Cognitive Behavioral Therapy for Insomnia (CBTi) in Patients With Mental Illness
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Insomnia
- Sponsor
- Diakonhjemmet Hospital
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Change in severity of insomnia
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Insomnia is common in patients with co-morbid mental illness and sleeping difficulties is a frequent complaint in most psychological disorders. Mental illness may cause sleep problems, however, sleep problems like insomnia, may also cause or exacerbate mental illness. Insomnia may aggravate symptoms of depression, anxiety and fatigue, and reduce daily functioning in patients with co-morbid insomnia and mental illness. This project aims to evaluate a course offered to patients with insomnia and mental illness at Diakonhjemmet Hospital. The course is based on cognitive behavioral therapy, a documented treatment for insomnia.
Investigators
Kåre Osnes
Principal Investigator
Diakonhjemmet Hospital
Eligibility Criteria
Inclusion Criteria
- •Men and women over 18 years with insomnia and co-morbid mental illness.
- •Is a patient and receiving treatment for mental illness at Department of Psychiatry, Diakonhjemmet Hospital, at time of referral to the course
Exclusion Criteria
- •Unable to provide informed consent
- •Unable to read and/or understand Norwegian
- •Unable to complete a survey
- •Severe mental disorder, e.g. schizophrenia and bipolar disorder type I
- •Mental retardation or dementia
- •Known substance abuse
- •Other sleep disorder, e.g. narcolepsy and hypersomnia
Outcomes
Primary Outcomes
Change in severity of insomnia
Time Frame: At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.
All patients included in the study will be asked to complete the Insomnia Severity Index (ISI; Minimum value = 0; Maximum value = 4. Higher scores mean worse outcome) to assess for any changes in symptoms of insomnia.
Change in symptoms of insomnia
Time Frame: At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.
All patients included in the study will be asked to complete the Bergen Insomnia Scale ( Minimum value = 0; Maximum value = 7. Higher scores mean worse outcome) to assess for any changes in symptoms of insomnia.
Secondary Outcomes
- Change in daytime rumination about tiredness and negative consequences of lack of sleep(At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.)
- Change in symptoms of depression(At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.)
- Change in somatic symptoms(At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.)
- Change in symptoms of anxiety(At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.)
- Change in sleep efficiency(Calculations of sleep efficiency at baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course, will be compared.)
- Change in dysfunctional beliefs and attitudes about sleep(At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.)
- Change in compliance with sleep hygiene measures(At baseline (before first session), at session 6 (last ordinary session, 5-7 weeks after baseline), at session 7 (2 months after last ordinary session) and 6 months after completing the course.)