Long-Term Effects of Two Formats of Cognitive Behavioral Therapy for Insomnia Comorbid with Breast Cancer
Identifieur interne : 001E20 ( Ncbi/Merge ); précédent : 001E19; suivant : 001E21Long-Term Effects of Two Formats of Cognitive Behavioral Therapy for Insomnia Comorbid with Breast Cancer
Auteurs : Josée Savard [Canada] ; Hans Ivers [Canada] ; Marie-Hélène Savard [Canada] ; Charles M. Morin [Canada]Source :
- Sleep [ 0161-8105 ] ; 2016.
Abstract
The goal of this randomized controlled trial, conducted in breast cancer patients, was to assess the long-term efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I), as compared to a professionally administered intervention (PCBT-I) and to a no-treatment group (CTL). An earlier report revealed that, at posttreatment, VCBT-I patients showed significantly greater sleep improvements than CTL, but that PCBT-I produced superior effects than VCBT-I on some sleep and secondary outcomes. In this report, long-term effects are compared.
Two hundred forty-two women with breast cancer and with insomnia symptoms or using hypnotic medications participated to this three-arm randomized controlled trial: (1) PCBT-I (n = 81); (2) VCBT-I (n = 80); or (3) no treatment (CTL; n = 81) group. PCBT-I was composed of six weekly, individual sessions of approximately 50 min, whereas VCBT-I comprised a 60-min animated video and six booklets.
Study measures (sleep and secondary variables) were administered at pretreatment and posttreatment, and at a 3-, 6-, and 12-mo follow-up. Treatment gains were well sustained at follow-up in both PCBT-I and VCBT-I. As at posttreatment, the remission rate of insomnia at follow-up was greater in PCBT-I than in VCBT-I, which was greater than in CTL.
Although face-to-face therapy remains the optimal format to efficaciously administer CBT for insomnia in cancer patients, a minimal intervention, such as the video-based intervention tested in this study, produces significant and sustainable treatment effects.
ClinicalTrials.gov identifier NCT00674830.
Savard J, Ivers H, Savard MH, Morin CM. Long-term effects of two formats of cognitive behavioral therapy for insomnia comorbid with breast cancer.
Url:
DOI: 10.5665/sleep.5634
PubMed: 26715229
PubMed Central: 4791615
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<front><div type="abstract" xml:lang="en"><sec><title>Study Objectives:</title>
<p>The goal of this randomized controlled trial, conducted in breast cancer patients, was to assess the long-term efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I), as compared to a professionally administered intervention (PCBT-I) and to a no-treatment group (CTL). An earlier report revealed that, at posttreatment, VCBT-I patients showed significantly greater sleep improvements than CTL, but that PCBT-I produced superior effects than VCBT-I on some sleep and secondary outcomes. In this report, long-term effects are compared.</p>
</sec>
<sec><title>Methods:</title>
<p>Two hundred forty-two women with breast cancer and with insomnia symptoms or using hypnotic medications participated to this three-arm randomized controlled trial: (1) PCBT-I (n = 81); (2) VCBT-I (n = 80); or (3) no treatment (CTL; n = 81) group. PCBT-I was composed of six weekly, individual sessions of approximately 50 min, whereas VCBT-I comprised a 60-min animated video and six booklets.</p>
</sec>
<sec><title>Results:</title>
<p>Study measures (sleep and secondary variables) were administered at pretreatment and posttreatment, and at a 3-, 6-, and 12-mo follow-up. Treatment gains were well sustained at follow-up in both PCBT-I and VCBT-I. As at posttreatment, the remission rate of insomnia at follow-up was greater in PCBT-I than in VCBT-I, which was greater than in CTL.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Although face-to-face therapy remains the optimal format to efficaciously administer CBT for insomnia in cancer patients, a minimal intervention, such as the video-based intervention tested in this study, produces significant and sustainable treatment effects.</p>
</sec>
<sec><title>Clinical Trial Registration:</title>
<p>ClinicalTrials.gov identifier NCT00674830.</p>
</sec>
<sec><title>Citation:</title>
<p>Savard J, Ivers H, Savard MH, Morin CM. Long-term effects of two formats of cognitive behavioral therapy for insomnia comorbid with breast cancer. <italic>SLEEP</italic>
2016;39(4):813–823.</p>
</sec>
</div>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sleep</journal-id>
<journal-id journal-id-type="iso-abbrev">Sleep</journal-id>
<journal-id journal-id-type="publisher-id">Sleep</journal-id>
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<issn pub-type="ppub">0161-8105</issn>
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<article-id pub-id-type="doi">10.5665/sleep.5634</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Insomnia</subject>
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<title-group><article-title>Long-Term Effects of Two Formats of Cognitive Behavioral Therapy for Insomnia Comorbid with Breast Cancer</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Savard</surname>
<given-names>Josée</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
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<contrib contrib-type="author"><name><surname>Ivers</surname>
<given-names>Hans</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
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<xref ref-type="aff" rid="aff3"><sup>3</sup>
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<contrib contrib-type="author"><name><surname>Savard</surname>
<given-names>Marie-Hélène</given-names>
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<xref ref-type="aff" rid="aff2"><sup>2</sup>
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<xref ref-type="aff" rid="aff3"><sup>3</sup>
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<contrib contrib-type="author"><name><surname>Morin</surname>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
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<aff id="aff1"><label>1</label>
School of Psychology, Université Laval, Québec, Québec, Canada</aff>
<aff id="aff2"><label>2</label>
CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</aff>
<aff id="aff3"><label>3</label>
Université Laval Cancer Research Center, Québec, Québec, Canada</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to Josée Savard, PhD, <addr-line>Laval University Research Center, 11 Côte du Palais, Québec, Québec, Canada, G1R 2J6</addr-line>
<phone>(418) 691-5281</phone>
<fax>(418) 691-2971</fax>
<email>josee.savard@psy.ulaval.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>1</day>
<month>4</month>
<year>2016</year>
</pub-date>
<volume>39</volume>
<issue>4</issue>
<fpage>813</fpage>
<lpage>823</lpage>
<history><date date-type="received"><month>7</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><month>10</month>
<year>2015</year>
</date>
<date date-type="accepted"><month>11</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© 2016 Associated Professional Sleep Societies, LLC.</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><sec><title>Study Objectives:</title>
<p>The goal of this randomized controlled trial, conducted in breast cancer patients, was to assess the long-term efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I), as compared to a professionally administered intervention (PCBT-I) and to a no-treatment group (CTL). An earlier report revealed that, at posttreatment, VCBT-I patients showed significantly greater sleep improvements than CTL, but that PCBT-I produced superior effects than VCBT-I on some sleep and secondary outcomes. In this report, long-term effects are compared.</p>
</sec>
<sec><title>Methods:</title>
<p>Two hundred forty-two women with breast cancer and with insomnia symptoms or using hypnotic medications participated to this three-arm randomized controlled trial: (1) PCBT-I (n = 81); (2) VCBT-I (n = 80); or (3) no treatment (CTL; n = 81) group. PCBT-I was composed of six weekly, individual sessions of approximately 50 min, whereas VCBT-I comprised a 60-min animated video and six booklets.</p>
</sec>
<sec><title>Results:</title>
<p>Study measures (sleep and secondary variables) were administered at pretreatment and posttreatment, and at a 3-, 6-, and 12-mo follow-up. Treatment gains were well sustained at follow-up in both PCBT-I and VCBT-I. As at posttreatment, the remission rate of insomnia at follow-up was greater in PCBT-I than in VCBT-I, which was greater than in CTL.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Although face-to-face therapy remains the optimal format to efficaciously administer CBT for insomnia in cancer patients, a minimal intervention, such as the video-based intervention tested in this study, produces significant and sustainable treatment effects.</p>
</sec>
<sec><title>Clinical Trial Registration:</title>
<p>ClinicalTrials.gov identifier NCT00674830.</p>
</sec>
<sec><title>Citation:</title>
<p>Savard J, Ivers H, Savard MH, Morin CM. Long-term effects of two formats of cognitive behavioral therapy for insomnia comorbid with breast cancer. <italic>SLEEP</italic>
2016;39(4):813–823.</p>
</sec>
</abstract>
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