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Cognitive-behavioral group therapy as an early intervention for insomnia.

08 Aug

Researchers from Orebro Medical Center in Sweden conducting a controlled, randomized clinical trial, find that people with insomnia improve significantly and stay improved at one year follow-up when offered cognitive-behavioral training.

Researchers from the Department of Occupational and Environmental Medicine at Orebro Medical Center in Orebro, Sweden conducted a randomized, controlled clinical trial to compare the effects of a cognitive-behavioral group intervention with a self-help information package on patients with insomnia.

One hundred sixty-five patients seeking care for insomnia of 3-12 months duration were randomized to either the group receiving a CBT intervention or the group receiving a self-help information package. At the 1-yr follow-up, 136 participants had completed the entire study.

The study found that the CBT group intervention was effective in reducing dysfunctional beliefs and attitudes about sleep and negative daytime symptoms, as well as producing vital improvements in sleep (time to sleep onset, time awake after sleep onset, total sleep time, sleep quality, and sleep efficiency).

When compared with the control group, the study found that significantly more participants in the CBT group met criteria at the 1-yr follow-up for clinically meaningful improvements in sleep onset latency, time awake after sleep onset, and sleep efficiency.

The study concludes that a CBT group intervention may well be a viable early intervention for patients with insomnia.

Citation: Jansson M, Linton SJ. Cognitive-behavioral group therapy as an early intervention for insomnia: a randomized controlled trial. Journal of Occupational Rehabilitation. 2005 Jun; 15 (2): pages 177-90.
Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award