Forrest Scogin1, Kenneth Lichstein1, Elizabeth A DiNapoli2, Julie Woosley3, S Justin Thomas4, Michael A LaRocca5, Haley D Byers6, Lisa Mieskowski1, Christina Pierpaoli Parker1, Xin Yang7, Jason Parton7, Anna McFadden8, James D Geyer9. 1. Department of Psychology, University of Alabama, Tuscaloosa, AL. 2. VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, Pittsburgh, PA. 3. Tuscaloosa VA Medical Center, Tuscaloosa, AL. 4. Department of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL. 5. VA Palo Alto Healthcare System, Palo Alto, CA. 6. Southeast Permanente Medical Group, Kaiser Permanente, Atlanta, GA. 7. Culverhouse College of Commerce and Business Administration, University of Alabama, Tuscaloosa, AL. 8. College of Human Environmental Sciences, University of Alabama, Tuscaloosa, AL. 9. Alabama Neurology and Sleep Medicine, Tuscaloosa, AL.
Abstract
BACKGROUND: We examined the effects of integrated cognitive-behavioral therapy for depression and insomnia (CBT-D + CBT-I) delivered via videoconferening in rural, middle aged and older adults with depressive and insomnia symptoms. METHOD: Forty patients with depressive and insomnia symptoms were randomized to receive either 10 sessions of CBT-D + CBT-I or usual care (UC). Patients in the integrated CBT condition were engaged in telehealth treatment through Skype at their primary care clinic. Assessments were conducted at baseline, post-treatment, and 3-month follow-up. RESULTS: CBT-D +CBT-I participants had significantly greater improvements in sleep at post-treatment and 3-month follow-up as compared to the UC participants. The time by group interaction for depression was not significant; both the CBT-D + CBT-I and UC conditions had a decrease in depressive symptoms over time. CONCLUSION: While integrated CBT benefits both depression and insomnia symptoms, its effects on depression are more equivocal. Further research should consider expanding the depression treatment component of integrated CBT to enhance effectiveness.
BACKGROUND: We examined the effects of integrated cognitive-behavioral therapy for depression and insomnia (CBT-D + CBT-I) delivered via videoconferening in rural, middle aged and older adults with depressive and insomnia symptoms. METHOD: Forty patients with depressive and insomnia symptoms were randomized to receive either 10 sessions of CBT-D + CBT-I or usual care (UC). Patients in the integrated CBT condition were engaged in telehealth treatment through Skype at their primary care clinic. Assessments were conducted at baseline, post-treatment, and 3-month follow-up. RESULTS: CBT-D +CBT-I participants had significantly greater improvements in sleep at post-treatment and 3-month follow-up as compared to the UC participants. The time by group interaction for depression was not significant; both the CBT-D + CBT-I and UC conditions had a decrease in depressive symptoms over time. CONCLUSION: While integrated CBT benefits both depression and insomnia symptoms, its effects on depression are more equivocal. Further research should consider expanding the depression treatment component of integrated CBT to enhance effectiveness.
Entities:
Keywords:
Integrated CBT; depression; insomnia; middle-aged and older adults; telehealth
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