Preetam J Schramm1, Ingo Zobel2, Kathrin Mönch3, Elisabeth Schramm3, Johannes Michalak4. 1. REM Sleep Medicine, Boulder, CO, USA. Electronic address: pjs@remsleepmed.com. 2. School of Psychology, Fresenius University of Applied Sciences, Hamburg, Germany. 3. Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany. 4. Department of Clinical Psychology, Witten/Herdecke University, Witten, Germany.
Abstract
OBJECTIVE: To capture any sleep quality changes associated with group psychotherapy. PATIENTS/ METHODS:Physician-referred, chronically depressed patients (n = 25) were randomized to either eight group sessions of Mindfulness-based Cognitive Therapy (MBCT, n = 9) plus Treatment As Usual (TAU), or the Cognitive Behavioral Analysis System of Psychotherapy (CBASP, n = 8) plus TAU, or to TAU only (control group, n = 8). Participants recorded their sleep at home. The primary outcome variables were: stable and unstable sleep, which were assessed using cardiopulmonary coupling (CPC) analysis, and estimated total sleep and wake time (minutes). Cardiopulmonary coupling measures heart rate variability and the electrocardiogram's R-wave amplitude fluctuations associated with respiration. RESULTS: By post-treatment night 6, the CBASP group had more stable sleep (p= 0.044) and less wake (p = 0.004) compared with TAU, and less wake vs MBCT (p = 0.039). CONCLUSION: The CBASP group psychotherapy treatment improved sleep quality compared with Treatment As Usual.
RCT Entities:
OBJECTIVE: To capture any sleep quality changes associated with group psychotherapy. PATIENTS/ METHODS: Physician-referred, chronically depressedpatients (n = 25) were randomized to either eight group sessions of Mindfulness-based Cognitive Therapy (MBCT, n = 9) plus Treatment As Usual (TAU), or the Cognitive Behavioral Analysis System of Psychotherapy (CBASP, n = 8) plus TAU, or to TAU only (control group, n = 8). Participants recorded their sleep at home. The primary outcome variables were: stable and unstable sleep, which were assessed using cardiopulmonary coupling (CPC) analysis, and estimated total sleep and wake time (minutes). Cardiopulmonary coupling measures heart rate variability and the electrocardiogram's R-wave amplitude fluctuations associated with respiration. RESULTS: By post-treatment night 6, the CBASP group had more stable sleep (p= 0.044) and less wake (p = 0.004) compared with TAU, and less wake vs MBCT (p = 0.039). CONCLUSION: The CBASP group psychotherapy treatment improved sleep quality compared with Treatment As Usual.
Authors: Rhonda M Williams; Dawn M Ehde; Melissa Day; Aaron P Turner; Shahin Hakimian; Kevin Gertz; Marcia Ciol; Alisha McCall; Carrie Kincaid; Mark W Pettet; David Patterson; Pradeep Suri; Mark P Jensen Journal: Contemp Clin Trials Date: 2020-01-09 Impact factor: 2.226