None listed
Conditions
Brief summary
The study has two main parts: 1) An exploration and comparison of the primary thoughts occuring in people with healthy sleep compared to those with insomnia. This may contribute to future treatment planning and the understanding of insomnia in Australia. 2) A comparison of two psychological treatment components for insomnia (cognitive therapy and problem-solving training) with the purpose of determining the effectiveness of these components for treating insomnia and improving psychological wellbeing. This may contribute to additional treatment options for people with insomnia in the future.
Interventions
Cognitive-behavioural therapy for insomnia(CBT-I; with problem-solving training component) Therapy involves six weekly treatment sessions (1-2hrs/week) comprised of one initial group session (groups of 4-5 people) then approximately 5 individual sessions. Therapy will be administered by a clinical research student/intern psychologist under the supervision of a fully qualified clinical psychology staff member (Dr Richard O'Kearney) as part of the Doctor of Psychology clinical program at the Austr
Cognitive-behavioural therapy for insomnia(CBT-I; with problem-solving training component) Therapy involves six weekly treatment sessions (1-2hrs/week) comprised of one initial group session (groups of 4-5 people) then approximately 5 individual sessions. Therapy will be administered by a clinical research student/intern psychologist under the supervision of a fully qualified clinical psychology staff member (Dr Richard O'Kearney) as part of the Doctor of Psychology clinical program at the Australian National University to form a research thesis. Group sessions will involve sleep education, relaxation training and stimulus control (behavioural intervention) - all participants in the treatment study (50 in total) take part in the same group treatment, after which they are randomly allocated to one of two individual interventions (25 to each). Individual sessions will involve problem-solving training (a discussion-based therapy with homework sheets and sleep diary focused on improving problem-solving skills). Additionally, there is an Insomnia Thought Study involving the comparison of 10 normal sleepers to 50 people with insomnia. The study will involve the completion of survey forms and a thought diary during one week (prior to treatment for the insomnia participants and forming part of their sleep diary assessment) which will take 1-2hrs in total. Participants in the thought study may be reimbursed $10-15 for their participation.
Sponsors
Australian National University
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
Native or primary English speaker Insomnia Treatment Group (50 participants) Subjective complaint of insomnia and meeting the Research Diagnostic Criteria (Amercian Academy of Sleep Medicine, 2004) as follows: One or more sleep-related complaints (initiating, maintaining, early waking, poor quality) Difficulty occurs despite adequate opportunity for sleep At least one daytime impairment reported (e.g. fatigue, mood, attention, concentration, motivation, energy, worries about sleep) In addition, the sleep difficulties occurring for a minimum of 3 -6 months Participants will be accepted into the trial if they have comorbid depression or anxiety conditions that are assessed to be relatively stable, mild to moderate, and not requiring immediate treatment targeted at those symptoms. Insomnia Thought Study (including Insomnia Treatment participants plus 50 normal sleepers) Meet the Research Diagnostic Criteria for Normal Sleepers: No complaints of sleep disturbance or daytime symptoms attributable to unsatisfactory sleep Has a routine standard sleep/wake schedule No evidence of a sleep-disruptive medical or mental disorder No evidence of sleep disruption due to substance exposure, use, abuse, or withdrawal No evidence of a primary sleep disorder
Exclusion criteria
Under 18yrs and over 60yrs. Not native or primary English speakers Participation in existing psychological treatment programs that may confound the results of the present study (e.g. CBT programs). Sleep disturbance not meeting the Inclusion Criteria Evidence of severe psychiatric illness or primary sleep disorder other than insomnia. Sleep disruption due to substance exposure, use, abuse, or withdrawal.
Outcome results
None listed