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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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