Moderators of Treatment Effects of a Video-Based Cognitive-Behavioral Therapy for Insomnia Comorbid With Cancer.

Abstract

PURPOSE:

To assess the moderating role of demographic and clinical variables on the efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I) among breast cancer patients.

PATIENTS AND METHODS:

As part of a randomized controlled trial, 80 women received VCBT-I.

RESULTS:

Patients with a more advanced breast cancer were less likely to show reductions on the Insomnia Severity Index (ISI) and increased sleep efficiency at posttreatment. Patients using an antidepressant medication showed a larger reduction of ISI scores and a higher rate of insomnia remission. Remission of insomnia was also significantly more likely in individuals with a higher annual income. When using a multivariate binary classification tree analysis, the best and unique predictor of insomnia remission was having a less severe baseline ISI score.

CONCLUSION:

Although efficacious in general, VCBT-I does not appear to be an optimal format for everybody.

• Authors: Josée Savard, Marie-Hélène Savard, Hans Ivers
• Journal: Behavioral sleep medicine (Behav Sleep Med) 2018 May-Jun Vol. 16 Issue 3 Pg. 294-309 ISSN: 1540-2010 [Electronic] England
• PMID: 27494528 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Topics

• Breast Neoplasms (complications)
• Cognitive Behavioral Therapy
• Female
• Humans
• Middle Aged
• Sleep Initiation and Maintenance Disorders (complications, therapy)
• Treatment Outcome
• Video Recording