Cargando…

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

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 evalua...

Descripción completa

Detalles Bibliográficos
Autores principales: Batalla-Martin, David, Martorell-Poveda, Maria-Antonia, Belzunegui-Eraso, Angel, Marieges Gordo, Alejandro, Batlle Lleal, Helena, Pasqual Melendez, Raquel, Querol Girona, Raquel, López-Ruiz, Marina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573965/
https://www.ncbi.nlm.nih.gov/pubmed/37834794
http://dx.doi.org/10.3390/jcm12196147
_version_ 1785120583872151552
author Batalla-Martin, David
Martorell-Poveda, Maria-Antonia
Belzunegui-Eraso, Angel
Marieges Gordo, Alejandro
Batlle Lleal, Helena
Pasqual Melendez, Raquel
Querol Girona, Raquel
López-Ruiz, Marina
author_facet Batalla-Martin, David
Martorell-Poveda, Maria-Antonia
Belzunegui-Eraso, Angel
Marieges Gordo, Alejandro
Batlle Lleal, Helena
Pasqual Melendez, Raquel
Querol Girona, Raquel
López-Ruiz, Marina
author_sort Batalla-Martin, David
collection PubMed
description 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.
format Online
Article
Text
id pubmed-10573965
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-105739652023-10-14 A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial Batalla-Martin, David Martorell-Poveda, Maria-Antonia Belzunegui-Eraso, Angel Marieges Gordo, Alejandro Batlle Lleal, Helena Pasqual Melendez, Raquel Querol Girona, Raquel López-Ruiz, Marina J Clin Med Article 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. MDPI 2023-09-23 /pmc/articles/PMC10573965/ /pubmed/37834794 http://dx.doi.org/10.3390/jcm12196147 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Batalla-Martin, David
Martorell-Poveda, Maria-Antonia
Belzunegui-Eraso, Angel
Marieges Gordo, Alejandro
Batlle Lleal, Helena
Pasqual Melendez, Raquel
Querol Girona, Raquel
López-Ruiz, Marina
A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
title A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
title_full A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
title_fullStr A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
title_full_unstemmed A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
title_short A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial
title_sort pilot nurse-administered cbt intervention for insomnia in patients with schizophrenic disorder: a randomized clinical effectiveness trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573965/
https://www.ncbi.nlm.nih.gov/pubmed/37834794
http://dx.doi.org/10.3390/jcm12196147
work_keys_str_mv AT batallamartindavid apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT martorellpovedamariaantonia apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT belzuneguierasoangel apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT mariegesgordoalejandro apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT batllellealhelena apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT pasqualmelendezraquel apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT querolgironaraquel apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT lopezruizmarina apilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT batallamartindavid pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT martorellpovedamariaantonia pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT belzuneguierasoangel pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT mariegesgordoalejandro pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT batllellealhelena pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT pasqualmelendezraquel pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT querolgironaraquel pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial
AT lopezruizmarina pilotnurseadministeredcbtinterventionforinsomniainpatientswithschizophrenicdisorderarandomizedclinicaleffectivenesstrial