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    题名: Efficacy of email-delivered versus face-to-face group cognitive behavioral therapy for insomnia in youths: A randomized controlled trial
    作者: 楊建銘
    Yang, Chien-Ming
    Chan, Ngan Yan;Lam, Siu Ping;Zhang, Jihui;Chan, Joey Wing Yan;Yu, Mandy Man Wai;Suh, Sooyeon;Okajima, Isa;Li, Albert Martin;Wing, Yun Kwok;Li, Shirley Xin
    贡献者: 心理系
    关键词: SleepInsomnia;Group-based;Email-delivered;Self-help;Cognitive behavioral therapy;Youths;Adolescence
    日期: 2022-05
    上传时间: 2022-08-23 15:08:39 (UTC+8)
    摘要: Purpose
    The purpose of the study was to compare the efficacy of group-based therapy (GT) and email-delivered self-help (ESH) cognitive behavioral therapy for insomnia (CBT-I) with the wait-list (WL) control group in youths.

    Methods
    The study involved an assessor-blind, parallel group randomized controlled trial in youths meeting the diagnostic criteria for insomnia disorder. Participants were randomized to one of the three groups (8-week GT, 8-week ESH, or WL). Participants in all three groups were assessed at baseline and after treatment (week 9 for the WL group). The two treatment groups were additionally assessed at one month and six months after the intervention. Treatment effects were examined using linear mixed models.

    Results
    A total of 135 youths (mean age: 20.0 ± 2.5 years, female: 67.4%) were recruited. After treatment, both active treatment groups showed significant improvements in insomnia symptoms (GT vs. WL: Cohen`s d = −1.03, ESH vs. WL: d = −.63), less presleep arousal (d = −.52 to −1.47), less sleep-related dysfunctional belief (d = −.88 to −1.78), better sleep hygiene practice (d = −.79 to −.84), and improved daytime functioning (d = −.56 to −.96) compared with the WL group. In addition, GT outperformed ESH in improving maladaptive sleep-related beliefs and mood symptoms at post-treatment and 6-month follow-up. A reduction of suicidality with moderate effect size favoring GT emerged at 6-month follow-up.

    Discussion
    Our findings suggested that both group-based and email-delivered CBT-I were effective in treating youth insomnia, but group-based CBT-I showed superior effects on reducing maladaptive beliefs and mood symptoms.
    關聯: Journal of Adolescent Health, 70(5), 763-773
    数据类型: article
    DOI 連結: https://doi.org/10.1016/j.jadohealth.2021.11.005
    DOI: 10.1016/j.jadohealth.2021.11.005
    显示于类别:[心理學系] 期刊論文

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