Bereavement, Insomnia
Conditions
Keywords
Cognitive behavior therapy, Internet treatment, Self-help treatment, Insomnia, ICBT, CBT-i, Bereavement
Brief summary
The purpose of this project is to evaluate an Internet-based Cognitive Behavioral Therapy (ICBT) for bereaved parents with insomnia. Participants are randomized to either a therapist guided ICBT or to an active control who receives written information on sleep, insomnia, and sleep hygiene. The primary purpose is to evaluate changes in insomnia severity for treatment compared control, after treatment and at 9 and 18 months follow up. A secondary purpose is to evaluate changes in symptoms of complicated grief and depression.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical level of Insomnia (more than 10 on ISI) * Meets criteria for Insomnia according to DSM-5 * Enough Swedish language skills
Exclusion criteria
* Other sleep disorders that require other treatment (e.g. sleep apnea) * Somatic or psychiatric conditions requiring acute care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change (from baseline) in Insomnia Severity Index, ISI | 0, 9 and 18 months after treatment | 7-item, self-rated questionnaire measuring change in insomnia severity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change (from baseline) in Montgomery Asberg Depression Rating Scale, MADRS-S | 0, 9 and 18 months after treatment | The MADRS-S is a 9-item self-rated measure of change in depression severity. |
| Change (from baseline) in Prolonged Grief Disorder, PG-13 | 0, 9 and 18 months after treatment | 13-item, self-rated measure of prolonged grief disorder |
| Change (from baseline) in PTSD Checklist for DSM-5 , PCL-5 | 0, 9 and 18 months after treatment | 20-item, self-rated measure of posttraumatic stress disorder |
| Change (from baseline) in Generalised Anxiety Disorder Assessment, GAD-7 | 0, 9 and 18 months after treatment | 7-item, self-rated measure of anxiety symptoms |
| Change (from baseline) in Utrecht Grief Rumination Scale, UGRS | 0, 9 and 18 months after treatment | 15-item, self-rated measure of grief rumination |