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Group cognitive-behavioral therapy in insomnia: a cross-sectional case-controlled study.
Hongjing Mao1, Yutian Ji2, You Xu1
1Department of Psychosomatic Disorders, The Seventh People's Hospital, Mental Health Center.
Group cognitive-behavioral therapy (GCBT) effectively treats insomnia by improving sleep quality and reducing emotional and somatic disturbances. This psychotherapy approach is recommended for insomnia management.
Area of Science:
- Psychiatry
- Sleep Medicine
- Psychotherapy
Background:
- Insomnia presents a significant treatment demand.
- Group cognitive-behavioral therapy (GCBT) is a potential intervention, but its efficacy requires evaluation.
Purpose of the Study:
- To assess the effectiveness of GCBT in treating insomnia.
- To compare GCBT with zolpidem treatment and a healthy control group.
Main Methods:
- Recruited three groups: zolpidem only (n=27), zolpidem + GCBT (n=26), and healthy controls (n=31).
- Administered zolpidem for 4 weeks followed by 12 weeks of GCBT.
- Evaluated participants using PHQ-9, PHQ-15, DBAS-16, and PSQI at baseline and 16 weeks post-intervention.
Main Results:
- The GCBT group showed significant reductions in PHQ-9, PHQ-15, DBAS-16, and PSQI scores compared to zolpidem and control groups.
- Correlations between sleep quality (PSQI), dysfunctional beliefs (DBAS-16), and symptom severity (PHQ-9, PHQ-15) were observed in the zolpidem group.
- Limited correlations were found between PSQI and DBAS-16 scales in the GCBT group.
Conclusions:
- GCBT is an effective treatment for insomnia, enhancing sleep quality and alleviating emotional and somatic symptoms.
- The findings support the use of group psychotherapy as a viable treatment for insomnia.
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