Cognitive behavioural therapy for insomnia for patients with co-morbid generalized anxiety disorder: an open trial on clinical outcomes and putative mechanisms.

Abstract:

BACKGROUND:Very little is known concerning the efficacy of psychosocial treatments for patients with insomnia disorder co-morbid with generalized anxiety disorder (GAD). AIM:The aim was to examine the efficacy of cognitive behavioral therapy for insomnia (CBT-I) for patients with insomnia disorder co-morbid with GAD. METHOD:Given the limited, previous research on therapies for patients with insomnia disorder co-morbid with GAD, an open trial design was used. Twenty-four patients with insomnia disorder and GAD were administered CBT-I across 10 weeks. Across the study period to 6 months follow-up, the participants completed measures indexing insomnia, anxiety, worry, depression, functional impairment, quality of life, treatment perception (credibility, expectancy and satisfaction), adverse events and putative mechanisms. RESULTS:Moderate to large effect sizes for CBT-I were observed for insomnia symptoms. In terms of insomnia severity, approximately 61% of the patients responded to CBT-I and 26-48% remitted. Moderate to large effect sizes were also demonstrated for GAD symptoms, depression, functional impairment and quality of life. Roughly one-third of the participants reported an adverse event during CBT-I. Five of the seven putative mechanisms were significantly reversed in the expected direction, i.e. all four cognitive process measures and time in bed. CONCLUSIONS:This open trial indicates that CBT-I is an efficacious intervention for patients with insomnia disorder co-morbid with GAD. The results highlight the need for further research using a randomized controlled trial design with analyses of mechanisms of change.

journal_name

Behav Cogn Psychother

authors

Jansson-Fröjmark M,Jacobson K

doi

10.1017/S1352465821000023

subject

Has Abstract

pub_date

2021-01-28 00:00:00

pages

1-16

eissn

1352-4658

issn

1469-1833

pii

S1352465821000023

pub_type

杂志文章
  • Cognitive-behavioural bibliotherapy for hypochondriasis: a pilot study.

    abstract:AIMS:The present study aims to determine whether cognitive-behavioural minimal contact bibliotherapy is acceptable to participants suffering from DSM-IV-TR hypochondriasis, and whether this intervention is able to reduce hypochondriacal complaints, as well as comorbid depressive complaints and trait anxiety. METHOD:Pa...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809005293

    authors: Buwalda FM,Bouman TK

    更新日期:2009-05-01 00:00:00

  • Cognitive Behavioural Therapy for Paruresis or "Shy Bladder Syndrome": A Case Study.

    abstract:BACKGROUND:Paruresis, or "shy bladder syndrome", is a relatively common anxiety disorder, yet little is known about the causes of, and effective treatments for this disabling condition. AIM:This report describes a case study in which a man (Peter) presenting with paruresis was treated using formulation-driven CBT, whi...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465816000321

    authors: Hambrook D,Taylor T,Bream V

    更新日期:2017-01-01 00:00:00

  • Therapist characteristics and their effect on training outcomes: what counts?

    abstract:BACKGROUND:Evidence exists for a relationship between individual characteristics and both job and training performance; however relationships may not be generalizable. Little is known about the impact of therapist characteristics on performance in postgraduate therapist training programmes. AIMS:The aim of this study ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000642

    authors: Branson A,Shafran R

    更新日期:2015-05-01 00:00:00

  • What are Clients Asking Their Therapist During Therapist-Assisted Internet-Delivered Cognitive Behaviour Therapy? A Content Analysis of Client Questions.

    abstract:BACKGROUND:Although internet-delivered cognitive behaviour therapy (ICBT) yields large clinical outcomes when accompanied by therapeutic support, a portion of clients do not benefit from treatment. In ICBT, clients review treatment materials online typically on a weekly basis. A key component of therapist-assistance in...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465818000668

    authors: Soucy JN,Hadjistavropoulos HD,Pugh NE,Dear BF,Titov N

    更新日期:2019-07-01 00:00:00

  • Exploring perceptions of "wellness" in black ethnic minority individuals at risk of developing psychosis.

    abstract:BACKGROUND:The NICE Schizophrenia guidelines (NICE, 2009, Update) recommend that services should address cultural differences in treatment, expectations and adherence, and clients' explanatory models of illness should be better understood. Service users from Black African and Black Caribbean communities are overreprese...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000707

    authors: Codjoe L,Byrne M,Lister M,McGuire P,Valmaggia L

    更新日期:2013-03-01 00:00:00

  • Behavioural and Cognitive Psychotherapy: A Descriptive Review (2000 to July 2016).

    abstract:BACKGROUND:The Behavioural and Cognitive Psychotherapy (BCP) Journal is the main academic publication of the British Association for Behavioural and Cognitive Psychotherapies. It publishes empirical studies, reviews and theoretical papers, brief reports and single cases. AIM:To describe the main areas of interest and ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000121

    authors: Caro Gabalda I

    更新日期:2017-07-01 00:00:00

  • Adapted CBT to Stabilize Sleep on Psychiatric Wards: a Transdiagnostic Treatment Approach.

    abstract:BACKGROUND:Almost all patients admitted at acute crisis to a psychiatric ward experience clinically significant symptoms of insomnia. Ward environments pose challenges to both sleep and the delivery of therapy. Despite this, there is no description of how to adapt cognitive behavioural therapy (CBT) for insomnia to ove...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000789

    authors: Sheaves B,Isham L,Bradley J,Espie C,Barrera A,Waite F,Harvey AG,Attard C,Freeman D

    更新日期:2018-11-01 00:00:00

  • Positive beliefs about rumination are associated with ruminative thinking and affect in daily life: evidence for a metacognitive view on depression.

    abstract:BACKGROUND:Self-regulatory executive function theory (Wells and Matthews, 1994; Wells, 2008) stresses the role of metacognitions in the development of emotional disorders. Within this metacognitive model, positive beliefs about ruminative thinking are thought to be a risk factor for engaging in rumination and subsequen...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000325

    authors: Kubiak T,Zahn D,Siewert K,Jonas C,Weber H

    更新日期:2014-09-01 00:00:00

  • An N = 1 evaluation of enhanced CBT supervision.

    abstract:BACKGROUND:Clinical supervision plays an essential role in the development of mental health professionals and is increasingly viewed as a discrete professional specialization. However, research has rarely addressed core issues such as the measurement and manipulation of clinical supervision, so there are very few direc...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000434

    authors: Milne DL,Reiser RP,Cliffe T

    更新日期:2013-03-01 00:00:00

  • The map of cognitive processes in boredom: multiple mediation models.

    abstract:BACKGROUND:Trait boredom is associated with several internalizing and externalizing problems. Addressing existing research gaps in the field, the present study investigated the map of cognitive processes for boredom, based on the rational emotive behaviour therapy model (REBT). AIMS:The general aim of the study was to...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000867

    authors: Milea I,Cardoş RAI,David D

    更新日期:2020-12-16 00:00:00

  • Social anxiety disorder in children: investigating the relative contribution of automatic thoughts, repetitive negative thinking and metacognitions.

    abstract:BACKGROUND:Social anxiety disorder (SAD) is common in youths. However, our understanding of SAD in children is inferior to that of SAD in adolescents or adults, and it is unclear if known adult SAD maintenance mechanisms may also operate in children with SAD. AIM:The paper sets out to investigate the specificity of po...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000430

    authors: Esbjørn BH,Falch A,Walczak MA,Normann N,Breinholst S

    更新日期:2020-07-28 00:00:00

  • Assessing Competence in Collaborative Case Conceptualization: Development and Preliminary Psychometric Properties of the Collaborative Case Conceptualization Rating Scale (CCC-RS).

    abstract:BACKGROUND:Case conceptualization is assumed to be an important element in cognitive-behavioural therapy (CBT) because it describes and explains clients' presentations in ways that inform intervention. However, we do not have a good measure of competence in CBT case conceptualization that can be used to guide training ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000691

    authors: Kuyken W,Beshai S,Dudley R,Abel A,Görg N,Gower P,McManus F,Padesky CA

    更新日期:2016-03-01 00:00:00

  • Cognitive behavioural responses to envy: development of a new measure.

    abstract:BACKGROUND:Envy is depicted as motivating destructive desires and actions intended to spoil or destroy that which is envied. AIM:To develop a new valid and reliable measure of malicious envy (C-BRES), which included items representing the cognitive, emotional and behavioural responses empirically associated with this ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000614

    authors: Jordan C,Vitoratou S,Siew Y,Chalder T

    更新日期:2020-07-01 00:00:00

  • Predictors of Treatment Discontinuation During Prolonged Exposure for PTSD.

    abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) is a highly prevalent and impairing condition for which there are several evidence-based psychotherapies. However, a significant proportion of patients fail to complete a 'sufficient dose' of psychotherapy, potentially limiting treatment gains. AIMS:The present study in...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S135246581700039X

    authors: Gros DF,Allan NP,Lancaster CL,Szafranski DD,Acierno R

    更新日期:2018-01-01 00:00:00

  • What do we mean by "socialization to the model"? A Delphi study.

    abstract:BACKGROUND:The term "socialization to the model" is frequently used in the Cognitive Behavioural Therapy (CBT) literature, but it is unclear exactly what constitutes socialization to the model and there is a paucity of research in this area. AIMS:This study aimed to develop a working definition of "socialization to th...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809005281

    authors: Roos J,Wearden A

    更新日期:2009-05-01 00:00:00

  • Internet-delivered Cognitive Behaviour Therapy for Depressive Symptoms: An Exploratory Examination of Therapist Behaviours and their Relationship to Outcome and Therapeutic Alliance.

    abstract:BACKGROUND:A previous study of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) for generalized anxiety (Paxling et al., 2013) identified eight distinct therapist behaviours in ICBT (task reinforcement, self-efficacy shaping, task prompting, alliance bolstering, psychoeducation, empathetic utter...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465816000254

    authors: Schneider LH,Hadjistavropoulos HD,Faller YN

    更新日期:2016-11-01 00:00:00

  • Beliefs about voices in voice-hearers: the role of schema functioning.

    abstract:BACKGROUND:Evidence is emerging that beliefs about voices are influenced by broader schematic beliefs about the self and others. Similarly, studies indicate that the relationship an individual has with their voice may mirror wider patterns of relating observed in social relationships, which may be influenced by schemat...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000399

    authors: Davenport B,Jackson M,Grange JA,Rydon-Grange M

    更新日期:2020-09-01 00:00:00

  • Physical appearance anxiety impedes the therapeutic effects of video feedback in high socially anxious individuals.

    abstract:BACKGROUND:Video feedback (VF) interventions effectively reduce social anxiety symptoms and negative self-perception, particularly when they are preceded by cognitive preparation (CP) and followed by cognitive review. AIMS:In the current study, we re-examined data from a study on the efficacy of a novel VF interventio...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465812001038

    authors: Orr EM,Moscovitch DA

    更新日期:2014-01-01 00:00:00

  • Resisting Urges to Self-Injure.

    abstract::The present study explored whether and how self-injurers attempt to resist urges to harm themselves. Participants were 39 young adults with a history of skin cutting and other non-suicidal self-injurious behaviors. A structured interview assessed the prevalence and perceived helpfulness of 48 methods for resisting sel...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465808004128

    authors: Klonsky ED,Glenn CR

    更新日期:2008-03-01 00:00:00

  • Linking Illness in Parents to Health Anxiety in Offspring: Do Beliefs about Health Play a Role?

    abstract:BACKGROUND:The cognitive behavioural (CB) model of health anxiety proposes parental illness leads to elevated health anxiety in offspring by promoting the acquisition of specific health beliefs (e.g. overestimation of the likelihood of illness). AIMS:Our study tested this central tenet of the CB model. METHOD:Partici...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000319

    authors: Alberts NM,Hadjistavropoulos HD,Sherry SB,Stewart SH

    更新日期:2016-01-01 00:00:00

  • Geographic inequity in the availability of cognitive behavioural therapy in England and Wales: a 10-year update.

    abstract:BACKGROUND:Improving access to psychological therapies, and in particular cognitive behavioural therapy (CBT), has been a health service priority in England and Wales over the past decade. The delivery of CBT has been limited by a scarcity of resources and further limited by the inequitable geographic distribution of C...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000568

    authors: Cavanagh K

    更新日期:2014-07-01 00:00:00

  • How technology influences the therapeutic process: evaluation of the patient-therapist relationship in augmented reality exposure therapy and in vivo exposure therapy.

    abstract:BACKGROUND:New technologies have slowly become a part of psychologists' therapeutic office. However, many therapists still have doubts about the possibility of creating a good therapeutic relationship with patients in the presence of technology. AIMS:This study evaluates the development of the therapeutic alliance in ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000088

    authors: Wrzesien M,Bretón-López J,Botella C,Burkhardt JM,Alcañiz M,Pérez-Ara MÁ,Del Amo AR

    更新日期:2013-07-01 00:00:00

  • An investigation of executive functioning, attention and working memory in compulsive hoarding.

    abstract:BACKGROUND:Compulsive Hoarding involves the acquisition of, and failure to discard, a large number of possessions that appear to be useless or of limited value, cluttered living spaces and significant distress or impairment in functioning (Frost and Hartl, 1996). The problem is multifaceted and appears best explained b...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000835

    authors: McMillan SG,Rees CS,Pestell C

    更新日期:2013-10-01 00:00:00

  • Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot.

    abstract:BACKGROUND:Veterans are at high risk for suicide; emotion dysregulation may confer additional risk. Dialectical behaviour therapy (DBT) is a well-supported intervention for suicide attempt reduction in individuals with emotion dysregulation, but is complex and multi-component. The skills group component of DBT (DBT-SG)...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000122

    authors: Decker SE,Adams L,Watkins LE,Sippel LM,Presnall-Shvorin J,Sofuoglu M,Martino S

    更新日期:2019-09-01 00:00:00

  • Investigating cultural differences in the effects of expressive suppression when processing traumatic distressing material.

    abstract:BACKGROUND:While suppression is associated with detrimental post-traumatic psychological adjustment, research has not considered the effect of culture on this relationship. AIMS:This study investigated cultural differences in the effects of expressive suppression, whilst watching a traumatic film, on subjective distre...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465820000508

    authors: Nagulendran A,Norton PJ,Jobson L

    更新日期:2020-11-01 00:00:00

  • Does perfectionism impact adherence to homework assignment? A preliminary pilot study of perfectionism and procrastination of CBT homework.

    abstract:BACKGROUND:Homework assignments are generally viewed as an important factor of cognitive behaviour therapy (CBT). AIM:This study examined whether perfectionists procrastinate homework assignments. METHOD:Thirty-eight university students attended two sessions, 7 days apart from each other. After completing perfectioni...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000547

    authors: Kobori O,Dighton G,Hunter R

    更新日期:2020-03-01 00:00:00

  • Treating clinically significant avoidance of public transport following the London bombings?

    abstract:BACKGROUND:The present paper describes the cognitive-behavioural approach evolved and adapted to treat survivors of the London bombings experiencing fear and avoidance of public transport (travel phobia). METHOD:Treatment outcomes for a consecutive case series (N = 11) are reported. RESULTS:All individuals who comple...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465808004943

    authors: Handley RV,Salkovskis PM,Ehlers A

    更新日期:2009-01-01 00:00:00

  • Do you believe in magical thinking? Examining magical thinking as a mediator between obsessive-compulsive belief domains and symptoms.

    abstract:BACKGROUND:Despite substantial research attention on obsessive beliefs, more research is needed to understand how these beliefs serve as aetiological or maintaining factors for obsessive-compulsive (OC) symptoms. Magical thinking may allow individuals to gain a sense of control when experiencing intrusive thoughts and ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000132

    authors: Fite RE,Adut SL,Magee JC

    更新日期:2020-07-01 00:00:00

  • Core schemas across the continuum of psychosis: a comparison of clinical and non-clinical groups.

    abstract:BACKGROUND:Research suggests that core schemas are important in both the development and maintenance of psychosis. AIMS:The aim of the study was to investigate and compare core schemas in four groups along the continuum of psychosis and examine the relationships between schemas and positive psychotic symptomatology. ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1017/S1352465813000593

    authors: Taylor HE,Stewart SL,Dunn G,Parker S,Fowler D,Morrison AP

    更新日期:2014-11-01 00:00:00

  • Imagery rescripting for the treatment of trauma in voice hearers: a case series.

    abstract:BACKGROUND:High rates of trauma and post-traumatic stress disorder (PTSD) are reported in people who hear voices (auditory hallucinations). A recent meta-analysis of trauma interventions in psychosis showed only small improvements in PSTD symptoms and voices. Imagery Rescripting (ImRs) may be a therapy that is more eff...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000237

    authors: Paulik G,Steel C,Arntz A

    更新日期:2019-11-01 00:00:00