ArticleInternational journal of clinical and health psychology : IJCHP
Exploring the associations between data-driven insomnia disorder combined with mild anxiety or/and depressive symptoms and the efficacy of Cognitive-Behavioral Therapy for insomnia.
Article in International journal of clinical and health psychology : IJCHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: The endophenotype of insomnia disorder is complex and the treatment is not targeted. The data-driven typing method might provide some bases for precise treatment. The present study was based on a post hoc analysis, aiming to explore the association between subtypes of insomnia disorder and the efficacy of cognitive-behavioral therapy for insomnia (CBT-I). Methods: The present study was conducted on data of 118 patients with chronic insomnia disorder combined mild anxiety or/and depressive symptoms, who had completed an 8-week randomized controlled trial of CBT-I vs CBT-I plus (CBT-I combined with modules targeting anxiety and depressive symptoms). The silhouette coefficient determined the optimal number of clusters, and a K-means clustering analysis was performed. T-tests were conducted to assess baseline differences at eight weeks, and the changes in self-reported total sleep time (sTST), Pittsburgh Sleep Quality Index (PSQI), Hamilton Depression Rating Scale (HRSD-17), and Hamilton Anxiety Rating Scale (HAMA) scores in order to explore the impact of subtypes and treatment approaches (CBT-I and CBT-I plus) on insomnia and emotional symptoms. Results: The analysis revealed no significant demographic differences between the two clusters. Subtype 2 was characterized by significantly poorer baseline sleep quality (PSQI: 16.59 vs 12.74, Conclusions: The study underscores the heterogeneity within ID subtypes and the differential response of sleep quality and depressive symptoms to CBT-I and CBT-I plus, highlighting the importance of personalized treatment strategies based on insomnia subtypes.
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