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Sleepless in Sweden: A Single Subject Study of Effects of Cognitive Therapy for Insomnia on Three Adolescents

Published online by Cambridge University Press:  16 December 2010

Annika Norell-Clarke ,
EvaLotta Nyander  and
Markus Jansson-Fröjmark
Annika Norell-Clarke*
Affiliation:
Örebro University, Sweden
EvaLotta Nyander
Affiliation:
Örebro University, Sweden
Markus Jansson-Fröjmark
Affiliation:
Örebro University, Sweden
*
Reprint requests to Annika Norell-Clarke, Örebro University, School of Law, Psychology and Social Work, Fakultetsgatan 1, Örebro 70182, Sweden. E-mail: [email protected]
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Abstract

Background: Sleeping difficulties are an increasing problem for youths, but there is a lack of treatment research for this age group. Aim: The aim of this study was to investigate the effects of Cognitive Therapy for Insomnia (CT-I) on youths with primary insomnia; this treatment has never been tested on youths before. Method: The study was conducted according to an AB single-case experimental phase design, with pre-tests and post-tests. After 7–10 days of baseline assessment, three youths aged 16–18 (2 male) with primary insomnia participated in a 7-week long treatment. A sleep diary was used throughout the treatment. A follow-up assessment including one week with a sleep diary was conducted 3 months later. Visual inspection was used to analyze outcome. Results: Insomnia severity was greatly reduced for all participants after treatment. Daily measures showed that sleep onset latency was reduced for two participants but no change in total sleep time was confirmed. Daytime symptoms fluctuated for the participants. The insomnia-specific psychological processes were reduced to varying extents. These results were maintained at the follow-up measure. Conclusions: CT-I may be a promising treatment for youths with insomnia and the treatment should be tested further in randomized controlled studies.

Keywords

Insomniacognitive therapysingle-caseadolescence
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 3 , May 2011 , pp. 367 - 374
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Bootzin, R. R. and Stevens, S. J. (2005). Adolescents, substance abuse, and the treatment of insomnia and daytime sleepiness. Clinical Psychology Review, 25, 629–644.CrossRefGoogle ScholarPubMed
Breslau, N., Roth, T., Rosenthal, L. and Andreski, P. (1996). Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biological Psychiatry, 39, 411–418.CrossRefGoogle ScholarPubMed
Harvey, A. G. (2002). A cognitive model of insomnia. Behavior Research and Therapy, 40, 869–893.CrossRefGoogle ScholarPubMed
Harvey, A. G. (2005). A cognitive theory and therapy for chronic insomnia. Journal of Cognitive Psychotherapy, 19, 41–59.CrossRefGoogle Scholar
Harvey, A. G., Sharpley, A. L., Ree, M. J., Stinson, K. and Clark, D. M. (2007). An open trial of cognitive therapy for chronic insomnia. Behaviour Research and Therapy, 45, 2491–2501.CrossRefGoogle ScholarPubMed
Jansson, M. and Linton, S. J. (2006). The development of insomnia within the first year: a focus on worry. British Journal of Health Psychology, 11, 501–511.CrossRefGoogle ScholarPubMed
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: an update of recent evidence (1998–2004). Sleep, 29, 1396–1406.CrossRefGoogle ScholarPubMed
Moseley, L. and Gradisar, M. (2009). Evaluation of a school-based intervention for adolescent sleep problems. Sleep, 32, 334–341.CrossRefGoogle ScholarPubMed
Roberts, R. E., Roberts, C. R. and Duong, H. T. (2008). Chronic insomnia and its negative consequences for health and functioning of adolescents: a 12-month prospective study. Journal of Adolescent Health, 42, 294–302.CrossRefGoogle ScholarPubMed
Sousa, I. C. D., Araújo, J. F. and Azevedo, C. V. M. D. (2007). The effect of a sleep hygiene education program on the sleep-wake cycle of Brazilian adolescent students. Sleep and Biological Rhythms, 5, 251–258.CrossRefGoogle Scholar
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