One-week inpatient cognitive behavioral therapy for insomnia: a retrospective study

Area of Science:

• Psychiatry
• Sleep Medicine
• Behavioral Science

Background:

• Insomnia is a prevalent sleep disorder impacting overall health and well-being.
• Cognitive Behavioral Therapy for Insomnia (CBT-I) is a first-line treatment, but traditional delivery can be lengthy.
• Investigating abbreviated inpatient CBT-I is crucial for accessible and efficient insomnia management.

Purpose of the Study:

• To evaluate the effectiveness of a one-week inpatient Cognitive Behavioral Therapy for Insomnia (CBT-I).
• To determine if abbreviated inpatient CBT-I is a viable treatment option for patients without severe mental disorders.
• To assess clinical outcomes and remission rates at a 3-month follow-up.

Main Methods:

• Retrospective, single-group, pretest-posttest study design.
• Inclusion of 94 patients undergoing one-week inpatient CBT-I.
• Collection of self-report scale scores and hypnotic medication use at baseline and 3-month follow-up.

Main Results:

• Significant improvements observed in insomnia severity, anxiety, depression, daytime sleepiness, and fatigue.
• Reduced use of hypnotic medications post-intervention.
• At 3-month follow-up, 67.4% showed clinically meaningful insomnia improvement, and 59.3% achieved remission.

Conclusions:

• One-week inpatient CBT-I is a potentially effective intervention for insomnia in patients without severe mental disorders.
• This abbreviated approach demonstrates feasibility and positive outcomes in a real-world setting.
• Further research can explore optimizing shorter CBT-I protocols for broader application.