Change in Dysfunctional Beliefs About Sleep in Behavior Therapy, Cognitive Therapy, and Cognitive-Behavioral Therapy for Insomnia

Behavior Therapy
Polina EidelmanAllison G Harvey

Abstract

As part of a larger randomized controlled trial, 188 participants were randomized to behavior therapy (BT), cognitive therapy (CT), or cognitive-behavioral therapy (CBT) for insomnia. The aims of this study were threefold: (a) to determine whether change in dysfunctional beliefs about sleep was related to change in sleep, insomnia symptoms, and impairment following treatment; (b) to determine whether BT, CT, and CBT differ in their effects on dysfunctional beliefs; and (c) to determine whether the treatments differ in their effects on particular kinds of dysfunctional beliefs. Beliefs, sleep, insomnia symptoms, and sleep-related psychosocial impairment were assessed at pretreatment, posttreatment, and 6- and 12-month follow-up. Greater change in dysfunctional beliefs occurring over the course of BT, CT, or CBT was associated with greater improvement in insomnia symptoms and impairment at posttreatment and both follow-ups. All groups experienced a significant decrease in dysfunctional beliefs during treatment, which were sustained through 6- and 12-month follow-up. Compared with the BT group, a greater proportion of participants in the CT and/or CBT groups endorsed dysfunctional beliefs below a level considered clinically signif...Continue Reading

Associated Clinical Trials

Mar 26, 2009·Charles M. Morin

References

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Feb 14, 2013·Behavioural and Cognitive Psychotherapy·Markus Jansson-Fröjmark

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Citations

Mar 3, 2017·Transplant International : Official Journal of the European Society for Organ Transplantation·Xavier TorresFritz Diekmann
Dec 14, 2016·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Radhika S JoshiMitradas M Panicker
Dec 28, 2017·Journal of Sleep Research·Dan DenisAlice M Gregory
Oct 20, 2018·Applied Psychology. Health and Well-being·Enrico SellaErika Borella
Jul 5, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Erin KoffelJennifer P Wisdom
Feb 23, 2019·Behavioral Sleep Medicine·Soyoung YounSeockhoon Chung
Oct 3, 2018·The Journal of Nervous and Mental Disease·Andréanne RousseauGeneviève Belleville
Mar 16, 2019·Journal of Sleep Research·Melanie N SchneiderAlice M Gregory
Jul 2, 2020·International Journal of Environmental Research and Public Health·Kyeongmin KwakKyoung Sook Jeong
Sep 30, 2017·Clinical Gerontologist·Constance H FungCathy A Alessi
Aug 1, 2021·Journal of Sleep Research·Alex Catherine StainesJessica Bridges

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