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The Development and Evaluation of a Large-Scale Self-Referral CBT-I Intervention for Men Who Have Insomnia: An Exploratory Study

Published online by Cambridge University Press:  06 May 2009

Marc Archer ,
June S. L. Brown ,
Helen Idusohan ,
Shirley Coventry ,
Andiappan Manoharan  and
Colin A. Espie
Marc Archer
Affiliation:
Kings College London, UK
June S. L. Brown*
Affiliation:
Kings College London, UK
Helen Idusohan
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Shirley Coventry
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Andiappan Manoharan
Affiliation:
Kings College London, UK
Colin A. Espie
Affiliation:
University of Glasgow Sleep Research Laboratory, UK
*
Reprint requests to June Brown, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. E-mail: [email protected]
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Abstract

Background: Whilst effective psychological treatments such as CBT-I have been developed for insomnia, few services provide CBT-I and awareness of CBT-I is low among referrers. In addition, men tend to seek help less frequently for their insomnia than women. This paper describes the development and evaluation of psycho-educational CBT-I workshops, each for up to 25 people, and designed to be acceptable to men. Method: The CBT-I programme was based on Morin and Espie (2003), and adapted into a self-referral one-day workshop format designed specifically to improve access. Workshops were held on Saturdays in leisure centres. A one group pretest-posttest design was used and assessments were collected before and 6 weeks after each workshop. Over a 6-month period, 74 men self-referred, and attended the Introductory Talks preceding the workshops. Of these, 49.3% had never sought help from their GP, 66.2% suffered from clinical insomnia (ISI) and 61.6% were experiencing elevated depression symptoms (BDI over 10). Results: At follow-up, the workshops were found to be effective in reducing insomnia and depression. Satisfaction ratings with the workshops were very high. Conclusions: Given these promising results, further work is now proposed for a larger controlled study with a longer-term follow-up.

Keywords

Insomniamenpsycho-educationalself-referralCBT-Idepression
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 3 , May 2009 , pp. 239 - 248
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Andreason, A. R. (1994). Social marketing: definition and domain. Journal of Marketing and Public Policy, Spring, 108–114.CrossRefGoogle Scholar
Bastien, C., Vallieres, A. and Morin, C. M. (2001). Validation of the Insomnia Severity Index as a clinical outcome measure for insomnia research. Sleep Medicine, 2, 297–307.CrossRefGoogle ScholarPubMed
Bastien, C. H., Morin, C. M., Ouellet, M., Blais, F. C. and Bouchard, S. (2004). Cognitive-behavioural therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations. Journal of Clinical and Counselling Psychology, 72, 653–659.CrossRefGoogle ScholarPubMed
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. London: Wiley.Google Scholar
Beck, A. T., Steer, R. A. and Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRefGoogle Scholar
Beck, A. T., Ward, C. H., Mendleson, M., Mock, J. and Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.CrossRefGoogle ScholarPubMed
Breslau, N., Roth, T., Rosenthal, L. and Adreski, P. (1996). Sleep disturbance and psychiatric disorders: a longitudinal epidemiology study of young adults. Biological Psychiatry, 39, 411–418.CrossRefGoogle ScholarPubMed
Brown, J. S. L., Cochrane, R. and Cardone, D. (1999). Running large-scale stress workshops for the general public: promotion methods, programme content, clients' satisfaction and drop-out rates. Journal of Mental Health, 8, 391–402.Google Scholar
Brown, J. S. L., Cochrane, R. and Hancox, T. (2000). Large-scale health promotion stress workshops: a controlled evaluation. Behavioural and Cognitive Psychotherapy, 28, 139–151.CrossRefGoogle Scholar
Brown, J. S. L., Elliott, S. A., Boardman, J., Ferns, J. and Morrison, J. (2004). Meeting the unmet need for depression services with psycho-educational self-confidence workshops: a preliminary report. British Journal of Psychiatry, 185, 511–515.CrossRefGoogle ScholarPubMed
Buysse, D. J., Reynold, C. F., Kupfer, D. J., Thorpy, M. J., Bixler, E., Manfredi, R., Kales, A., Vgontzas, A., Stepanski, E., Roth, T., Hauri, P. and Mesiano, D. (1994). Clinical diagnoses in 216 insomnia patients using the International Classification of Sleep Disorders (ICSD), DSM-IV and ICD-10 categories: a report from the APA/NIMH DSM-IV field sleep trial. Sleep, 17, 630–637.CrossRefGoogle Scholar
Espie, C., Inglis, S., Tessier, S. and Harvey, L. (2001). The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice. Behaviour Research and Therapy, 39, 45–60.CrossRefGoogle ScholarPubMed
Ford, D. E. and Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders: an opportunity for prevention? Journal of the American Medical Association, 262, 1479–1485.CrossRefGoogle ScholarPubMed
Gallup (1991). Sleep in America. Princeton, NJ: Gallup Organization.Google Scholar
Hayward, P. and Bright, J. A. (1997). Stigma and mental illness: a review and critique. Journal of Mental Health, 6, 345–354.CrossRefGoogle Scholar
Hohagen, F., Rink, K., Käppler, C., Schramm, E., Riemann, D., Weyerer, S. and Berger, M. (1993). Prevalence and treatment of insomnia in general practice: a longitudinal study. European Archives of Psychiatry and Clinical Neuroscience, 242, 329–336.CrossRefGoogle ScholarPubMed
McKnight, P. E., McKnight, K. M., Sidani, S. and Figueredo, A. J. (2007). Missing Data: a gentle introduction (Methodology in the Social Sciences). New York: Guilford Press.Google Scholar
Mimeault, V. and Morin, C. M. (1999). Self-help treatment for insomnia: bibliotherapy with and without professional guidance. Journal of Clinical and Consulting Psychology, 67, 511–519.CrossRefGoogle ScholarPubMed
Morawetz, D. (2003). Insomnia and depression: which comes first? Sleep Research Online, 5, 77–81.Google Scholar
Morin, C. M. (1994). Dysfunctional beliefs and attitudes about sleep: preliminary scale development and description. The Behavior Therapist, 17, 163–164.Google Scholar
Morin, C. M., Bootzin, R. R., Buysse, D. J., Edinger, J. D., Espie, C. A. and Lichstein, K. L. (2006). Psychological and behavioral treatment of insomnia: update of the recent evidence (1998–2004). Sleep, 29, 1398–1414.CrossRefGoogle ScholarPubMed
Morin, C. M. and Espie, C. A. (2003). Insomia: a clinical guide to assessment and treatment. New York: Klewer Academic/Plenum.Google Scholar
Morin, C. M., Gaulier, B., Barry, T. and Kowatch, R. A. (1992). Patients' acceptance of psychological and pharmacological therapies for insomnia. Sleep, 15, 302–305.CrossRefGoogle ScholarPubMed
Morin, C. M., Hauri, P. J., Espie, C. A., Spielman, A. J., Buysse, D. J. and Bootzin, R. R. (1999). Nonpharmacologic treatment of chronic insomnia: an American Academy of Sleep Medicine review. Sleep, 22, 1–23CrossRefGoogle ScholarPubMed
Morin, C. M., LeBlanc, M., Daley, M., Gregoire, J. P. and Merette, C. (2006). Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviours. Sleep Medicine, 7, 123–130.CrossRefGoogle Scholar
Morin, C. M., Vallieres, A. and Ivers, H. (2007). Dysfunctional Beliefs and Attitudes about Sleep (DBAS): validation of a brief version (DBAS-16). Sleep, 30, 1547–1554.CrossRefGoogle ScholarPubMed
Morlock, R. J., Tan, M. and Mitchell, D. Y. (2006). Patient characteristics and patterns of drug use for sleep complaints in the United States: analysis of National Ambulatory Medical Survey Data, 1997–2002. Clinical Therapeutics, 28, 1044–1053.CrossRefGoogle ScholarPubMed
Ohayon, M. M. (2002). Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews, 6, 97–111.CrossRefGoogle ScholarPubMed
Ohayon, M. M., Caulet, M. and Lemoine, P. (1998). Comorbidity of mental and insomnia disorders in the general population. Comprehensive Psychiatry, 39, 185–107.CrossRefGoogle ScholarPubMed
Oosterhuis, A. and Klip, E. C. (1997). The treatment of insomnia through mass media: the results of a televised behavioural training programme. Social Sciences Medicine, 45, 1223–1229.CrossRefGoogle Scholar
Rochlen, A. B. and Hoyer, W. D. (2005). Marketing mental health to men: theoretical and practical considerations. Journal of Clinical Psychology, 61, 675–684.CrossRefGoogle ScholarPubMed
Smith, M. T. and Wegener, S. T. (2003). Measures of sleep: the Insomnia Severity Index, Medical Outcomes Study MOS) Sleep Scale, Pittsburgh Sleep Diary (PSD), and Pittsburgh Sleep Quality Index (PSQI). Arthritis and Rheumatism (Arthritis Care and Research), 49 (5S), S184-S196.CrossRefGoogle Scholar
Vincent, N. and Lionberg, C. (2001). Treatment preference and patient satisfaction in chronic insomnia. Sleep, 11, 488–496.Google Scholar
Watkins, E., Elliott, S., Stanhope, N., Button, J., Williams, R. and Brown, J. S. L. (2000). Meeting the needs for psychological treatment of people with common mental disorders: an exploratory study. Journal of Mental Health, 9, 445–456.Google Scholar
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