Does treating insomnia with digital cognitive behavioural therapy (Sleepio) mediate improvements in anxiety for those with insomnia and comorbid anxiety? An analysis using individual participant data from two large randomised controlled trials: An analysis using individual participant data from two large randomised controlled trials
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| Názov: | Does treating insomnia with digital cognitive behavioural therapy (Sleepio) mediate improvements in anxiety for those with insomnia and comorbid anxiety? An analysis using individual participant data from two large randomised controlled trials: An analysis using individual participant data from two large randomised controlled trials |
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| Autori: | Henry, AL, Miller, CB, Emsley, R, Sheaves, B, Freeman, D, Luik, AI, Espie, CA |
| Zdroj: | Journal of Affective Disorders. 339:58-63 |
| Informácie o vydavateľovi: | Elsevier BV, 2023. |
| Rok vydania: | 2023 |
| Predmety: | Cognitive Behavioral Therapy, Anxiety/therapy, Sleep Initiation and Maintenance Disorders/therapy, Comorbidity, Anxiety Disorders/therapy, Anxiety, 16. Peace & justice, Anxiety Disorders, Treatment Outcome, Sleep Initiation and Maintenance Disorders, Humans, Randomized Controlled Trials as Topic |
| Popis: | Considerable comorbidity exists between insomnia and anxiety, and evidence shows that the benefits of CBT for insomnia extend to anxiety. Using data from two large trials of digital CBT (dCBT) for insomnia, we evaluated whether improving sleep is an effective treatment target to reduce both insomnia and anxiety symptoms in individuals with insomnia and clinically significant anxiety.This was a controlled sub-analysis combining individual participant data from two previous randomised controlled trials of dCBT for insomnia (Sleepio). Participants (N = 2172) with insomnia disorder and clinically significant anxiety symptoms were included in this sub-analysis and received either dCBT or control (usual care or sleep hygiene education). Assessments were evaluated at baseline, post-intervention (week 8 or 10), and follow-up (week 22 or 24). Mediation was evaluated using structural equation models.dCBT for insomnia was superior to control at reducing both insomnia (Hedges' g range = 0.77-0.81; both p |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2023.06.053 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/37390923 https://ora.ox.ac.uk/objects/uuid:0df6cedb-6014-42e7-82c3-7c69177a20c5 https://doi.org/10.1016/j.jad.2023.06.053 |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....daffb907f1f55b540ef3975643bf8c0d |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Considerable comorbidity exists between insomnia and anxiety, and evidence shows that the benefits of CBT for insomnia extend to anxiety. Using data from two large trials of digital CBT (dCBT) for insomnia, we evaluated whether improving sleep is an effective treatment target to reduce both insomnia and anxiety symptoms in individuals with insomnia and clinically significant anxiety.This was a controlled sub-analysis combining individual participant data from two previous randomised controlled trials of dCBT for insomnia (Sleepio). Participants (N = 2172) with insomnia disorder and clinically significant anxiety symptoms were included in this sub-analysis and received either dCBT or control (usual care or sleep hygiene education). Assessments were evaluated at baseline, post-intervention (week 8 or 10), and follow-up (week 22 or 24). Mediation was evaluated using structural equation models.dCBT for insomnia was superior to control at reducing both insomnia (Hedges' g range = 0.77-0.81; both p |
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| ISSN: | 01650327 |
| DOI: | 10.1016/j.jad.2023.06.053 |