021: 11 · 2020: 10 · 2019: 10 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 8 · 2014: 8 · 2013: 2 · 2012: 1
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- cognitive behavioral therapy for insomnia, postpartum depression, sleep disorders, fatigue, mood, sleep efficiency, sleep quality, women
- MeSH terms
- Adult, Affect, Fatigue, Female, Humans, Sleep Initiation and Maintenance Disorders, Pilot Projects, Severity of Illness Index, Sleep, Cognitive Behavioral Therapy, Treatment Outcome, Depression, Postpartum
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