JMIR Human Factors, Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 17, 2024
Language: Английский
Journal of Sleep Research, Journal Year: 2023, Volume and Issue: 32(6)
Published: Aug. 16, 2023
Summary Despite cognitive behaviour therapy for insomnia (CBT‐I) being the first‐line intervention disorder, it is often not readily available to patients in need. The stepped care model (SCM) represents an approach facilitating efficient and wide‐ranging provision of evidence‐based those with insomnia. SCM reflects a pyramid therapeutics based on CBT‐I gradually increasing clinical intensity addressing complexity. By applying through hoped that treatment gap can be bridged such only more reached, but resource effectively distributed, receiving tailored as needed. Nevertheless, this should done at risk lower quality offered, high‐standard training clinicians scrutiny non‐clinician led interventions remains important. As national health laws within European countries have substantial differences, application relates may challenged by contrasting interpretations. In order appropriately implemented: (a) treatments promoted model; (b) involved suitably qualified offer CBT general, appropriate further CBT‐I; (c) professionals included SCM, related it, preventive educational programmes, diagnostic procedures, pharmacological treatments, also good knowledge promote correct allocation interventional step.
Language: Английский
Citations
23
Internet Interventions, Journal Year: 2025, Volume and Issue: unknown, P. 100830 - 100830
Published: April 1, 2025
Language: Английский
Citations
1
BJPsych Open, Journal Year: 2024, Volume and Issue: 10(4)
Published: June 3, 2024
Digital Mental Health Interventions (DMHIs) that meet the definition of a medical device are regulated by Medicines and Healthcare products Regulatory Agency (MHRA) in UK. The MHRA uses procedures were originally developed for pharmaceuticals to assess safety DMHIs. There is recognition this may not be ideal, as evident an ongoing consultation reform led National Institute Care Excellence.
Language: Английский
Citations
4
Brain Sciences, Journal Year: 2025, Volume and Issue: 15(1), P. 48 - 48
Published: Jan. 7, 2025
Based on previous data reporting the status of health professionals' training about sleep clinical psychophysiology, insomnia, and its treatment in US Canada, this paper aims at providing a snapshot Italian situation, considering professionals qualified to offer cognitive behavioral therapy (CBT). Adding information different countries is important, as national systems differ significantly, distinct evidence-based pathways for change may be proposed. Two hundred thirteen CBT (180 females; 33 males) answered 5 min survey their experience recognizing treating disorders practice. The questionnaire was diffused through mailing list Behavioral Cognitive Therapy Society (Società Italiana di Terapia Comportamentale e Cognitiva, SITCC) throughout December 2023 January 2024. A total 213 participants completed survey. Only minor proportion respondents (37.1%) reported having received diagnosis insomnia or other disorders. Familiarity with psychological therapeutics mainly associated knowledge hygiene rules, relaxation, mindfulness techniques, but not core strategies (i.e., restriction stimulus control) regulation. less familiar were those pediatric insomnia. results study highlight scarce consideration problems practice Italy. As prevalent, an independent mental disorder, predictor somatic comorbid conditions, these findings underscore urgency enlarge strengthen psychology, problems, treatment.
Language: Английский
Citations
0
Journal of Sleep Research, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 31, 2025
Insomnia disorder, characterized by a complaint of reduced sleep quality or quantity and associated daytime impairment, is highly prevalent with life productivity. Cognitive behavioural therapy for insomnia (CBT-I) the current first-line treatment chronic disorder. Here, we outline our perspective future optimization psychotherapeutic insomnia. We identified following areas as most promising: first, optimizing efficacy CBT-I protocol; second, developing diagnostic therapeutic approaches non-responders partial responders; third, advancing widespread implementation psychotherapy More specifically, how protocol could be optimized through an improved understanding mechanisms, discuss potential adaptive strategies. Another promising approach improving using add-ons such physical exercise circadian-based interventions. Both may in certain subgroups patients In terms non-response, identify acceptance commitment (ACT-I) to CBT-I. ACT-I, however, still needs evaluated actual Implementing clinical practice one major challenges at hand. brief treatment, targeted challenging patient groups, digital help improve implementation. For research agenda, suggest that further into randomized-controlled trials CBT-I, focus on science have bring field forward.
Language: Английский
Citations
0
Psychological Medicine, Journal Year: 2025, Volume and Issue: 55
Published: Jan. 1, 2025
Abstract Background Cognitive behavioural therapy for insomnia (CBT-I) is the recommended first-line treatment insomnia. However, scaling this proven effective intervention to areas of high need remains a challenge, necessitating sensitive adaptation and evaluation. Methods A randomised waitlist-controlled trial evaluated efficacy hybrid digital CBT-I emotion regulation (dCBT-I + ER) delivered through workplaces. Participants with at least mild depression or anxiety symptoms were waitlist control groups. The was via web-based platform four video-conferencing sessions. tracked their sleep using actigraphy diary that used pace delivered. Assessments occurred baseline 8 weeks post-randomisation, measuring insomnia, depression, anxiety, psychological well-being, quality life, work productivity. Results Of 159 participants (mean age 43.6 ± 9.4 years, 76.7% female, 80.5% white), 80 received 79 in group. group showed significant improvements (F1, 134 = 71.46, p < .0001); 35.67, 17.63, .0001), large effect sizes (d 0.7–1.5). Sleep data supported these findings, whereas did not. Improvements well-being 132.13 10.64, 0.001), productivity, satisfaction outcomes Conclusions This study suggests dCBT-I ER intervention, workplaces, effectively improves anxiety. It holds promise as scalable solution, warranting further investigation into its long-term economic impact.
Language: Английский
Citations
0
Applied Psychology Health and Well-Being, Journal Year: 2025, Volume and Issue: 17(2)
Published: April 24, 2025
Abstract Recent years have seen a sharply rising interest in the scientific area dedicated to study of use Artificial Intelligence (AI) for Cognitive Behavioral Therapy (CBT) research and applications (AI4CBT brevity). Yet, little is known about how this realized hence overall status, prospects, possible challenges AI4CBT as field (e.g. breadth field, key topics methods, producing countries/institutions/authors, interdisciplinary grounding). This paper addresses gap by developing broad‐spectrum bibliometric analysis towards acquiring comprehensive overview field. Four dimensions are analyzed (productivity, producers, productions, contents) along array bibliographic metrics, including production trends over time, leading contributors at various levels, co‐authorship, citation, keywords co‐occurrence networks, publication formats, venues, methodological trends, disciplinary assessment. The concludes framing status allowing tie it applicative opportunities that may encounter offer further develops.
Language: Английский
Citations
0
Sleep Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 106551 - 106551
Published: May 1, 2025
Language: Английский
Citations
0
BMC Psychology, Journal Year: 2024, Volume and Issue: 12(1)
Published: June 10, 2024
Sleep is vital for maintaining individuals' physical and mental health particularly challenged during pregnancy. More than 70% of women the gestational period report insomnia symptoms. dysfunction in peripartum increases risk a cascade negative outcomes late pregnancy, birth, postpartum. While psychological interventions are considered first line treatment sleep difficulties, they still scarcely offered pregnancy there lack longitudinal research combining physiological indices. The present protocol outlines randomized controlled trial aimed at testing long-term effectiveness an automatized digitalized psychoeducational intervention expectant mothers complaining symptoms without comorbidity. Outcomes include physiological, hormonal, subjective indices maternal psychopathology, stress, emotional processes, wellbeing family system. part study evaluating from early (within 15th week) to 6-months postpartum through 6 observational phases: baseline (BSL), 6- 12-weeks BSL (FU1-FU2), 2-to-4 weeks after delivery (FU3), 3- (FU4-5). We plan recruit 38 difficulties (Group A) 76 with B). Group B will be randomly assigned digital control (B1) or experimental targeting (B2). At 3 time points, ecological-momentary-assessment (EMA) design used collect data on emotions (diaries), sleep-wake parameters (actigraphy) stress reactivity (salivary cortisol). also test DNA methylation genes involved response as biomarkers prenatal poor sleep. Information partner's new-borns' collected each stage. proposed aims easily accessible evidence-based help them improving sleep, health, peripartum. results could improve understanding management depression. has been registered 22 April 2024 ClinicalTrials.gov Protocol Registration Results System (PRS), ID: NCT06379074. 23, 2024.
Language: Английский
Citations
3
Journal of Sleep Research, Journal Year: 2023, Volume and Issue: 32(6)
Published: Oct. 12, 2023
Not applicable.
Language: Английский
Citations
1