Philip Cheng|Annemarie I. Luik|Cynthia Fellman-Couture|Edward L. Peterson|Christine L.M. Joseph|G Tallent|Kieulinh Michelle Tran|Brian K. Ahmedani|Timothy Roehrs|Thomas Roth|Christopher L. Drake
Efficacy of digital CBT for insomnia to reduce depression across demographic groups: a randomized trial
Henry Ford Health System|University of Oxford|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System
abstract background insomnia depression highly comorbid mutually exacerbate clinical trajectories outcomes cognitive behavioral therapy insomnia cbti effectively reduces insomnia depression severity delivered digitally could substantially increase accessibility cbti could reduce health disparities related insomnia however efficacy digital cbti cbti across range demographic groups yet adequately examined randomized placebocontrolled trial examined efficacy cbti reducing insomnia depression across wide range demographic groups methods 1358 individuals insomnia randomized final sample 358 retained cbti condition 300 online sleep education condition severity insomnia depression examined dependent variable race socioeconomic status ses household income education gender age also tested independent moderators treatment effects results cbti condition yielded greater reductions insomnia depression severity sleep education significantly higher rates remission following treatment demographic variables ie income race sex age education significant moderators treatment effects suggesting cbti comparably efficacious across wide range demographic groups furthermore differences attrition found based ses attrition differ white black participants conclusions results provide evidence wide dissemination cbti may effectively target insomnia comorbid depression across wide spectrum population