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Titolo:
Insomniacs' reported use of CBT components and relationship to long-term clinical outcome
Autore:
Harvey, L; Inglis, SJ; Espie, CA;
Indirizzi:
Univ Glasgow, Dept Psychol Med, Acad Ctr, Gartnavel Royal Hosp, Glasgow G12 0YN, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland G12 0YN ow G12 0YN, Lanark, Scotland
Titolo Testata:
BEHAVIOUR RESEARCH AND THERAPY
fascicolo: 1, volume: 40, anno: 2002,
pagine: 75 - 83
SICI:
0005-7967(200201)40:1<75:IRUOCC>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
NONPHARMACOLOGIC TREATMENT; PHARMACOLOGICAL THERAPIES;
Keywords:
insomnia; sleep; cognitive behavioural treatment; predictors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Espie, CA Univ Glasgow, Dept Psychol Med, Acad Ctr, Gartnavel Royal Hosp, 1055 GreatWestern Rd, Glasgow G12 0YN, Lanark, Scotland Univ Glasgow 1055 Great Western Rd Glasgow Lanark Scotland G12 0YN
Citazione:
L. Harvey et al., "Insomniacs' reported use of CBT components and relationship to long-term clinical outcome", BEHAV RES T, 40(1), 2002, pp. 75-83

Abstract

Although there is considerable evidence for the efficacy of non-pharmacological treatment of insomnia, many of the larger trials have delivered CBT in multicomponent format. This makes it impossible to identify critical ingredients responsible for improvement. Furthermore, compliance with home implementation is difficult to ascertain in psychological therapies, and even more so when trying to differentiate across a range of elements. In the present report, 90 patients who had completed 12 month follow-up after participation in a clinical effectiveness study of CBT in general medical practice,responded to a questionnaire asking them about their use of the ten components of the programme. Reports of home use were then entered as predictors of clinical response to treatment. Results indicated that reported home useof stimulus control/sleep restriction was the best predictor of clinical improvement in sleep latency and nighttime wakefulness. Cognitive restructuring also contributed significantly to reduction in wakefulness. In spite ofbeing the most highly endorsed component (by 79% of respondents) use of relaxation did not predict improvement on any variable. Similarly, sleep hygiene was unrelated to sleep pattern change and use of imagery training was modestly predictive of poor response in terms of sleep latency. There are methodological limitations to this type of post hoc analysis, nevertheless, these results being derived from a large patient outcome series raise important issues both for research and clinical practice. (C) 2001 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 05:58:05