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Cognitive Behavioral Therapy for Prenatal Insomnia: A Randomized Controlled Trial.
Rachel Manber1, Bei Bei, Norah Simpson
1Stanford University, Stanford, California; Monash University, Melbourne, Australia; and Santa Clara Valley Medical Center, Fruitdale, California.
Obstetrics and Gynecology
|April 11, 2019
Summary
Cognitive behavioral therapy for insomnia (CBT-I) effectively treats insomnia in pregnant women. CBT-I significantly reduced insomnia severity and improved remission rates compared to control interventions.
Area of Science:
- Obstetrics and Gynecology
- Psychiatry
- Sleep Medicine
Background:
- Insomnia is a common complaint during pregnancy, affecting maternal well-being.
- Nonpharmacologic treatments are preferred for managing insomnia in this population.
Purpose of the Study:
- To evaluate the effectiveness of cognitive behavioral therapy for insomnia (CBT-I) as a treatment for pregnant women.
- To compare CBT-I with a control intervention for insomnia during pregnancy.
Main Methods:
- A randomized, controlled trial involving 194 pregnant women diagnosed with insomnia disorder.
- Participants were allocated to either CBT-I or an imagery-based control intervention.
- Primary outcome was the Insomnia Severity Index (ISI) score; secondary outcomes included insomnia remission and sleep parameters.
Main Results:
- Women receiving CBT-I showed significantly greater reductions in ISI scores compared to the control group (mean decrease of 7.4 vs 4.7 points, P<.001).
- Insomnia remission was achieved by 64% of women in the CBT-I group versus 52% in the control group.
- CBT-I also led to faster remission and significant reductions in self-reported wake time and depressive symptoms.
Conclusions:
- Cognitive behavioral therapy for insomnia is an effective nonpharmacologic treatment for insomnia during pregnancy.
- CBT-I offers a valuable therapeutic option for improving sleep and mental health in pregnant individuals.
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