Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy.

Background: Insomnia is common in adolescents. This study evaluated feasibility and preliminary efficacy of a six-week internet-delivered cognitive-behavioral therapy for insomnia (ICBT-I) in adolescents. Methods: In this uncontrolled pilot study, participants (n = 27, 78% female) completed assessme...

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Publicado en:Clinical Child Psychology & Psychiatry Vol. 29; no. 3; pp. 1159 - 1174
Autores principales: Åslund, Li, Jernelöv, Susanna, Serlachius, Eva, Vigerland, Sarah, Wicksell, Rikard K, Henje, Eva, Lekander, Mats
Formato: clinical trial research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2024
      vid: 29
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy.
      aug:
        au:
          Åslund, Li
          Jernelöv, Susanna
          Serlachius, Eva
          Vigerland, Sarah
          Wicksell, Rikard K
          Henje, Eva
          Lekander, Mats
        affil: Department of Clinical Neuroscience, 27106 Karolinska Institutet, Sweden
      sug:
        subj:
          Internet-Based Intervention
          Cognitive Therapy
          Insomnia Therapy
          Treatment Outcomes
          Human
          Adolescence
          Pilot Studies
          Male
          Female
          Descriptive Statistics
          Pretest-Posttest Design
          Funding Source
          Self Report
          Clinical Trials
          Depression Prevention and Control
          Generalized Anxiety Disorder Prevention and Control
          Activities of Daily Living
          Insomnia Symptoms
          Patient Compliance
          Sleep Latency
          Sleep Quality
          Sleep Duration
          Disorders of Excessive Somnolence Prevention and Control
          Functional Status
          Comorbidity
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Insomnia is common in adolescents. This study evaluated feasibility and preliminary efficacy of a six-week internet-delivered cognitive-behavioral therapy for insomnia (ICBT-I) in adolescents. Methods: In this uncontrolled pilot study, participants (n = 27, 78% female) completed assessments pre- and post intervention. Data on recruitment, adherence to treatment, treatment activity, satisfaction and credibility was collected to assess feasibility. Self-reported insomnia symptoms, sleep parameters as well as depression, anxiety and daytime function were also assessed. Results: Participants showed good adherence to treatment and found the intervention overall credible and satisfactory. From pre- to post-assessment, statistically significant improvements were found for insomnia symptoms (p <.001; d = 1.02), sleep onset latency (p <.001; d =.39), wake after sleep onset (p =.001; d =.34), sleep efficiency (p <.001; d =.5) and depression (p =.01, d =.37). Changes in scores of total sleep time, generalized anxiety, daytime sleepiness and functional disability were not significant. Conclusions: The present study indicates that ICBT-I is well accepted by adolescents, that insomnia symptoms and sleep parameters can improve following the intervention, and that co-morbid symptoms of depression can be reduced. Due to the limited sample size and the uncontrolled design, the suggested results need to be replicated in well-powered controlled clinical trials.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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