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ORIGINAL RESEARCH article

Front. Psychiatry
Sec. Sleep Disorders
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1440026

One-week inpatient cognitive behavioral therapy for insomnia: a retrospective study

Provisionally accepted
Qing Cai Qing Cai Mengya Li Mengya Li Guifeng Li Guifeng Li Xing Xu Xing Xu Cheng Li Cheng Li *Qifang Li Qifang Li *
  • Shanghai Fourth People's Hospital, Shanghai, China

The final, formatted version of the article will be published soon.

    Objective: To examine the effectiveness of one-week inpatient cognitive behavioral therapy for insomnia (CBT-I) in patients without severe mental disorders in the real-world setting to answer the research question "Can inpatient CBT-I be abbreviated?".In this retrospective, single-group, pretest-posttest study, the clinical outcome data of 94 patients who underwent one-week inpatient CBT-I were collected. Self-report scale scores and hypnotic medication use were obtained at baseline and at the 3-month follow-up after therapy.Results: CBT-I significantly improved insomnia severity (Z = -7.65, P < 0.001, Cohen's d = 1.34), anxiety (Z = -6.23, P < 0.001, Cohen's d = 1.02), depression (Z = -6.42, P < 0.001, Cohen's d = 1.06), daytime sleepiness (Z = -2.40, P = 0.016, Cohen's d = 0.35), and fatigue severity (Z = -5.54, P < 0.001, Cohen's d = 0.88) and reduced hypnotic medication use (χ 2 = 33.62, P < 0.001). At the follow-up assessment, 58 patients (67.4%) had clinically meaningful changes in insomnia, and 51 patients (59.3%) met the criteria for insomnia remission.The results of this preliminary study imply that one-week inpatient CBT-I may be an effective intervention for the treatment of insomnia in patients without severe mental disorders.

    Keywords: insomnia, sleep disorder, CBT-I, inpatient, Retrospective study

    Received: 28 May 2024; Accepted: 09 Aug 2024.

    Copyright: © 2024 Cai, Li, Li, Xu, Li and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Cheng Li, Shanghai Fourth People's Hospital, Shanghai, China
    Qifang Li, Shanghai Fourth People's Hospital, Shanghai, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.