Evidence map›Paper›PMID 36085009›Full record

Trial reportBMC psychiatry2022

Clinical feasibility of cognitive behavioural therapy for insomnia in a real-world mixed sample at a specialized psychiatric outpatient clinic.

Maria Cassel, Kerstin Blom, Jannis Gatzacis, Peter Renblad, Viktor Kaldo, Susanna Jernelöv

3 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04136054 nacompletednot on this map

Better Sleep in Psychiatric Care - Depression, Anxiety and PTSD. A Randomized Naturalistic Study of a Psychological Group Treatment for Sleep Problems in Psychiatric Patients With Depression, Anxiety and PTSD.

TypeinterventionalSponsorKarolinska InstitutetRan2019 to 2025Enrolled131ConditionsSleep Problem, Anxiety Disorders, Affective DisorderArmsAdjusted group CBT-i for Depression, Anxiety and PTSD, Care as usual wait-list control group
NCT05379244 nacompletednot on this map

Better Sleep in Psychiatric Care - Clinical Feasibility and Preliminary Effects of CBT for Insomnia in a Mixed Psychiatric Sample at an Outpatient Clinic

TypeinterventionalSponsorKarolinska InstitutetRan2019 to 2020Enrolled18ConditionsAnxiety Disorders, Affective Disorders, PTSD, Insomnia ChronicArmsCBT-i
NCT06211075 nacompletednot on this mapstarted 2024, after this paper: background citation

Lay-guided Remotely Delivered Motivational Interviewing and Cognitive-behavioural Therapy for Insomnia: Protocol for a Feasibility and Pilot Study

TypeinterventionalSponsorOvercomeRan2024 to 2025Enrolled30ConditionsInsomniaArmsCognitive Behavioural Therapy for Insomnia with Motivational Interviewing
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Maria CasselCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Kerstin BlomCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Jannis GatzacisStockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Peter RenbladStockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Viktor KaldoCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Susanna JernelövCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. susanna.jernelov@ki.se.
Stockholm Health Care Services · SEKarolinska Institutet · SELinnaeus University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA majority of psychiatric patients suffer from insomnia or insomnia-like problems. In addition to impairing quality of life, sleep problems can worsen psychiatric conditions, such as depression and anxiety, and can make treatment of various psychiatric conditions less successful. Several international guidelines recommend cognitive behavioural therapy for insomnia (CBT-I) as first line treatment. However, patients in psychiatric care are rarely offered this treatment, and there is a lack of studies evaluating the treatment in regular psychiatric settings. In this pilot study, we aimed to determine the clinical feasibility of a group-based CBT-I intervention in an outpatient clinical setting for patients with depression, bipolar disorder, anxiety disorders and PTSD. We also aimed to investigate if symptoms of insomnia, depression and anxiety changed after CBT-I.

methodsSeventeen patients at an out-patient psychiatric clinic for mixed psychiatric problems of anxiety, affective disorders and PTSD, were enrolled in a six-week long group-based CBT-I intervention. Primary outcomes were pre-defined aspects of treatment feasibility. Secondary outcomes were changes in self-reported symptoms of insomnia severity, depression, and anxiety between pre - and post intervention. Assessment of insomnia severity was also performed 3 months after treatment. Feasibility data is reported descriptively, changes in continuous data from pre- to post-treatment were analysed with dependent t-tests.

resultsAll feasibility criteria were met; there were enough patients to sustain at least one group per semester (e.g., minimum 8), 88% of included patients attended the first session, mean of attended sessions was 4.9 of 6, and drop-out rate was 5.9%. Therapists, recruited from clinical staff, found the treatment manual credible, and possible to use at the clinic. Symptoms of insomnia decreased after treatment, as well as symptoms of depression and anxiety.

conclusionCBT-I could prove as a clinically feasible treatment option for insomnia in a psychiatric outpatient setting.

trial registrationClinicaltrials.gov identifier: NCT05379244. Retrospectively registered 18/05/2022.

Indexed as

Cognitive Behavioral TherapySleep Initiation and Maintenance DisordersAmbulatory Care FacilitiesFeasibility StudiesHumansPilot ProjectsQuality of LifeTreatment OutcomeAnxiety disorderCognitive behavior therapyDepressionInsomniaPTSDTreatment feasibility

Identifiers

PMID36085009
PMCPMC9461101
OpenAlexW4295008893

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.