Internet-delivered Cognitive Behaviour Therapy for Adolescents With Co-morbid Insomnia Attending Children and Youth Psychiatry: An Open Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dyssomnias
- Sponsor
- Uppsala University Hospital
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Insomnia Severity Index (ISI; Morin, 1993)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Insomnia is a commonly reported comorbidity for adolescents with psychiatric conditions. It is well-known that insomnia can exacerbate the concurrent psychiatric symptom load. Treatment of insomnia has been extensively examined in adults, but studies with adolescents are sparse. The purpose of this pilot study is to assess the feasibility and efficacy of internet-based cognitive behavioral therapy for insomnia (iCBT) in outpatients of Children and Youth Psychiatry. Twenty-one adolescents will be recruited and receive 7 weeks of iCBT. Outcome will be measured at pre treatment, at post treatment and at a three months follow-up. Weekly assessments will also be made during treatment on primary outcome and a presumed process variable constructed for the purpose of this trial.
Investigators
Vendela Zetterqvist
Ph D, licensed psychologist
Uppsala University Hospital
Eligibility Criteria
Inclusion Criteria
- •To fulfill the diagnostic criteria for insomnia
- •To have access to a computer with Internet connection
- •No previous or ongoing CBT for insomnia
- •No psychotropic medication or being on a stable dosage for at least six weeks before enrollment
Exclusion Criteria
- •Ongoing manic or psychotic episode
- •Being at high risk of triggering manic or psychotic episode
- •Ongoing sleep apnea
Outcomes
Primary Outcomes
Insomnia Severity Index (ISI; Morin, 1993)
Time Frame: Pre treatment, weekly during treatment (e.g. from date of treatment start for seven weeks until treatment is terminated), post treatment (e.g. seven weeks after the patient has started treatment), 3 month follow-up
Given that this is an intervention study we are assessing changes in outcome over time.
Secondary Outcomes
- Montgomery-Åsberg Depression Rating Scale - Self report (MADRS-S; Svanborg & Åsberg, 1994)(Pre treatment, post treatment (e.g. seven weeks after the patient has started treatment), 3 month follow-up)
- The Core Consensus Sleep Diary (Core CSD; Carney et al., 2012)(Pre treatment, weekly during treatment (e.g. from date of treatment start for seven weeks until treatment is terminated), post treatment (e.g. seven weeks after the patient has started treatment), 3 month follow-up)
- Symptoms Checklist (SCL-90; Derogatis et al., 1994)(Pre treatment, post treatment (e.g. seven weeks after the patient has started treatment), 3 month follow-up)