Abstract：
:Insomnia co-occurs frequently with major depressive disorder (MDD) and posttraumatic stress disorder (PTSD); all three conditions are prevalent among primary care patients and associated with suicidal ideation (SI). The purpose of the article was to test the effects of a brief cognitive behavioral therapy for insomnia (bCBTi) and the feasibility of delivering it to primary care patients with SI and insomnia in addition to either MDD and/or PTSD. Fifty-four patients were randomized to receive either bCBTi or treatment-as-usual for MDD and/or PTSD. The primary outcome was SI intensity as measured by the Columbia-Suicide Severity Rating Scale; secondary clinical outcomes were measured by the Insomnia Severity Index, Patient Health Questionnaire for depression, and PTSD Symptom Checklist. Effect sizes controlling for baseline values and sample size were calculated for each clinical outcome comparing pre-post differences between the two conditions with Hedge's g. The effect size of bCBTi on SI intensity was small (0.26). Effects were large on insomnia (1.91) and depression (1.16) with no effect for PTSD. There was a marginally significant (p = .069) effect of insomnia severity mediating the intervention's effect on SI. Findings from this proof-of-concept trial support the feasibility of delivering bCBTi in primary care and its capacity to improve mood and sleep in patients endorsing SI. The results do not support bCBTi as a stand-alone intervention to reduce SI, but this or other insomnia interventions may be considered as components of suicide prevention strategies.
journal_name
Transl Behav Medjournal_title
Translational behavioral medicineauthors
Pigeon WR,Funderburk JS,Cross W,Bishop TM,Crean HFdoi
10.1093/tbm/ibz108subject
Has Abstractpub_date
2019-11-25 00:00:00pages
1169-1177issue
6eissn
1869-6716issn
1613-9860pii
5528205journal_volume
9pub_type
杂志文章,随机对照试验abstract：:National health authorities uniformly express an urgent need for large-scale policies that incorporate population-based strategies to improve diet-related population health outcomes. On October 30, 2013, Washington State passed the first statewide comprehensive policy on food service guidelines (i.e., Executive Order ...
journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibx069
更新日期：2019-01-01 00:00:00
abstract：:The physical and mental benefits children receive from physical activity have been well documented, and physical education is a key way to ensure that physical activity opportunities are available during the school day. This study evaluates whether state PE laws are associated with school-level practices of requiring ...
journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibaa013
更新日期：2020-03-02 00:00:00
abstract：:Caregivers and healthcare professionals (HPs) are increasingly concerned about childhood obesity. A critical consideration of caregivers and HPs is discussing weight status without provoking disordered eating. Given the complexity of these interacting concerns, major health advocacy groups have independently published...
journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibaa012
更新日期：2020-10-12 00:00:00
abstract：:It is necessary to scale up measurement in order to confront the persisting problem of food insecurity in the United States (USA). The causes and consequences around food insecurity are briefly described in order to frame the complexity of the public health issue and demonstrate need for expanded measurement approache...
journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibaa112
更新日期：2020-12-31 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/iby011
更新日期：2019-01-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1007/s13142-011-0036-0
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibaa050
更新日期：2020-08-04 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/iby081
更新日期：2019-07-16 00:00:00
abstract：BACKGROUND:While health inequities are well documented, and there are helpful frameworks to understand health disparities, implementation frameworks are also needed to focus the design, evaluation and reporting on interventions targeting populations at increased risk. PURPOSE:Describe how the RE-AIM framework (Reach, ...
journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1007/s13142-013-0201-8
更新日期：2013-06-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2020-05-20 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2015-06-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1007/s13142-011-0075-6
更新日期：2011-11-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibaa086
更新日期：2020-10-08 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1007/s13142-010-0010-2
更新日期：2011-03-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/iby096
更新日期：2019-07-16 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章,评审
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更新日期：2018-07-17 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibaa037
更新日期：2020-12-31 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1093/tbm/ibx028
更新日期：2018-03-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1007/s13142-013-0221-4
更新日期：2014-03-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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journal_title：Translational behavioral medicine
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更新日期：2015-12-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2013-12-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2011-03-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2018-09-08 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2020-12-31 00:00:00
abstract：:The advancement of implementation science is dependent on identifying assessment strategies that can address implementation and clinical outcome variables in ways that are valid, relevant to stakeholders, and scalable. This paper presents a measurement agenda for implementation science that integrates the previously d...
journal_title：Translational behavioral medicine
pub_type： 杂志文章,评审
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更新日期：2017-09-01 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
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更新日期：2020-07-27 00:00:00
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journal_title：Translational behavioral medicine
pub_type： 杂志文章
doi：10.1007/s13142-016-0426-4
更新日期：2016-12-01 00:00:00
