Self-Efficacy and Adherence to Cognitive-Behavioral Treatment of Insomnia
Abstract
This study describes a self-efficacy (SE) scale and examines its usefulness in predicting adherence to cognitive-behavioral therapy (CBT) of insomnia. The SE scale, which included three subscales (global, task-related, and self-regulation), was administered to 39 patients receiving CBT for primary insomnia. Participants'daily sleep diaries were used to estimate their adherence to treatment. The results showed that the SE scale has adequate psychometric properties. Treatment adherence increased from Week 2 to Week 7 and decreased during the week following the last therapy session. In general, the global self-efficacy measure was more strongly associated with adherence during the first week of treatment, whereas the task-related efficacy was more strongly associated with adherence behaviors from Weeks 4 to 8. These findings suggest that self-efficacy perceptions are useful in predicting adherence to CBT of insomnia.
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Adherence is a challenge for some patients receiving CBT-I, with the most extreme version of non-adherence being withdrawal from treatment.
“adherence is a challenge for some patients, with the most extreme version of non-adherence being withdrawal from treatment”
From Novel Treatment Based on Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Insomnia: A Randomized Comparative Effectiveness Trial in Women Veterans (2023) · cites this paper as Bouchard et al., 2003
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InfluentialValues Expressed by Women Veterans Receiving Treatment for Chronic Insomnia Disorder
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“…already struggling to sleep, and the counterintuitive nature of behavioral recommendations associated with sleep restriction and stimulus control approaches may lead to premature drop-out and limit the probability of symptom remission (Bouchard et al., 2003; Harvey & Tang, 2003; see Figure 1).”
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Comment je traite une fatigue sans autres signes ?
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Wang, T., Zhou, T., & Huang, Z. (2024) · International Conference on Health Big Data and Intelligent Healthcare (ICHIH) · doi:10.1109/ichih63459.2024.11064879
“To make the HBM easier to operate in the context of dCBT adherence, a modified HBM questionnaire was developed based on existing literature [10,11,12] .”
Upplevelser av hjälpande och försvårande faktorer i KBT gruppbehandling för insomni.
Lalouni, M. (2007) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Bang, M., & Park, J. H. (2026) · Yonsei Medical Journal · doi:10.3349/ymj.2025.0203
“30 Therefore, minimizing these adverse effects should remain a primary consideration for the future development of DTx.”
InfluentialInocente, J. J. (2010) · doi:10.70675/44c54539z63a2z4af5z8978z4c24e07e6863
Research Progress and Future Perspectives of Orexin Receptor Antagonists in Insomnia Therapy
Zhang, Z., Zhu, L., Gao, Y., Ji, C., & Ling, Y. (2026) · Molecules · doi:10.3390/molecules31162795
“Although cognitive behavioral therapy is recommended as the first-line treatment for insomnia, pharmacological intervention remains an indispensable therapeutic approach in clinical practice because of poor patient adherence and delayed therapeutic onset [3].”
Drobny, J. (2009) · The Sydney eScholarship Repository (The University of Sydney)
- Authors
- Bouchard, S., Bastien, C., & Morin, C. M.
- Affiliations
- Université Laval (CA)
- ORCID
- Morin, Charles M.
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2003-11
- Volume
- 1
- Issue
- 4
- Pages
- 187-199
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W2051419104
- Cited by
- 79
- References
- 33
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 7 · 2016: 4 · 2015: 1 · 2014: 4 · 2013: 6 · 2012: 4
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh055469-05)
- National Institute of Mental Health (MH#60413, MH-55469, R01MH060413)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- self-efficacy, cognitive behavioral therapy for insomnia, medication adherence, self-efficacy scale, primary insomnia, self-regulation, psychometric properties, sleep diary
- MeSH terms
- Adolescent, Adult, Cost-Benefit Analysis, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Compliance, Prospective Studies, Psychometrics, Surveys and Questionnaires, Cognitive Behavioral Therapy, Self Efficacy, Diagnostic and Statistical Manual of Mental Disorders
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