Josée Savard|Hans Ivers|Marie?Hélène Savard|Charles M. Morin
Is a Video-Based Cognitive Behavioral Therapy for Insomnia as Efficacious as a Professionally Administered Treatment in Breast Cancer? Results of a Randomized Controlled Trial
Université Laval|Centre Hospitalier Universitaire de Québec|Université Laval|Centre Hospitalier Universitaire de Québec|Université Laval|Centre Hospitalier Universitaire de Québec|Université Laval
assess shortterm efficacy videobased cognitive behavioral therapy insomnia cbti compared professionally administered cbti notreatment grouprandomized controlled trialradiooncology department public hospital affiliated universit laval chu de qubectwo hundred fortytwo women breast cancer received radiation therapy past 18 mo insomnia symptoms using hypnotic medications randomized 1 professionally administered cbti pcbti n 81 2 videobased cbti vcbti n 80 3 treatment ctl n 81pcbti composed six weekly individual sessions approximately 50 min vcbti composed 60min animated video six bookletsinsomnia severity index isi total score sleep parameters derived daily sleep diary actigraphy collected pretreatment posttreatment pcbti vcbti associated significantly greater sleep improvements assessed subjectively compared ctl however relative vcbti pcbti associated significantly greater improvements insomnia severity early morning awakenings depression fatigue dysfunctional beliefs sleep remission rates insomnia isi 8 significantly greater pcbti compared vcbti 713 versus 443 p 0005a selfadministered cognitive behavioral therapy insomnia cbti using video format appears valuable treatment option facetoface sessions remain optimal format administering cbti efficaciously patients breast cancer selfhelp interventions insomnia may constitute appropriate entry level part stepped care modelclinicaltrialsgov identifier nct00674830savard j ivers h savard mh morin cm videobased cognitive behavioral therapy insomnia efficacious professionally administered treatment breast cancer results randomized controlled trial