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A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial

  • Identification data

    Identifier: imarina:9331024
    Authors:
    Batalla-Martin, DavidMartorell-Poveda, Maria-AntoniaBelzunegui-Eraso, AngelMarieges Gordo, AlejandroBatlle Lleal, HelenaPasqual Melendez, RaquelQuerol Girona, RaquelLopez-Ruiz, Marina
    Abstract:
    Insomnia is a highly prevalent disorder among the population with schizophrenia and has a significant impact on their quality of life. Cognitive behavioural therapies (CBT) have shown effectiveness in the treatment of insomnia in the general population. The aim of this this pilot study was to evaluate the effectiveness of a group intervention led by nurses in an outpatient mental health centre. The group work combined cognitive behavioural and psychoeducational therapeutic interventions to improve insomnia in patients with schizophrenic disorder and their health-related quality of life. This randomized clinical trial included intervention and control groups with follow-up assessments at 6 and 9 months, using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and EuroQol-5D (EQ-5D) scales. The inclusion criteria were as follows: over 18 years of age, diagnosis of schizophrenia, and a score of >7 on the ISI scale. The total sample was 40 participants. The ISI scale showed a mean difference of 3.63 (CI 95%: 2.02–5.23) (p = 0.000) and 4.10 (CI 95%: 2.45–5.75) (p = 0.000) and a large effect size (F: 28.36; p = 0.000; ηp2: 0.427). Regarding the PSQI scale, the mean difference was 3.00 (CI 95%: 1.53–4.49) (p = 0.000) and 2.30 (CI 95%: 0.85–3.75) (p = 0.000), with a medium effect size (F: 18.31; p = 0.000 ηp2: 0.325). The EQ-VAS scale showed a difference in mean scores between the groups of 10.48 (CI 95%: −19.66–−1.29) (p = 0.027). CBT adapted for populations with mental disorders, carried out by nurses, is effective in improving insomnia and health-related quality of life.
  • Others:

    Author, as appears in the article.: Batalla-Martin, David; Martorell-Poveda, Maria-Antonia; Belzunegui-Eraso, Angel; Marieges Gordo, Alejandro; Batlle Lleal, Helena; Pasqual Melendez, Raquel; Querol Girona, Raquel; Lopez-Ruiz, Marina
    Department: Història i Història de l'Art Infermeria
    URV's Author/s: Belzunegui Eraso, Angel Gabriel / Martorell Poveda, Maria Antonia
    Keywords: Sleep disturbance Schizophrenia Quality of life Insomnia Cognitive-behavioral therapy Cognitive behavioural therapy for insomnia validation spanish version sleep quality sleep disturbance severity index schizophrenia reliability quality-of-life quality of life cost-effectiveness cognitive behavioural therapy for insomnia care assessor-blind
    Abstract: Insomnia is a highly prevalent disorder among the population with schizophrenia and has a significant impact on their quality of life. Cognitive behavioural therapies (CBT) have shown effectiveness in the treatment of insomnia in the general population. The aim of this this pilot study was to evaluate the effectiveness of a group intervention led by nurses in an outpatient mental health centre. The group work combined cognitive behavioural and psychoeducational therapeutic interventions to improve insomnia in patients with schizophrenic disorder and their health-related quality of life. This randomized clinical trial included intervention and control groups with follow-up assessments at 6 and 9 months, using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and EuroQol-5D (EQ-5D) scales. The inclusion criteria were as follows: over 18 years of age, diagnosis of schizophrenia, and a score of >7 on the ISI scale. The total sample was 40 participants. The ISI scale showed a mean difference of 3.63 (CI 95%: 2.02–5.23) (p = 0.000) and 4.10 (CI 95%: 2.45–5.75) (p = 0.000) and a large effect size (F: 28.36; p = 0.000; ηp2: 0.427). Regarding the PSQI scale, the mean difference was 3.00 (CI 95%: 1.53–4.49) (p = 0.000) and 2.30 (CI 95%: 0.85–3.75) (p = 0.000), with a medium effect size (F: 18.31; p = 0.000 ηp2: 0.325). The EQ-VAS scale showed a difference in mean scores between the groups of 10.48 (CI 95%: −19.66–−1.29) (p = 0.027). CBT adapted for populations with mental disorders, carried out by nurses, is effective in improving insomnia and health-related quality of life.
    Thematic Areas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mariaantonia.martorell@urv.cat mariaantonia.martorell@urv.cat angel.belzunegui@urv.cat
    Author identifier: 0000-0002-0309-1812 0000-0002-0309-1812 0000-0002-6355-1593
    Record's date: 2024-09-28
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2077-0383/12/19/6147
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Clinical Medicine. 12 (19): 6147-
    APA: Batalla-Martin, David; Martorell-Poveda, Maria-Antonia; Belzunegui-Eraso, Angel; Marieges Gordo, Alejandro; Batlle Lleal, Helena; Pasqual Melendez, Ra (2023). A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial. Journal Of Clinical Medicine, 12(19), 6147-. DOI: 10.3390/jcm12196147
    Article's DOI: 10.3390/jcm12196147
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Sleep disturbance
    Schizophrenia
    Quality of life
    Insomnia
    Cognitive-behavioral therapy
    Cognitive behavioural therapy for insomnia
    validation
    spanish version
    sleep quality
    sleep disturbance
    severity index
    schizophrenia
    reliability
    quality-of-life
    quality of life
    cost-effectiveness
    cognitive behavioural therapy for insomnia
    care
    assessor-blind
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
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