Modified Cognitive Behavioral Therapy for Insomnia in Depressed Adolescents: A Pilot Study.
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| Title: | Modified Cognitive Behavioral Therapy for Insomnia in Depressed Adolescents: A Pilot Study. |
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| Authors: | Conroy, Deirdre A., Czopp, Alison M., Dore-Stites, Dawn M., Dopp, Richard R., Armitage, Roseanne, Hoban, Timothy F., Arnedt, J. Todd |
| Source: | Behavioral Sleep Medicine. Mar/Apr2019, Vol. 17 Issue 2, p99-111. 13p. 1 Diagram, 2 Charts. |
| Subjects: | Insomnia treatment, Depression in adolescence, Cognitive therapy for teenagers, Behavior therapy for teenagers, Treatment of diseases in teenagers |
| Abstract: | Objective/Background: The purpose of the study was to pilot a five-week insomnia treatment in adolescents with major depressive disorder (MDD) and insomnia. This was an open-label trial of a modified-group cognitive behavioral therapy for insomnia (CBTI). Participants: Adolescents with MDD (n = 16; mean age = 17.3 +/- 1.7), characterized by the Children's Depression Rating Scale-Revised T-score ≥ 55 and insomnia, characterized by > 30 min to fall or return to sleep and an Insomnia Severity Index (ISI) score of ≥ 7 participated. Methods: Sleep diaries, actigraphy, weekly ISI, Quick Inventory of Depressive Symptomatology (QIDS), and Multidimensional Fatigue Inventory (MFI) were completed. Results: Paired t-tests comparing pre- and posttreatment revealed a decrease in sleep onset latency from 41 min +/- 14 min to 18 min +/- 8.9 min (t = 5.9, p =.004). Linear mixed modeling across sessions revealed that ISI (B = 11.0, SE = 0.94, p <.001), QIDS (B = 11.3, SE = 0.96, p <.001), and MFI (B = 30.0, SE = 4.4, p <.001) improved across treatment. Daily sleep diaries showed decreased wake during the night (B = 22.8, SE = 7.19, p =.008), increased sleep time (B = 382.4, SE = 71.89, p <.001), and increased quality of sleep (B = 3.7, SE = 0.37, p <.001). When asked whether group members would recommend this group, 27% responded "yes" and 73% responded "definitely yes." Conclusions: Additional controlled studies utilizing sleep-focused therapy in depressed adolescents with insomnia are warranted. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective/Background: The purpose of the study was to pilot a five-week insomnia treatment in adolescents with major depressive disorder (MDD) and insomnia. This was an open-label trial of a modified-group cognitive behavioral therapy for insomnia (CBTI). Participants: Adolescents with MDD (n = 16; mean age = 17.3 +/- 1.7), characterized by the Children's Depression Rating Scale-Revised T-score ≥ 55 and insomnia, characterized by > 30 min to fall or return to sleep and an Insomnia Severity Index (ISI) score of ≥ 7 participated. Methods: Sleep diaries, actigraphy, weekly ISI, Quick Inventory of Depressive Symptomatology (QIDS), and Multidimensional Fatigue Inventory (MFI) were completed. Results: Paired t-tests comparing pre- and posttreatment revealed a decrease in sleep onset latency from 41 min +/- 14 min to 18 min +/- 8.9 min (t = 5.9, p =.004). Linear mixed modeling across sessions revealed that ISI (B = 11.0, SE = 0.94, p <.001), QIDS (B = 11.3, SE = 0.96, p <.001), and MFI (B = 30.0, SE = 4.4, p <.001) improved across treatment. Daily sleep diaries showed decreased wake during the night (B = 22.8, SE = 7.19, p =.008), increased sleep time (B = 382.4, SE = 71.89, p <.001), and increased quality of sleep (B = 3.7, SE = 0.37, p <.001). When asked whether group members would recommend this group, 27% responded "yes" and 73% responded "definitely yes." Conclusions: Additional controlled studies utilizing sleep-focused therapy in depressed adolescents with insomnia are warranted. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 15402002 |
| DOI: | 10.1080/15402002.2017.1299737 |
