Examining the Utility of a Sleep Resource in Transdiagnostic Internet-Delivered Cognitive Behavior Therapy: An Observational Study

Vanessa Peynenburg, Andreea Ababei, Andrew Wilhelms, Michael Edmonds, Nick Titov, Blake F. Dear, Viktor Kaldo, Susanna Jernelöv and Heather D. Hadjistavropoulos
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Vanessa Peynenburg: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK S4S 0A2, Canada
Andreea Ababei: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK S4S 0A2, Canada
Andrew Wilhelms: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK S4S 0A2, Canada
Michael Edmonds: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK S4S 0A2, Canada
Nick Titov: MindSpot Clinic, School of Psychological Sciences, Macquarie University, Sydney, NSW 2109, Australia
Blake F. Dear: eCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, NSW 2109, Australia
Viktor Kaldo: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, SE 14186 Stockholm, Sweden
Susanna Jernelöv: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, SE 14186 Stockholm, Sweden
Heather D. Hadjistavropoulos: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK S4S 0A2, Canada

IJERPH, 2022, vol. 19, issue 15, 1-20

Abstract: Patients seeking transdiagnostic internet-delivered cognitive behavior therapy (T-ICBT) for anxiety or depression often have sleep difficulties. A brief resource that includes sleep psychoeducation and strategies for improving sleep (e.g., stimulus control and sleep restriction) may address comorbid insomnia without the need for an insomnia-specific ICBT course. This observational study explored patient use and feedback of a brief sleep resource available to all patients ( n = 763) enrolled in an 8-week T-ICBT course. Overall, 30.1% of patients ( n = 230) reviewed the resource and were older, more engaged with the ICBT course (i.e., more likely to complete the program, more logins, and greater number of days enrolled in the course) and had higher pretreatment insomnia symptoms than those who did not review the resource. Resource reviewers did not report larger improvements in symptoms of insomnia than non-reviewers, even among patients with clinical levels of insomnia, and average insomnia levels remained above the clinical cutoff at posttreatment. While patients were satisfied with the resource and it was beneficial to some patients, more research is needed to further explore how it may be integrated into T-ICBT and how therapists can encourage the use of the resource among patients who may benefit from the resource.

Keywords: insomnia; transdiagnostic; internet-delivered cognitive behavior therapy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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