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題名 Efficacy of email-delivered versus face-to-face group cognitive behavioral therapy for insomnia in youths: A randomized controlled trial
作者 楊建銘
Yang, Chien-Ming
Chan, Ngan Yan;Lam, Siu Ping;Zhang, Jihui;Chan, Joey Wing Yan;Yu, Mandy Man Wai;Suh, Sooyeon;Okajima, Isa;Li, Albert Martin;Wing, Yun Kwok;Li, Shirley Xin
貢獻者 心理系
關鍵詞 SleepInsomnia; Group-based; Email-delivered; Self-help; Cognitive behavioral therapy; Youths; Adolescence
日期 2022-05
上傳時間 23-八月-2022 15:08:39 (UTC+8)
摘要 Purpose
     The purpose of the study was to compare the efficacy of group-based therapy (GT) and email-delivered self-help (ESH) cognitive behavioral therapy for insomnia (CBT-I) with the wait-list (WL) control group in youths.
     
     Methods
     The study involved an assessor-blind, parallel group randomized controlled trial in youths meeting the diagnostic criteria for insomnia disorder. Participants were randomized to one of the three groups (8-week GT, 8-week ESH, or WL). Participants in all three groups were assessed at baseline and after treatment (week 9 for the WL group). The two treatment groups were additionally assessed at one month and six months after the intervention. Treatment effects were examined using linear mixed models.
     
     Results
     A total of 135 youths (mean age: 20.0 ± 2.5 years, female: 67.4%) were recruited. After treatment, both active treatment groups showed significant improvements in insomnia symptoms (GT vs. WL: Cohen`s d = −1.03, ESH vs. WL: d = −.63), less presleep arousal (d = −.52 to −1.47), less sleep-related dysfunctional belief (d = −.88 to −1.78), better sleep hygiene practice (d = −.79 to −.84), and improved daytime functioning (d = −.56 to −.96) compared with the WL group. In addition, GT outperformed ESH in improving maladaptive sleep-related beliefs and mood symptoms at post-treatment and 6-month follow-up. A reduction of suicidality with moderate effect size favoring GT emerged at 6-month follow-up.
     
     Discussion
     Our findings suggested that both group-based and email-delivered CBT-I were effective in treating youth insomnia, but group-based CBT-I showed superior effects on reducing maladaptive beliefs and mood symptoms.
關聯 Journal of Adolescent Health, 70(5), 763-773
資料類型 article
DOI https://doi.org/10.1016/j.jadohealth.2021.11.005
dc.contributor 心理系-
dc.creator (作者) 楊建銘-
dc.creator (作者) Yang, Chien-Ming-
dc.creator (作者) Chan, Ngan Yan;Lam, Siu Ping;Zhang, Jihui;Chan, Joey Wing Yan;Yu, Mandy Man Wai;Suh, Sooyeon;Okajima, Isa;Li, Albert Martin;Wing, Yun Kwok;Li, Shirley Xin-
dc.date (日期) 2022-05-
dc.date.accessioned 23-八月-2022 15:08:39 (UTC+8)-
dc.date.available 23-八月-2022 15:08:39 (UTC+8)-
dc.date.issued (上傳時間) 23-八月-2022 15:08:39 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/141502-
dc.description.abstract (摘要) Purpose
     The purpose of the study was to compare the efficacy of group-based therapy (GT) and email-delivered self-help (ESH) cognitive behavioral therapy for insomnia (CBT-I) with the wait-list (WL) control group in youths.
     
     Methods
     The study involved an assessor-blind, parallel group randomized controlled trial in youths meeting the diagnostic criteria for insomnia disorder. Participants were randomized to one of the three groups (8-week GT, 8-week ESH, or WL). Participants in all three groups were assessed at baseline and after treatment (week 9 for the WL group). The two treatment groups were additionally assessed at one month and six months after the intervention. Treatment effects were examined using linear mixed models.
     
     Results
     A total of 135 youths (mean age: 20.0 ± 2.5 years, female: 67.4%) were recruited. After treatment, both active treatment groups showed significant improvements in insomnia symptoms (GT vs. WL: Cohen`s d = −1.03, ESH vs. WL: d = −.63), less presleep arousal (d = −.52 to −1.47), less sleep-related dysfunctional belief (d = −.88 to −1.78), better sleep hygiene practice (d = −.79 to −.84), and improved daytime functioning (d = −.56 to −.96) compared with the WL group. In addition, GT outperformed ESH in improving maladaptive sleep-related beliefs and mood symptoms at post-treatment and 6-month follow-up. A reduction of suicidality with moderate effect size favoring GT emerged at 6-month follow-up.
     
     Discussion
     Our findings suggested that both group-based and email-delivered CBT-I were effective in treating youth insomnia, but group-based CBT-I showed superior effects on reducing maladaptive beliefs and mood symptoms.
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dc.format.extent 112 bytes-
dc.format.mimetype text/html-
dc.relation (關聯) Journal of Adolescent Health, 70(5), 763-773-
dc.subject (關鍵詞) SleepInsomnia; Group-based; Email-delivered; Self-help; Cognitive behavioral therapy; Youths; Adolescence-
dc.title (題名) Efficacy of email-delivered versus face-to-face group cognitive behavioral therapy for insomnia in youths: A randomized controlled trial-
dc.type (資料類型) article-
dc.identifier.doi (DOI) 10.1016/j.jadohealth.2021.11.005-
dc.doi.uri (DOI) https://doi.org/10.1016/j.jadohealth.2021.11.005-