TY - JOUR
T1 - The development and evaluation of a large-scale self-referral CBT-I intervention for men who have insomnia
T2 - An exploratory study
AU - Archer, Marc
AU - Brown, June S.L.
AU - Idusohan, Helen
AU - Coventry, Shirley
AU - Manoharan, Andiappan
AU - Espie, Colin A.
N1 - Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009
PY - 2009/5/6
Y1 - 2009/5/6
N2 - Background: Whilst effective psychological treatments such as CBT-I have been developed for insomnia, few services provide CBT-I and awareness of CBT-I is low among referrers. In addition, men tend to seek help less frequently for their insomnia than women. This paper describes the development and evaluation of psycho-educational CBT-I workshops, each for up to 25 people, and designed to be acceptable to men. Method: The CBT-I programme was based on Morin and Espie (2003), and adapted into a self-referral one-day workshop format designed specifically to improve access. Workshops were held on Saturdays in leisure centres. A one group pretest-posttest design was used and assessments were collected before and 6 weeks after each workshop. Over a 6-month period, 74 men self-referred, and attended the Introductory Talks preceding the workshops. Of these, 49.3% had never sought help from their GP, 66.2% suffered from clinical insomnia (ISI) and 61.6% were experiencing elevated depression symptoms (BDI over 10). Results: At follow-up, the workshops were found to be effective in reducing insomnia and depression. Satisfaction ratings with the workshops were very high. Conclusions: Given these promising results, further work is now proposed for a larger controlled study with a longer-term follow-up.
AB - Background: Whilst effective psychological treatments such as CBT-I have been developed for insomnia, few services provide CBT-I and awareness of CBT-I is low among referrers. In addition, men tend to seek help less frequently for their insomnia than women. This paper describes the development and evaluation of psycho-educational CBT-I workshops, each for up to 25 people, and designed to be acceptable to men. Method: The CBT-I programme was based on Morin and Espie (2003), and adapted into a self-referral one-day workshop format designed specifically to improve access. Workshops were held on Saturdays in leisure centres. A one group pretest-posttest design was used and assessments were collected before and 6 weeks after each workshop. Over a 6-month period, 74 men self-referred, and attended the Introductory Talks preceding the workshops. Of these, 49.3% had never sought help from their GP, 66.2% suffered from clinical insomnia (ISI) and 61.6% were experiencing elevated depression symptoms (BDI over 10). Results: At follow-up, the workshops were found to be effective in reducing insomnia and depression. Satisfaction ratings with the workshops were very high. Conclusions: Given these promising results, further work is now proposed for a larger controlled study with a longer-term follow-up.
KW - CBT-I
KW - Depression
KW - Insomnia
KW - Men
KW - Psycho-educational
KW - Self-referral
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U2 - 10.1017/S1352465809005256
DO - 10.1017/S1352465809005256
M3 - Article
C2 - 19416561
AN - SCOPUS:67949100591
SN - 1352-4658
VL - 37
SP - 239
EP - 248
JO - Behavioural and Cognitive Psychotherapy
JF - Behavioural and Cognitive Psychotherapy
IS - 3
ER -