The development and evaluation of a large-scale self-referral CBT-I intervention for men who have insomnia: An exploratory study

Marc Archer, June S.L. Brown, Helen Idusohan, Shirley Coventry, Andiappan Manoharan, Colin A. Espie

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)239-248
Number of pages10
JournalBehavioural and Cognitive Psychotherapy
Volume37
Issue number3
DOIs
Publication statusPublished - 6 May 2009

Keywords

  • CBT-I
  • Depression
  • Insomnia
  • Men
  • Psycho-educational
  • Self-referral

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