Knowledge about Cognitive Behavioral Therapy for Insomnia (CBTI) as the most effective treatment for insomnia
DOI:
https://doi.org/10.12775/JEHS.2023.44.01.015Keywords
insomnia, CBTI, dCBTI, knowledgeAbstract
Introduction: Insomnia is becoming increasingly prevalent in society. According to research, cognitive behavioral therapy for insomnia (CBTI) is the most effective and safest treatment for insomnia, now also available in digital form (dCBTI). It is recommended as the gold standard for insomnia treatment by the European Standards of Insomnia Treatment and the Polish Society for Sleep Research.
Aim of study: This study aimed to assess the knowledge in society regarding effective methods for treating insomnia.
Materials and methods: The study was conducted using a proprietary online questionnaire. The survey consisted of 12 multiple-choice questions and 1 single-choice question. The study took place in the Łódź Voivodeship from May to June 2023. A total of 114 participants took part in the study. The participants were adults, informed consent was obtained from all individuals participating in the study.
Results: 78,9% of the participants experienced sleep problems. 54,4% of the participants identified CBTI as the most effective method for treating insomnia, but only 16,7% knew to what extent it was effective. 28.1% had knowledge of the approximate duration of CBTI. Only 28.1% of the respondents were aware of the existence of applications based on CBTI principles (dCBTI). 14% of the respondents correctly answered the question regarding the method of sleep restriction in CBTI.
Conclusions: 1. Difficulties falling asleep, middle-of-the-night awakenings, and poor sleep quality are widespread problems in society. 2. Chronic insomnia leads to numerous health and psychological consequences. 3. Knowledge about factors that perpetuate insomnia, such as daytime napping or extending time spent in bed, is low. 4. Awareness-raising actions about CBTI and dCBTI are necessary for both patients and healthcare professionals.
References
Charles M Morin, Denise C Jarrin: Epidemiology of Insomnia: Prevalence, Course, Risk Factors, and Public Health Burden. Sleep Med Clin. 2022; 17(2):173-191.
Riemann Dieter, Nissen Christoph, Palagini Laura, Otte Andreas, Perlis Michael L, Spiegelhalder Kai.: The neurobiology, investigation, and treatment of chronic insomnia. Lancet Neurol 2015; 14: 547–58.
Laura Palagini, Elisabeth Hertenstein, Dieter Riemann, Christoph Nissen: Sleep, insomnia and mental health. J Sleep Res 2022; 31(4) )
Margaret Kay-Stacey, Hrayr Attarian: Advances in the management of chronic insomnia: BMJ 2016;353
Julie A. Dopheide: Insomnia Overview: Epidemiology, Pathophysiology, Diagnosis and Monitoring, and Nonpharmacologic Therapy. Am J Manag Care. 2020;26:S76-S84
Tanja van der Zweerde, Jaap Lancee, Annemarie Ida Luik,mAnnemieke van Straten: Internet-Delivered Cognitive Behavioral Therapy for Insomnia Tailoring Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Insomnia. Sleep Medicine Clinics, 15(2), 117-131.
Patrick Faaland , Øystein Vedaa, Knut Langsrud, Børge Sivertsen, Stian Lydersen, Cecilie L Vestergaard, Kaia Kjørstad, Daniel Vethe, Lee M Ritterband, Allison G Harvey, Tore C Stiles, Jan Scott , Håvard Kallestad: Digital cognitive behaviour therapy for insomnia (dCBT-I): Chronotype moderation on intervention outcomes. J Sleep Res. 2022 Oct;31(5)
Lina Stålesen Ramfjord, Patrick Faaland, Jan Scott, Simen Berg Saksvik, Stian Lydersen, Øystein Vedaa, Nikolaj Kahn, Knut Langsrud, Tore C Stiles, Lee M Ritterband, Allison G Harvey, Børge Sivertsen, Håvard Kallestad: Digital cognitive behaviour therapy for insomnia in individuals with self-reported insomnia and chronic fatigue: A secondary analysis of a large scale randomized controlled trial. J Sleep Res. 2023 22;e13888
Ewa Walacik-Ufnal: Zastosowanie terapii poznawczo-behawioralnej w leczeniu bezsenności (Cognitive behavioral therapy in the treatment of insomnia). Psychiatry 2015; 12, 2: 90–98
Ya Gao, Long Ge, Ming Liu, Mingming Niu, Yamin Chen, Yue Sun, Ji Chen, Liang Yao, Qi Wang, Zhifan Li, Jianguo Xu, Muyang Li, Liangying Hou, Jiyuan Shi, Kelu Yang, Yitong Cai, Lun Li, Junhua Zhang, Jinhui Tian: Comparative efficacy and acceptability of cognitive behavioral therapy delivery formats for insomnia in adults: A systematic review and network meta-analysis Sleep Med Rev. 2022 Aug
Mariusz Siemiński , Łukasz Skorupa, Karolina Wiśniewska-Skorupa: Diagnostyka i terapia bezsenności w praktyce ogólnolekarskiej Część II: Terapia bezsenności (Diagnostics and therapy of insomnia in general practice Part II: Therapy of insomnia). Varia Medica 2019 tom 3, nr 2, strony 116–121
Charles M Morin, Annie Vallières, Bernard Guay, Hans Ivers, Josée Savard, Chantal Mérette, Célyne Bastien, Lucie Baillargeon: Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. JAMA. 2009 May 20;301(19):2005-15.
Simon Beaulieu-Bonneau, Hans Ivers, Bernard Guay, Charles M Morin.: Long-Term Maintenance of Therapeutic Gains Associated With Cognitive-Behavioral Therapy for Insomnia Delivered Alone or Combined With Zolpidem. Sleep. 2017 Mar 1;40(3)
Ka-Fai Chunga, Chit-Tat Leeb, Wing-Fai Yeungc , Man-Sum Chand, Emily Wing-Yue Chunge and Wai-Ling Lin: Sleep hygiene education as a treatment of insomnia: a systematic review and meta-analysis. Family Practice, 35(4), 365–375.
Zowie Davy PhD, Jo Middlemass MSc, Aloysius N. Siriwardena: Patients’ and clinicians’ experiences and perceptions of the primary care management of insomnia: qualitative study. Health Expectations, 18(5), 1371–1383
Patricia Lacks, Monique Roter: Knowledge and practice of sleep hygiene techniques in insomniacs and good sleepers. Behaviour Research and Therapy, 1986 24(3), 365–368
Janet M. Y. Cheung, Delwyn J. Bartlett, Carol L. Armour, Nicholas Glozier, Bandana Saini: Insomnia Patients' Help-Seeking Experiences. Behavioral Sleep Medicine, 2013 12(2), 106–122.
Karol Grabowski: Terapia poznawczo-behawioralna bezsenności (Cognitive-behavioral therapy for insomnia) Psychiatria 2011 tom 8, nr 2, 53–63
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Lidia Rosa, Klaudia Kister, Jakub Laskowski, Anna Szabrańska, Paulina Bronst, Julia Czechowska, Monika Zach-Źródlak, Aleksandra Małolepsza, Natalia Rektor, Magdalena Mazur
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 577
Number of citations: 0
