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

  • Datos identificativos

    Identificador: imarina:9331024
    Autores:
    Batalla-Martin, DavidMartorell-Poveda, Maria-AntoniaBelzunegui-Eraso, AngelMarieges Gordo, AlejandroBatlle Lleal, HelenaPasqual Melendez, RaquelQuerol Girona, RaquelLopez-Ruiz, Marina
    Resumen:
    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.
  • Otros:

    Autor según el artículo: 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
    Departamento: Història i Història de l'Art Infermeria
    Autor/es de la URV: Belzunegui Eraso, Angel Gabriel / Martorell Poveda, Maria Antonia
    Palabras clave: 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
    Resumen: 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.
    Áreas temáticas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: mariaantonia.martorell@urv.cat mariaantonia.martorell@urv.cat angel.belzunegui@urv.cat
    Identificador del autor: 0000-0002-0309-1812 0000-0002-0309-1812 0000-0002-6355-1593
    Fecha de alta del registro: 2024-09-28
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.mdpi.com/2077-0383/12/19/6147
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Journal Of Clinical Medicine. 12 (19): 6147-
    Referencia de l'ítem segons les normes 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
    DOI del artículo: 10.3390/jcm12196147
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2023
    Tipo de publicación: Journal Publications
  • Palabras clave:

    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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