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- W2040094214 abstract "Introduction Insomnia is the most frequent sleep complaint, cognitive-behavioral therapy (CBT) is one of its two evidence based therapeutic options. It’s specially indicated in primary insomnia, insomnia associated with other chronic diseases and hypnotic-dependent insomnia patients. Despite this, CBT is not implemented yet in most sleep units in Spain. Group therapy is more efficient than the individual psychotherapy and can be a less expensive alternative. The basic philosophy of this program is that a time-limited intervention, focusing directly on the factors that perpetuate insomnia can be helpful regardless of the initial conditions that have precipitated it.The aim of this work is to describe the experience with the two first groups of CBT in insomnia patients performed at the University Hospital Son Espases, Palma de Mallorca. Materials and methods Subjects: Patients with chronic insomnia, motivated to participate and who had a reference therapist. Method: Each patient did two individual 60 min consultations, 8 weekly group treatment and two booster sessions one and three months after treatment has ended. Individual assessment: 1. Diagnostic and pre-selection consult done by a psychiatrist specialized in sleep disorders using a semi structured sleep clinical questionnaire. 2. Pre-treatment assessment and informed consent signature done by a clinical psychologist. Patient has to complete a pre-group sleep agenda for 1–2 weeks. Assessment tools: Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Beck Depression Scale (BDI), Spielberger Anxiety Scale (STAI E/R). Treatment Phase: Group (5–8 persons) 90 min duration. Pharmacological treatments (i.e. antidepressants) excepted hypnotic drugs were maintained during the length of treatment. Results Initial assessment was performed to 14 patients; all signed the informed consent. Only 8 patients (4 woman and 4 men, from 42 to 78 y) complete all sessions and assessment after treatment. Median scores of evaluation test pre / post treatment of these 8 patients were: PSQI 16,8/12,1; ISI 16,8/13,2; BDI 12,6/9,8; STAI E 31/25; STAI R 32,8/21,5. A notable result is that during group therapy all patients’ abandoned hypnotic drugs they used in everyday or in episodic basis. Conclusion Even the limited number of patients our results supports the efficacy of group psychotherapy, improves insomnia and decreases depressive and anxiety symptoms. We encourage its use in the treatment of chronic insomnia." @default.
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- W2040094214 date "2013-12-01" @default.
- W2040094214 modified "2023-09-27" @default.
- W2040094214 title "Insomnia group therapy" @default.
- W2040094214 doi "https://doi.org/10.1016/j.sleep.2013.11.181" @default.
- W2040094214 hasPublicationYear "2013" @default.
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