Treating Primary Insomnia: Clinical Effectiveness and Predictors of Outcomes on Sleep, Daytime Function and Health-Related Quality of Life

Houdenhove, L. Van; Buyse, Bertien; Gabriëls, Loes; Bergh, Omer Van den

doi:10.1007/s10880-011-9250-7

Cited by 57 publications

(34 citation statements)

References 34 publications

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“…Moreover, we reported eight subdomains of QoL even though previous reports often aggregated QoL into one 13 or two scales (mental health and physical health subscales). 35 Studies have indicated that QoL assessments should comprise at least four domains, as we stated in the Methods section. 29 We believe that our decision to employ eight subdomains is in line with this recommendation.…”

Section: Discussionmentioning

confidence: 99%

Change in Quality of Life after Brief Behavioral Therapy for Insomnia in Concurrent Depression: Analysis of the Effects of a Randomized Controlled Trial

Shimodera

Watanabe

Furukawa

et al. 2014

Journal of Clinical Sleep Medicine

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Study Objectives:The effi cacy of cognitive behavioral therapy for insomnia (CBT-I) has been suggested for insomnia concomitant with depression, but its impact on quality of life (QoL) has not been adequately evaluated. The study aimed to determine which aspects of QoL could be affected by CBT-I and how any changes in QoL were mediated by changes in insomnia and depression. Methods: We conducted a 4-week randomized controlled trial with 4-week follow-up in outpatient clinics in Japan. Thirtyseven patients with DSM-IV diagnosis of major depressive disorder concomitant with chronic insomnia were randomly assigned to the treatment-as-usual (TAU) alone arm or the TAU with brief behavioral therapy for insomnia (TAU plus psychotherapy) arm using modifi ed CBT-I consisting of 4 weekly individual sessions. We evaluated QoL using normbased scoring of the Short Form-36 at baseline and at 8 weeks. We also examined associations between QoL subscales and remission in insomnia or depression while controlling for baseline scores of the entire sample. Results:We tested group effects while controlling for baseline scores. TAU plus psychotherapy resulted in signifi cantly better scores on physical functioning (p = 0.006), social functioning (p = 0.002), and mental health (p = 0.041) subscales than TAU alone at 8 weeks. Patients with either remitted insomnia or depression showed higher QoL scores than non-remitted patients; scores approximated those within the normal range. Conclusions: For patients with insomnia in depression, adding CBT-I to TAU can produce substantive benefi ts in some aspects of QoL. Trial Registration: ClinicalTrials.gov Identifi er: NCT00610259, http://www.clinicaltrials.gov/ Keywords: Depressive disorder, sleep initiation and maintenance disorders, behavior therapy, quality of life Citation: Shimodera S; Watanabe N; Furukawa TA; Katsuki F; Fujita H; Sasaki M; Perlis ML. Change in quality of life after brief behavioral therapy for insomnia in concurrent depression: analysis of the effects of a randomized controlled trial.

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Section: Discussionmentioning

confidence: 99%

Change in Quality of Life after Brief Behavioral Therapy for Insomnia in Concurrent Depression: Analysis of the Effects of a Randomized Controlled Trial

Shimodera

Watanabe

Furukawa

et al. 2014

Journal of Clinical Sleep Medicine

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“…It was found that cognitive behavioral therapy increased physical and mental HRQoL. However, absence of a control group was a weakness of this study (Houdenhove, et al, 2011(Houdenhove, et al, ). Şengül et al (2011 analyzed the impact of exercise on the sleep structure and quality of life among patients with obstructive sleep apnea syndrome (OSA) using the FOSQ and SF-36.…”

Section: Quality Of Life In the Management Of Insomniamentioning

confidence: 73%

“…In a pretest-posttest study on patients diagnosed with primary insomnia, Houdenhove et al (2011) analyzed the impact of cognitive behavioral therapy for insomnia on quality of life using SF-36. It was found that cognitive behavioral therapy increased physical and mental HRQoL.…”

Section: Quality Of Life In the Management Of Insomniamentioning

confidence: 99%

Specific Quality of Life Measures for Sleep Disorders

Timur¹,

Şahin²

2012

Can't Sleep? Issues of Being an Insomniac

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“…It was found that cognitive behavioral therapy increased physical and mental HRQoL. However, absence of a control group was a weakness of this study (Houdenhove, et al, 2011). Şengül et al (2011) analyzed the impact of exercise on the sleep structure and quality of life among patients with obstructive sleep apnea syndrome (OSA) using the FOSQ and SF-36.…”

Section: Quality Of Life In the Management Of Insomniamentioning

confidence: 95%

Can't Sleep? Issues of Being an Insomniac

Saddichha¹

2012

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Treating Primary Insomnia: Clinical Effectiveness and Predictors of Outcomes on Sleep, Daytime Function and Health-Related Quality of Life

Cited by 57 publications

References 34 publications

Change in Quality of Life after Brief Behavioral Therapy for Insomnia in Concurrent Depression: Analysis of the Effects of a Randomized Controlled Trial

Change in Quality of Life after Brief Behavioral Therapy for Insomnia in Concurrent Depression: Analysis of the Effects of a Randomized Controlled Trial

Specific Quality of Life Measures for Sleep Disorders

Can't Sleep? Issues of Being an Insomniac

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