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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Long-Term Effects of Two Formats of Cognitive Behavioral Therapy for Insomnia Comorbid with Breast Cancer</title><author><name sortKey="Savard, Josee" sort="Savard, Josee" uniqKey="Savard J" first="Josée" last="Savard">Josée Savard</name><affiliation><nlm:aff id="aff1">School of Psychology, Université Laval, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Université Laval Cancer Research Center, Québec, Québec, Canada</nlm:aff></affiliation></author><author><name sortKey="Ivers, Hans" sort="Ivers, Hans" uniqKey="Ivers H" first="Hans" last="Ivers">Hans Ivers</name><affiliation><nlm:aff id="aff1">School of Psychology, Université Laval, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Université Laval Cancer Research Center, Québec, Québec, Canada</nlm:aff></affiliation></author><author><name sortKey="Savard, Marie Helene" sort="Savard, Marie Helene" uniqKey="Savard M" first="Marie-Hélène" last="Savard">Marie-Hélène Savard</name><affiliation><nlm:aff id="aff2">CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Université Laval Cancer Research Center, Québec, Québec, Canada</nlm:aff></affiliation></author><author><name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M." last="Morin">Charles M. Morin</name><affiliation><nlm:aff id="aff1">School of Psychology, Université Laval, Québec, Québec, Canada</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26715229</idno><idno type="pmc">4791615</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791615</idno><idno type="RBID">PMC:4791615</idno><idno type="doi">10.5665/sleep.5634</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000132</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000132</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Long-Term Effects of Two Formats of Cognitive Behavioral Therapy for Insomnia Comorbid with Breast Cancer</title><author><name sortKey="Savard, Josee" sort="Savard, Josee" uniqKey="Savard J" first="Josée" last="Savard">Josée Savard</name><affiliation><nlm:aff id="aff1">School of Psychology, Université Laval, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Université Laval Cancer Research Center, Québec, Québec, Canada</nlm:aff></affiliation></author><author><name sortKey="Ivers, Hans" sort="Ivers, Hans" uniqKey="Ivers H" first="Hans" last="Ivers">Hans Ivers</name><affiliation><nlm:aff id="aff1">School of Psychology, Université Laval, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Université Laval Cancer Research Center, Québec, Québec, Canada</nlm:aff></affiliation></author><author><name sortKey="Savard, Marie Helene" sort="Savard, Marie Helene" uniqKey="Savard M" first="Marie-Hélène" last="Savard">Marie-Hélène Savard</name><affiliation><nlm:aff id="aff2">CHU de Québec-Université Laval Research Center, Québec, Québec, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">Université Laval Cancer Research Center, Québec, Québec, Canada</nlm:aff></affiliation></author><author><name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M." last="Morin">Charles M. Morin</name><affiliation><nlm:aff id="aff1">School of Psychology, Université Laval, Québec, Québec, Canada</nlm:aff></affiliation></author></analytic><series><title level="j">Sleep</title><idno type="ISSN">0161-8105</idno><idno type="eISSN">1550-9109</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></front></TEI><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><journal-title-group><journal-title>Sleep</journal-title></journal-title-group><issn pub-type="ppub">0161-8105</issn><issn pub-type="epub">1550-9109</issn><publisher><publisher-name>Associated Professional Sleep Societies, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26715229</article-id><article-id pub-id-type="pmc">4791615</article-id><article-id pub-id-type="publisher-id">sp-00379-15</article-id><article-id pub-id-type="doi">10.5665/sleep.5634</article-id><article-categories><subj-group subj-group-type="heading"><subject>Insomnia</subject></subj-group></article-categories><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></name><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></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Ivers</surname><given-names>Hans</given-names></name><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></xref></contrib><contrib contrib-type="author"><name><surname>Savard</surname><given-names>Marie-Hélène</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Morin</surname><given-names>Charles M.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><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><kwd-group><kwd>cognitive behavioral therapy</kwd><kwd>insomnia</kwd><kwd>long-term effects</kwd><kwd>minimal intervention</kwd><kwd>self-help</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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