F51.0
Conditions
Interventions
Group 1: 6 weekly sessions of Acceptance and Commitment Therapy, length of sessions 120 minutes, outpatient setting
Sponsors
Universitätsklinikum Freiburg
Universitätsklinik für Psychiatrie und Psychsomatik
Abteilung für Psychiatrie und Psychotherapie
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1.meet diagnostic criteria for primary insomnia according to DSM-IV (American Psychiatric Association (APA), 1994) as assessed by experienced sleep clinicians based on a clinical interview including clinical sleep history and standard physical examinations 2.duration of insomnia for at least 6 months 3.insomnia at a clinical level, defined as a sleep onset latency or wakefulness after sleep onset of more than 30 minutes at least 3 times a week (Buysse et al., 2006) 4.previous unsuccessful treatment attempts: Patients who previously underwent CBT, including relaxation, sleep restriction, stimulus control, sleep hygiene and still fulfill criteria 1 to 3 at baseline will be included. 5.written informed consent after a detailed description of the study 6.age between 18 and 65 years
Exclusion criteria
Exclusion criteria: 1. other sleep disorders requiring other treatment, e.g. sleep apnea (AHI>10/h), restless legs syndrome, periodic limb movement disorder (PLMS index with arousal >5/h), narcolepsia or circadian rhythm disorders 2. relevant medical or psychiatric comorbidity, i.e. only patients who do not currently fulfill the diagnostic criteria for another disorder are eligible. Patients with a history of psychosis, affective disorder, substance abuse or dependency, borderline personality disorder or other relevant mental disorder will be excluded. 3. evidence of mental retardation, severe cognitive deficits and neurological disorders 4. concomitant other psychotherapy 5. any psychoactive medication, including benzodiazepines, benzodiazepine-receptor agonists, antidepressants, antipsychotics etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| participants' subjective satisfaction with the intervention, measured by a) the Insomnia Treatment Satisfaction Survey and an ACT-specific treatment satisfaction scale, administered after the intervention and b) a measure of process quality ("Berner Stundenbogen") administered after every therapy session | — |
Secondary
| Measure | Time frame |
|---|---|
| subjective sleep quality as measured by the "Pittsburgh Sleep Quality Index" (PSQI) administered at pre, post and 3-months-follow-up | — |
Countries
Germany
Contacts
Public ContactElisabeth Hertenstein
Universitätsklinik für Psychiatrie und Psychosomatik Abteilung für Psychiatrie und Psychotherapie
Outcome results
None listed