Cognitive behavioural therapy interventions for insomnia among shift workers : RCT in an occupational health setting
Järnefelt, H., Härmä, M., Sallinen, M., Virkkala, J., Paajanen, T., Martimo, K.-P., & Hublin, C. (2020). Cognitive behavioural therapy interventions for insomnia among shift workers : RCT in an occupational health setting. International Archives of Occupational and Environmental Health, 93(5), 535-550. https://doi.org/10.1007/s00420-019-01504-6
© 2020 the Authors
INTRODUCTION: The aim of the study was to compare the effectiveness of cognitive behavioural therapy interventions for insomnia (CBT-I) to that of a sleep hygiene intervention in a randomized controlled design among shift workers. We also studied whether the features of shift work disorder (SWD) affected the results. METHODS: A total of 83 shift workers with insomnia disorder were partially randomized into a group-based CBT-I, self-help CBT-I, or sleep hygiene control intervention. The outcomes were assessed before and after the interventions and at 6-month follow-up using questionnaires, a sleep diary, and actigraphy. RESULTS: Perceived severity of insomnia, sleep-related dysfunctional beliefs, burnout symptoms, restedness, recovery after a shift, and actigraphy-based total sleep time improved after the interventions, but we found no significant differences between the interventions. Mood symptoms improved only among the group-based CBT-I intervention participants. Non-SWD participants had more mental diseases and symptoms, used more sleep-promoting medication, and had pronounced insomnia severity and more dysfunctional beliefs than those with SWD. After the interventions, non-SWD participants showed more prominent improvements than those with SWD. CONCLUSIONS: Our results showed no significant differences between the sleep improvements of the shift workers in the CBT-I interventions and of those in the sleep hygiene control intervention. Alleviation of mood symptoms seemed to be the main added value of the group-based CBT-I intervention compared to the control intervention. The clinical condition of the non-SWD participants was more severe and these participants benefitted more from the interventions than the SWD participants did. ...
Publication in research information system
MetadataShow full item record
Additional information about fundingThis study was supported by grants from the Finnish Work Environment Fund (114391), and NordForsk, the Nordic Program on Health and Welfare (74809).
Showing items with similar title or keywords.
Cognitive behavioural therapy and mindfulness for stress and burnout : a waiting list controlled pilot study comparing treatments for parents of children with chronic conditions Anclair, Malin; Lappalainen, Raimo; Muotka, Joona; Hiltunen, Arto J. (Wiley-Blackwell Publishing Ltd.; Nordic College of Caring Science, 2018)Background Parents of children with chronic conditions often experience a crisis with serious mental health problems for themselves as a consequence. The healthcare focus is on the children; however, the parents often ...
ACT for sleep - Internet-delivered self-help ACT for sub-clinical and clinical insomnia : A randomized controlled trial Lappalainen, Päivi; Langrial, Sitwat; Oinas-Kukkonen, Harri; Muotka, Joona; Lappalainen, Raimo (Elsevier, 2019)Background: Sleep disturbances are a common health problem. New and more accessible alternatives are needed to improve the availability of psychological treatments for insomnia. - Objective: The aim of the present ...
Incorporating digital self-services into integrated mental health care : a physician’s perspective Taiminen, Heini; Saraniemi, Salla; Parkinson, Joy (Emerald Group, 2018)Purpose: This paper enhances current understanding of digital self-services (computerized Cognitive Behavioural Therapy (cCBT)) and how they could be better incorporated into integrated mental healthcare from the physician’s ...
Acceptance and commitment therapy for insomnia as a group intervention : predictors of treatment response Naamanka, Elina; Suutari, Ville (2014)JYVÄSKYLÄN YLIOPISTO Psykologian laitos NAAMANKA, ELINA & SUUTARI, VILLE: Ryhmämuotoinen hyväksymis- ja omistautumisterapia unettomuudesta kärsiville - hoitotulosta ennustavat tekijät Pro gradu-tutkielma, 33 s., 3 ...
A randomized controlled trial of unguided internet cognitive-behavioral treatment for perfectionism in individuals who engage in regular exercise Valentine, Emily G.; Bodill, Kate O.; Watson, Hunna J.; Hagger, Martin; Kane, Robert T.; Anderson, Rebecca A.; Egan, Sarah J. (John Wiley & Sons, Inc., 2018)Objective Clinical perfectionism has been found to be a risk and maintaining factor in eating disorders (EDs), compulsive exercise, and athlete burnout. This study investigated whether an unguided internet cognitive–behavioral ...