| dc.contributor | 心理系 | |
| dc.creator (作者) | 楊建銘 | |
| dc.creator (作者) | Yang, Chien-Ming | |
| dc.creator (作者) | Okajima, Isa;Tanizawa, Noriko;Harata, Megumi;Suh, Sooyeon;Li, Shirley Xin, Trockel, Mickey T. | |
| dc.date (日期) | 2021-12 | |
| dc.date.accessioned | 23-Aug-2022 15:08:29 (UTC+8) | - |
| dc.date.available | 23-Aug-2022 15:08:29 (UTC+8) | - |
| dc.date.issued (上傳時間) | 23-Aug-2022 15:08:29 (UTC+8) | - |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/141500 | - |
| dc.description.abstract (摘要) | This study examined the effects of an e-mail-delivered cognitive behavioral therapy for insomnia (CBT-I), validated in Western countries, on insomnia severity, anxiety, and depression in young adults with insomnia in Eastern countries, particularly Japan. This prospective parallel-group randomized clinical trial included college students with Insomnia Severity Index (ISI) scores of ten or higher. Participants were recruited via advertising on a university campus and randomized to an e-mail-delivered CBT-I (REFRESH) or self-monitoring (SM) with sleep diaries group. The primary outcomes were insomnia severity, anxiety, and depression; secondary outcomes were sleep hygiene practices, dysfunctional beliefs, sleep reactivity, and pre-sleep arousal. All measurements were assessed before and after the intervention. A total of 48 participants (mean (SD) age, 19.56 (1.86) years; 67% female) were randomized and included in the analysis. The results of the intent-to-treat analysis showed a significant interaction effect for insomnia severity, anxiety, depression, sleep hygiene practice, and pre-sleep arousal. Compared with the SM group, the REFRESH group was more effective in reducing insomnia severity (Hedges’ g = 1.50), anxiety (g = 0.97), and depression (g = 0.61) post-intervention. These findings suggest that an e-mail-delivered CBT-I may be an effective treatment for young adults with elevated insomnia symptoms living in Japan. | |
| dc.format.extent | 102 bytes | - |
| dc.format.mimetype | text/html | - |
| dc.relation (關聯) | International Journal of Environmental Research and Public Health, 19(1), 186 | |
| dc.subject (關鍵詞) | insomnia; depression; anxiety; self-help; cognitive behavioral therapy; self-monitoring | |
| dc.title (題名) | Can an e-mail-delivered CBT for insomnia validated in the West be effective in the East? A randomized controlled trial | |
| dc.type (資料類型) | article | |
| dc.identifier.doi (DOI) | https://doi.org/10.3390/ijerph19010186 | |
| dc.doi.uri (DOI) | 10.3390/ijerph19010186 | |
