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How does cognitive behavioral therapy for insomnia work?: An investigation of cognitive processes and time in bed as outcomes and mediators in a sample with insomnia and depressive symptomatology
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health (from 2013).ORCID iD: 0000-0003-2008-0784
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).ORCID iD: 0000-0002-9688-5805
Karolinska institutet, Stockholm.
Örebro universitet.
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2017 (English)In: International Journal of Cognitive Therapy, ISSN 1937-1209, E-ISSN 1937-1217, Vol. 10, no 4, p. 304-329Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to gain a greater understanding of the five cognitive processes from the cognitive model of insomnia, negative automatic thoughts, and time in bed as outcomes and potential mediators of cognitive behavioral therapy for insomnia (CBT-I), in a sample with insomnia and depressive symptomatology. Sixty-four participants were randomized to receive either CBT-I or an active control (relaxation training: RT) in groups during four biweekly sessions. Insomnia, depressive severity, and the potential processes of change were measured pre-, mid-, and post-treatment. CBT-I was associated with greater reductions of dysfunctional beliefs about sleep, sleep-related safety behaviors, and time in bed compared to RT. Mid-treatment dysfunctional beliefs about sleep was the only process that mediated between CBT-I and outcomes on insomnia and depressive severity, respectively. The relationships were reciprocal. Dysfunctional beliefs about sleep may be a transdiagnostic process of both insomnia and depression.

Place, publisher, year, edition, pages
Guilford Publications, 2017. Vol. 10, no 4, p. 304-329
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-66189ISI: 000423606400003OAI: oai:DiVA.org:kau-66189DiVA, id: diva2:1181689
Available from: 2018-02-09 Created: 2018-02-09 Last updated: 2018-06-12Bibliographically approved

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Norell-Clarke, AnnikaTillfors, Maria

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Centre for Research on Child and Adolescent Mental Health (from 2013)Department of Social and Psychological Studies (from 2013)
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CiteExportLink to record
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