title: Initial Sleep Time Predicts Success in Manual-Guided Cognitive Behavioral Therapy for Insomnia.
abstract: Cognitive behavioral therapy produces significant and long-lasting improvement for individuals with insomnia, but treatment resources are scarce. A "stepped care" approach has therefore been proposed, but knowledge is limited on how to best allocate patients to different treatment steps. In this study, 66 primary-care patients with insomnia attended a low-end treatment step: manual-guided cognitive behavioral therapy (CBT) for insomnia delivered by ordinary primary-care personnel. Based on clinically significant treatment effects, subjects were grouped into treatment responders or nonresponders. Baseline data were analyzed to identify predictors for treatment success. Long total sleep time at baseline assessment was the only statistically significant predictor for becoming a responder, and sleep time may thus be important to consider before enrolling patients in low-end treatments.
authors: a Department of Psychology Uppsala University , Sweden.
authors: Kristoffer
authors: K
authors: Bothelius
authors: a Department of Psychology Uppsala University , Sweden.
authors: Kicki
authors: K
authors: Kyhle
authors: b Department of Neuroscience Uppsala University , Sweden.
authors: Jan-Erik
authors: JE
authors: Broman
authors: c Department of Surgical Sciences Uppsala University , Sweden.
authors: Torsten
authors: T
authors: Gordh
authors: a Department of Psychology Uppsala University , Sweden.
authors: Mats
authors: M
authors: Fredrikson
mesh_terms: D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012890:Sleep / Q000502:physiology*; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome