![]() ![]() Helps pay for these outpatient mental health services: 2015 71:90–100.If you or someone you know is in crisis, call or text 988 or chat .Ĭall 911 if you're in immediate medical crisis. Guided internet cognitive behavioral therapy for insomnia compared to a control treatment. Kaldo V., Jernelöv S., Blom K., Ljotsson B., Brodin M., Jörgensen M., Kraepelien M., Rück Ch., Lindefors N. Effect of digital cognitive behavioral therapy for insomnia on health, psychological well-being, and sleep related quality of life. 193–206.Įspie C.A, Emsley R., Kyle S.D., Gordon C., Drake C.L., Siriwardena A.N., Cape J., Ong C.J., Sheaves B., Foster R., Freeman D., Costa-Font J., Marsden A., Luik AI. In: Bassetti C.L., Dogas Z., Peigneux Ph., editors. Tailoring cognitive-behavioral therapy for insomnia for specific needs. Nosological classification, definitions, epidemiology. Treatment – practical skills for applying CBT-I. Further studies, involving a greater number of patients and long-term follow-up are required for the final assessment of therapeutic efficacy and sustainability of results.īaglioni C., Riemann D. This data suggests that the Georgian version of dCBT for insomnia is a promising therapeutic tool, comparable with international analogues in terms of efficacy and adherence. In general, patients found dCBT quite comprehensive and easy to handle. Eleven more patients (21%) stopped at sleep restriction, finding it difficult to accomplish sleep restriction-related tasks. 9 patients stopped therapy, showing bad adherence for different reasons, mostly related to finding the sessions time-consuming and being disappointed by the absence of immediate therapeutic effect. 7 patients older than 50 years encountered problems with handling electronic devices and the platform itself. Sixteen patients dropped out from the first module (31%). 27 patients (52%) stopped treatment for various reasons at different stages of dCBT. Mean ISI in this group dropped from 22.88 to 8.24 (P < 0.01), showing significant therapeutic effect one month after CBT completion. 25 out of 52 patients (48%) completed a full dCBT course. Clinical efficacy was evaluated on the basis of Insomnia Severity Index (ISI), measured before the dCBT and one month after its completion. The patients who were treated pharmacologically continued their usual medication and received dCBT in addition to this treatment. Inclusion criteria included: age over 18, access to internet, and sufficient skills to use electronic devices. Fifty-two adult patients with insomnia were recruited for the study: 34 women and 18 men, aged 18-64 years (mean: 33.5 years). The Georgian digital cognitive behavioral therapy for insomnia was developed as an analogue of Dutch dCBT "i-Sleep." All online materials were made applicable for the Georgian population through translation, validation by translation back to the original language, and adaptation to the Georgian reality, in order to avoid linguistic, cultural, and social pitfalls. The aim of our study was to evaluate a Georgian version of an innovative, internet-delivered digital CBT (dCBT) for insomnia in terms of therapeutic efficacy, adherence, and ease of handling. CBT of insomnia is not currently available in Georgia. Pharmacotherapy is common, but it is recognized that cognitive behavioral therapy (CBT) is a better choice, since it is safe for patients and shows sustainable improvement. Hence, 20,000-40,000 people in Georgia require medical help for insomnia. At least 10% of patients with insomnia will see a medical specialist. Insomnia is a common sleep disorder which has a 5-6% prevalence rate and shows high social impact.
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