Clinical Research
Effect of remote-interactive cognitive behavioral therapy in patients with chronic insomnia
Ling Lin, Xiaojiang Jiang, Juan Liu, Xunjun Li, Yazhen Liu, Ying Lang, Yuanyuan Ye, Xinju Yang
Published 2016-02-20
Cite as Chin J Behav Med & Brain Sci, 2016, 25(2): 134-138. DOI: 10.3760/cma.j.issn.1674-6554.2016.02.008
Abstract
ObjectiveTo assess the effect of remote-interactive cognitive behavioral therapy in patients with chronic insomnia.
MethodsA total of 62 patients with chronic insomnia were randomly divided into combined treatment group, cognitive behavioral therapy for insomnia (CBTI) group and drug treatment group.The study lasted for 6-8 weeks.The curative effects were assessed using sleep diary and scales.
ResultsThe sleep onset latency (SOL) ((39.9±23.7)min) and wake time after sleep onset(WASO) ((79.1±39.4)min) in the drug treatment group were higher than that in the combined treatment group ((25.5±11.2)min and (54.4±38.5)min, respectively) and CBTI group ((27.8±11.6)min and (51.8±29.0)min, respectively) at the end of treatment, the difference was statistical significance(P=0.018 and P=0.046 respectively). The sleep efficiency(SE) in drug treatment ((76.5±11.9)%) was lower than that in the other two groups((83.8±8.7)% and (82.8±7.0)% respectively), (P=0.042). And no similar difference were seen in TST after treatment(P>0.05). The Brief Version of Dysfunctional Beliefs and Attitudes about Sleep(DBAS-16) score in the drug treatment group (97.6±16.4) was higher than the other two groups((67.5±20.1) and (75.0±26.9) respectively) after treatment(P=0.000). No significant difference was seen in scores of the other scales among the three groups(P>0.05). After treatment, a greater proportion of patients in the combined treatment group had withdrawn from hypnotics use completely (29%(6/20) vs 5%(1/18); odds ratio(OR) was 7.286); and the combined treatment group produced significant reduction in frequency of hypnotics use((3.35±3.05) nights/week) when compared with drug treatment group((5.56±2.33)nights/week, P=0.016).
ConclusionsRemote-interactive cognitive behavioral therapy was effective and acceptable for treating patients with chronic insomnia, combining drug treatment in the early period could quickly relieve the symptoms of insomnia, and can avoid the adverse effect from the hypnotics.And the treatment method can reduce the dropout rate.
Key words:
Chronic insomnia; Remote cognitive behavioral therapy; Interactive therapy; Drug treatment
Contributor Information
Ling Lin
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Xiaojiang Jiang
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Juan Liu
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Xunjun Li
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Yazhen Liu
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Ying Lang
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Yuanyuan Ye
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
Xinju Yang
Department of Neurology, Research Institute of Field Surgery, Daping Hospital of Third Military Medical University, Chongqing 400042, China
