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Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep?

Publication ,  Journal Article
Edinger, JD; Wohlgemuth, WK; Radtke, RA; Marsh, GR; Quillian, RE
Published in: Sleep
August 1, 2001

STUDY OBJECTIVES: This study was conducted to exam the degree to which cognitive-behavioral insomnia therapy (CBT) reduces dysfunctional beliefs about sleep and to determine if such cognitive changes correlate with sleep improvements. DESIGN: The study used a double-blind, placebo-controlled design in which participants were randomized to CBT, progressive muscle relaxation training or a sham behavioral intervention. Each treatment was provided in 6 weekly, 30-60-minute individual therapy sessions. SETTING: The sleep disorders center of a large university medical center. PARTICIPANTS: Seventy-five individuals (ages 40 to 80 years of age) who met strict criteria for persistent primary sleep-maintenance insomnia were enrolled in this trial. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Participants completed the Dysfunctional Beliefs and Attitudes About Sleep (DBAS) Scale, as well as other assessment procedures before treatment, shortly after treatment, and at a six-month follow-up. Items composing a factor-analytically derived DBAS short form (DBAS-SF) were then used to compare treatment groups across time points. Results showed CBT produced larger changes on the DBAS-SF than did the other treatments, and these changes endured through the follow-up period. Moreover, these cognitive changes were correlated with improvements noted on both objective and subjective measures of insomnia symptoms, particularly within the CBT group. CONCLUSIONS: CBT is effective for reducing dysfunctional beliefs about sleep and such changes are associated with other positive outcomes in insomnia treatment.

Duke Scholars

Published In

Sleep

DOI

ISSN

0161-8105

Publication Date

August 1, 2001

Volume

24

Issue

5

Start / End Page

591 / 599

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Sleep Initiation and Maintenance Disorders
  • Relaxation Therapy
  • Prospective Studies
  • Polysomnography
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001). Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep? Sleep, 24(5), 591–599. https://doi.org/10.1093/sleep/24.5.591
Edinger, J. D., W. K. Wohlgemuth, R. A. Radtke, G. R. Marsh, and R. E. Quillian. “Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep?Sleep 24, no. 5 (August 1, 2001): 591–99. https://doi.org/10.1093/sleep/24.5.591.
Edinger JD, Wohlgemuth WK, Radtke RA, Marsh GR, Quillian RE. Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep? Sleep. 2001 Aug 1;24(5):591–9.
Edinger, J. D., et al. “Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep?Sleep, vol. 24, no. 5, Aug. 2001, pp. 591–99. Pubmed, doi:10.1093/sleep/24.5.591.
Edinger JD, Wohlgemuth WK, Radtke RA, Marsh GR, Quillian RE. Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep? Sleep. 2001 Aug 1;24(5):591–599.
Journal cover image

Published In

Sleep

DOI

ISSN

0161-8105

Publication Date

August 1, 2001

Volume

24

Issue

5

Start / End Page

591 / 599

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Sleep Initiation and Maintenance Disorders
  • Relaxation Therapy
  • Prospective Studies
  • Polysomnography
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies