| dc.contributor | 心理系 | |
| dc.creator (作者) | 楊建銘 | |
| dc.creator (作者) | Yang, Chien-Ming | |
| dc.creator (作者) | Ubara, Ayaka;Tanizawa, Noriko;Harata, Megumi;Suh, Sooyeon;Li, Xin;Okajima, Isa | |
| dc.date (日期) | 2022-04 | |
| dc.date.accessioned | 31-Jan-2023 14:24:07 (UTC+8) | - |
| dc.date.available | 31-Jan-2023 14:24:07 (UTC+8) | - |
| dc.date.issued (上傳時間) | 31-Jan-2023 14:24:07 (UTC+8) | - |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/142950 | - |
| dc.description.abstract (摘要) | This study examined whether cognitive behavioral therapy (CBT) for insomnia (CBT-I) improved insomnia severity, by changing sleep-related mediating factors. It also examined whether an improvement in insomnia led to enhanced mental health. This study was a secondary analysis of a randomized controlled trial of e-mail-delivered CBT-I for young adults with insomnia. The participants were randomized to either CBT-I or self-monitoring. The mental health-related measures were depression, anxiety, and stress. The sleep-related mediating factors were sleep hygiene practices, dysfunctional beliefs, sleep reactivity, and pre-sleep arousal. A total of 41 participants, who completed all the sessions (71% females; mean age 19.71 ± 1.98 years), were included in the analysis. The hierarchical multiple regression analysis showed that 53% of the variance in the improvements in insomnia severity was explained by the treatment group (β = −0.53; ΔR2 = 0.25; p < 0.01) and the changes in sleep reactivity (β = 0.39; ΔR2 = 0.28; p < 0.05). Moreover, the mediation analysis showed that the reductions in depression and stress were explained by the changes in insomnia severity; however, anxiety symptoms were not reduced. CBT-I for young adults suggested that sleep reactivity is a significant mediator that reduces insomnia severity, and that the alleviation and prevention of depression and stress would occur with the improvement in insomnia. | |
| dc.format.extent | 102 bytes | - |
| dc.format.mimetype | text/html | - |
| dc.relation (關聯) | International Journal of Environmental Research and Public Health, Vol.19, No.8, 4423 | |
| dc.subject (關鍵詞) | insomnia; depression; anxiety; stress; cognitive behavioral therapy; mediator; college students | |
| dc.title (題名) | How does e-mail delivered cognitive behavioral therapy work for young adults (18–28 Years) with Insomnia? Mediators of changes in insomnia, depression, anxiety, and stress | |
| dc.type (資料類型) | article | |
| dc.identifier.doi (DOI) | 10.3390/ijerph19084423 | |
| dc.doi.uri (DOI) | https://doi.org/10.3390/ijerph19084423 | |
