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A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia

PURPOSE: Sleep disturbance is common in the working population, often associated with work stress, health complaints and impaired work performance. This study evaluated a group intervention at work, based on cognitive behavioral therapy (CBT) for insomnia, and the moderating effects of burnout score...

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Autores principales: Schiller, Helena, Söderström, Marie, Lekander, Mats, Rajaleid, Kristiina, Kecklund, Göran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908834/
https://www.ncbi.nlm.nih.gov/pubmed/29387936
http://dx.doi.org/10.1007/s00420-018-1291-x
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author Schiller, Helena
Söderström, Marie
Lekander, Mats
Rajaleid, Kristiina
Kecklund, Göran
author_facet Schiller, Helena
Söderström, Marie
Lekander, Mats
Rajaleid, Kristiina
Kecklund, Göran
author_sort Schiller, Helena
collection PubMed
description PURPOSE: Sleep disturbance is common in the working population, often associated with work stress, health complaints and impaired work performance. This study evaluated a group intervention at work, based on cognitive behavioral therapy (CBT) for insomnia, and the moderating effects of burnout scores at baseline. METHODS: This is a randomized controlled intervention with a waiting list control group. Participants were employees working at least 75% of full time, reporting self-perceived regular sleep problems. Data were collected at baseline, post-intervention and at a 3-month follow-up through diaries, wrist-actigraphy and questionnaires including the Insomnia Severity Index (ISI) and the Shirom–Melamed Burnout Questionnaire (SMBQ). Fifty-one participants (63% women) completed data collections. RESULTS: A multilevel mixed model showed no significant differences between groups for sleep over time, while there was a significant effect on insomnia symptoms when excluding participants working shifts (N = 11) from the analysis (p = 0.044). Moreover, a moderating effect of baseline-levels of burnout scores was observed on insomnia symptoms (p = 0.009). A post-hoc analysis showed that individuals in the intervention group with low burnout scores at baseline (SMBQ < 3.75) displayed significantly reduced ISI scores at follow-up, compared to individuals with high burnout scores at baseline (p = 0.005). CONCLUSIONS: Group CBT for insomnia given at the workplace did not reduce sleep problems looking at the group as a whole, while it was indicated that the intervention reduced insomnia in employees with regular daytime work. The results also suggest that workplace-based group CBT may improve sleep in employees with primary insomnia if not concomitant with high burnout scores. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00420-018-1291-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-59088342018-04-20 A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia Schiller, Helena Söderström, Marie Lekander, Mats Rajaleid, Kristiina Kecklund, Göran Int Arch Occup Environ Health Original Article PURPOSE: Sleep disturbance is common in the working population, often associated with work stress, health complaints and impaired work performance. This study evaluated a group intervention at work, based on cognitive behavioral therapy (CBT) for insomnia, and the moderating effects of burnout scores at baseline. METHODS: This is a randomized controlled intervention with a waiting list control group. Participants were employees working at least 75% of full time, reporting self-perceived regular sleep problems. Data were collected at baseline, post-intervention and at a 3-month follow-up through diaries, wrist-actigraphy and questionnaires including the Insomnia Severity Index (ISI) and the Shirom–Melamed Burnout Questionnaire (SMBQ). Fifty-one participants (63% women) completed data collections. RESULTS: A multilevel mixed model showed no significant differences between groups for sleep over time, while there was a significant effect on insomnia symptoms when excluding participants working shifts (N = 11) from the analysis (p = 0.044). Moreover, a moderating effect of baseline-levels of burnout scores was observed on insomnia symptoms (p = 0.009). A post-hoc analysis showed that individuals in the intervention group with low burnout scores at baseline (SMBQ < 3.75) displayed significantly reduced ISI scores at follow-up, compared to individuals with high burnout scores at baseline (p = 0.005). CONCLUSIONS: Group CBT for insomnia given at the workplace did not reduce sleep problems looking at the group as a whole, while it was indicated that the intervention reduced insomnia in employees with regular daytime work. The results also suggest that workplace-based group CBT may improve sleep in employees with primary insomnia if not concomitant with high burnout scores. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00420-018-1291-x) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2018-01-31 2018 /pmc/articles/PMC5908834/ /pubmed/29387936 http://dx.doi.org/10.1007/s00420-018-1291-x Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Schiller, Helena
Söderström, Marie
Lekander, Mats
Rajaleid, Kristiina
Kecklund, Göran
A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
title A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
title_full A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
title_fullStr A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
title_full_unstemmed A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
title_short A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
title_sort randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908834/
https://www.ncbi.nlm.nih.gov/pubmed/29387936
http://dx.doi.org/10.1007/s00420-018-1291-x
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