Pchelina, Polina; Duss, Simone B.; Bernasconi, Corrado; Berger, Thomas; Krieger, Tobias; Bassetti, Claudio L. A.; Urech, Antoine (2023). Guided Internet-Based Cognitive Behavioral Therapy for Insomnia: Prognostic and Treatment-Predictive Factors. Diagnostics, 13(4) MDPI 10.3390/diagnostics13040781
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Understanding which factors predict the outcome of internet-based cognitive behavioral therapy for insomnia (iCBT-I) may help to tailor this intervention to the patient's needs. We have conducted a secondary analysis of a randomized, controlled trial comparing a multicomponent iCBT-I (MCT) and an online sleep restriction therapy (SRT) for 83 chronic insomnia patients. The difference in the Insomnia Severity Index from pre- to post-treatment and from pre-treatment to follow-up at 6 months after treatment was the dependent variable. Prognostic and treatment-predictive factors assessed at baseline were analyzed with multiple linear regression. The shorter duration of insomnia, female gender, high health-related quality of life, and the higher total number of clicks had prognostic value for a better outcome. Other factors were found to be prognostic for outcome at the follow-up assessment: treatment with benzodiazepines, sleep quality, and personal significance of sleep problems. A high level of dysfunctional beliefs and attitudes about sleep (DBAS) was a moderator for better effects in the MCT at post-treatment assessment. Various prognostic factors (e.g., duration of insomnia, gender, or quality of life) may influence the success of treatment. The DBAS scale may be recommended to select patients for MCT rather than SRT.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy 04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology 07 Faculty of Human Sciences > Institute of Psychology |
UniBE Contributor: |
Duss, Simone, Bernasconi, Corrado Angelo, Berger, Thomas (B), Krieger, Tobias, Bassetti, Claudio L.A., Urech, Antoine Jan |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2075-4418 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
03 Mar 2023 16:55 |
Last Modified: |
29 Mar 2023 23:38 |
Publisher DOI: |
10.3390/diagnostics13040781 |
PubMed ID: |
36832269 |
Uncontrolled Keywords: |
chronic insomnia cognitive behavioral therapy of insomnia internet-based intervention sleep restriction |
BORIS DOI: |
10.48350/179258 |
URI: |
https://boris.unibe.ch/id/eprint/179258 |
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