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Please use this identifier to cite or link to this item:
https://nccur.lib.nccu.edu.tw/handle/140.119/141500
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| Title: | Can an e-mail-delivered CBT for insomnia validated in the West be effective in the East? A randomized controlled trial |
| Authors: | 楊建銘
Yang, Chien-Ming
Okajima, Isa;Tanizawa, Noriko;Harata, Megumi;Suh, Sooyeon;Li, Shirley Xin, Trockel, Mickey T. |
| Contributors: | 心理系 |
| Keywords: | insomnia;depression;anxiety;self-help;cognitive behavioral therapy;self-monitoring |
| Date: | 2021-12 |
| Issue Date: | 2022-08-23 15:08:29 (UTC+8) |
| Abstract: | This study examined the effects of an e-mail-delivered cognitive behavioral therapy for insomnia (CBT-I), validated in Western countries, on insomnia severity, anxiety, and depression in young adults with insomnia in Eastern countries, particularly Japan. This prospective parallel-group randomized clinical trial included college students with Insomnia Severity Index (ISI) scores of ten or higher. Participants were recruited via advertising on a university campus and randomized to an e-mail-delivered CBT-I (REFRESH) or self-monitoring (SM) with sleep diaries group. The primary outcomes were insomnia severity, anxiety, and depression; secondary outcomes were sleep hygiene practices, dysfunctional beliefs, sleep reactivity, and pre-sleep arousal. All measurements were assessed before and after the intervention. A total of 48 participants (mean (SD) age, 19.56 (1.86) years; 67% female) were randomized and included in the analysis. The results of the intent-to-treat analysis showed a significant interaction effect for insomnia severity, anxiety, depression, sleep hygiene practice, and pre-sleep arousal. Compared with the SM group, the REFRESH group was more effective in reducing insomnia severity (Hedges’ g = 1.50), anxiety (g = 0.97), and depression (g = 0.61) post-intervention. These findings suggest that an e-mail-delivered CBT-I may be an effective treatment for young adults with elevated insomnia symptoms living in Japan. |
| Relation: | International Journal of Environmental Research and Public Health, 19(1), 186 |
| Data Type: | article |
| DOI 連結: | 10.3390/ijerph19010186 |
| DOI: | https://doi.org/10.3390/ijerph19010186 |
| Appears in Collections: | [心理學系] 期刊論文
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