Internet-delivered cognitive behavioral therapy for adolescents with insomnia : Feasibility and preliminary efficacy
(2023) In Clinical Child Psychology and Psychiatry- Abstract
Background: Insomnia is common in adolescents. This study evaluated feasibility and preliminary efficacy of a six-week internet-delivered cognitive-behavioral therapy for insomnia (ICBT-I) in adolescents. Methods: In this uncontrolled pilot study, participants (n = 27, 78% female) completed assessments pre- and post intervention. Data on recruitment, adherence to treatment, treatment activity, satisfaction and credibility was collected to assess feasibility. Self-reported insomnia symptoms, sleep parameters as well as depression, anxiety and daytime function were also assessed. Results: Participants showed good adherence to treatment and found the intervention overall credible and satisfactory. From pre- to post-assessment,... (More)
Background: Insomnia is common in adolescents. This study evaluated feasibility and preliminary efficacy of a six-week internet-delivered cognitive-behavioral therapy for insomnia (ICBT-I) in adolescents. Methods: In this uncontrolled pilot study, participants (n = 27, 78% female) completed assessments pre- and post intervention. Data on recruitment, adherence to treatment, treatment activity, satisfaction and credibility was collected to assess feasibility. Self-reported insomnia symptoms, sleep parameters as well as depression, anxiety and daytime function were also assessed. Results: Participants showed good adherence to treatment and found the intervention overall credible and satisfactory. From pre- to post-assessment, statistically significant improvements were found for insomnia symptoms (p <.001; d = 1.02), sleep onset latency (p <.001; d =.39), wake after sleep onset (p =.001; d =.34), sleep efficiency (p <.001; d =.5) and depression (p =.01, d =.37). Changes in scores of total sleep time, generalized anxiety, daytime sleepiness and functional disability were not significant. Conclusions: The present study indicates that ICBT-I is well accepted by adolescents, that insomnia symptoms and sleep parameters can improve following the intervention, and that co-morbid symptoms of depression can be reduced. Due to the limited sample size and the uncontrolled design, the suggested results need to be replicated in well-powered controlled clinical trials.
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- author
- Åslund, Li ; Jernelöv, Susanna ; Serlachius, Eva LU ; Vigerland, Sarah ; Wicksell, Rikard K. ; Henje, Eva and Lekander, Mats
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- Adolescent, cognitive-behavioral therapy, comorbidity, digital intervention, feasibility, insomnia disorder, psychiatric disorders
- in
- Clinical Child Psychology and Psychiatry
- publisher
- SAGE Publications
- external identifiers
-
- pmid:37699436
- scopus:85170836800
- ISSN
- 1359-1045
- DOI
- 10.1177/13591045231202426
- language
- English
- LU publication?
- yes
- id
- 327b3c73-4d63-4f89-b304-f3cd29039771
- date added to LUP
- 2023-12-28 09:15:21
- date last changed
- 2024-04-12 14:13:21
@article{327b3c73-4d63-4f89-b304-f3cd29039771,
abstract = {{<p>Background: Insomnia is common in adolescents. This study evaluated feasibility and preliminary efficacy of a six-week internet-delivered cognitive-behavioral therapy for insomnia (ICBT-I) in adolescents. Methods: In this uncontrolled pilot study, participants (n = 27, 78% female) completed assessments pre- and post intervention. Data on recruitment, adherence to treatment, treatment activity, satisfaction and credibility was collected to assess feasibility. Self-reported insomnia symptoms, sleep parameters as well as depression, anxiety and daytime function were also assessed. Results: Participants showed good adherence to treatment and found the intervention overall credible and satisfactory. From pre- to post-assessment, statistically significant improvements were found for insomnia symptoms (p <.001; d = 1.02), sleep onset latency (p <.001; d =.39), wake after sleep onset (p =.001; d =.34), sleep efficiency (p <.001; d =.5) and depression (p =.01, d =.37). Changes in scores of total sleep time, generalized anxiety, daytime sleepiness and functional disability were not significant. Conclusions: The present study indicates that ICBT-I is well accepted by adolescents, that insomnia symptoms and sleep parameters can improve following the intervention, and that co-morbid symptoms of depression can be reduced. Due to the limited sample size and the uncontrolled design, the suggested results need to be replicated in well-powered controlled clinical trials.</p>}},
author = {{Åslund, Li and Jernelöv, Susanna and Serlachius, Eva and Vigerland, Sarah and Wicksell, Rikard K. and Henje, Eva and Lekander, Mats}},
issn = {{1359-1045}},
keywords = {{Adolescent; cognitive-behavioral therapy; comorbidity; digital intervention; feasibility; insomnia disorder; psychiatric disorders}},
language = {{eng}},
publisher = {{SAGE Publications}},
series = {{Clinical Child Psychology and Psychiatry}},
title = {{Internet-delivered cognitive behavioral therapy for adolescents with insomnia : Feasibility and preliminary efficacy}},
url = {{http://dx.doi.org/10.1177/13591045231202426}},
doi = {{10.1177/13591045231202426}},
year = {{2023}},
}