Wirksamkeit einer auf kognitiver Verhaltenstherapie für Insomnie basierten Bibliotherapie
摘要
Insomnia and the symptoms of insomnia affect many people and place a considerable burden on those affected and on the healthcare system.
Aim of the studyThe present study examines the effectiveness of nonguided bibliotherapy based on cognitive behavioral therapy (CBT-I) for insomnia on the severity of insomnia, sleep quality, and comorbid depressive symptoms.
MethodIn the study 64 adults (age: M = 24.55 years, standard deviation, SD ± 7.95 years; 81.25% female) were randomly assigned to an intervention group (IG) and a waiting list control group (WLKG). The efficacy of the intervention on the severity of insomnia (insomnia severity index, ISI), sleep quality (Pittsburgh sleep quality index, PSQI) and depressive symptoms (Beck Depression Inventory revision, BDI-II) was assessed at two measurement points before and after the intervention or after the end of the waiting time. The change in the intervention group was examined using a 2-factorial analysis of variance (ANOVA) with repeated measurements.
ResultsAfter the bibliotherapy the intervention group showed a significant decrease in the severity of insomnia (MT1−T2 = 4.91, p < 0.001, d = 1.35) and a significant improvement in sleep quality (MT1−T2 = 2.84 p < 0.001, d = 1.15). In addition, the intervention was well accepted. There was no significant reduction in depressive symptoms.
DiscussionThe 3‑week CBT‑I bibliotherapy was shown to be a suitable initial treatment for the short-term improvement of insomnia symptoms within the framework of a stepped care approach.