Treatment bilateral factors of cognitive behavior therapy for insomnia from the perspective of patients
10.3760/cma.j.cn113661-20231014-00141
- VernacularTitle:患者视角下影响失眠认知行为治疗的治疗双方因素
- Author:
Jingfang LU
1
;
Jingru LI
;
Fangmei GE
;
Jie ZHANG
;
Jing ZHANG
;
Wanqi SUN
;
Wenqing ZHAO
;
Binbin SHI
;
Xin LUO
;
Chengmei YUAN
Author Information
1. 上海交通大学医学院附属精神卫生中心，上海200030
- Publication Type:Journal Article
- Keywords:
Sleep disorders;
Cognitive behavioral therapy for insomnia;
Treatment relationship;
Qualitative research
- From:
Chinese Journal of Psychiatry
2023;56(6):445-452
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The current study aims to explore the factors related to the efficacy of cognitive behavior therapy for insomnia (CBT-I) from the perspective of patients and to provide references for more effective implementation of CBT-I.Methods:Using qualitative research methods, 21 insomnia patients with depression/anxiety were treated with CBT-I for 8 consecutive times. Pittsburgh Sleep Quality Index (PSQI), Hamilton Depression Scale (HAMD 17), and Hamilton Anxiety Scale (HAMA) were assessed at baseline and the end of the 8th week of treatment. The paired sample t-test was conducted. Semi-structured interviews were performed at week 2, week 4, and week 8 respectively and thematic analysis was used to code and analyze the interview data. Results:Compared with baseline data, the symptoms of insomnia (13.6±2.0 vs. 6.9±2.4), depression (14.6±5.5 vs. 5.0±3.6), and anxiety (17.2±3.4 vs. 5.3±3.9) were significantly improved after 8 weeks of CBT-I treatment ( t=-3.31, -3.19, -2.94, all P<0.01). The patient factors influencing the efficacy of CBT-I were treatment expectation and approval, motivation, compliance, and internalization of treatment content. The therapist factors were professionalism, well-directed, treatment style, supervision, and giving hope. Conclusion:Compliance and high levels of participation of the patients can benefit the treatment efficacy of CBT-I. Therapists should have sufficient experience, stimulate patients′ motivation, improve patients′ compliance, and carry out adequate psychological education in the early stage to increase the efficacy of CBT-I.
