Hoda Doos Ali Vand, Banafsheh Gharaie, Ali Asghar Asgharnejad Farid, Mir Farhad Ghalebandi,
Volume 4, Issue 1 (9-2010)
Abstract
The goal of the present study was to predict safety behaviors in insomnia by investigating a number of predicting variables including depression, anxiety, worry, pre- sleep arousal (cognitive and somatic arousal), dysfunctional beliefs about sleep and metacognitive beliefs in insomnia. 400 students of Tehran University of Medical Sciences participated in this study and all participants completed Depression Anxiety Stress Scales(DASS), Penn State Worry Questionnaire, Pre-Sleep Arousal Scale, Dysfunctional Beliefs and Attitudes about Sleep Scale(DBAS), Metacognitions Questionnaire-Insomnia and Sleep Related Behaviors Questionnaire. All variables were significantly correlated with safety behaviors. Stepwise multiple regression analysis suggested that metacognitive beliefs in insomnia, somatic arousal and dysfunctional beliefs about sleep predicted safety behaviors in insomnia. Depression, anxiety, worry and cognitive arousal were excluded from the predicting model. The findings underlined the significant influence that metacognitive beliefs in insomnia, somatic arousal and dysfunctional beliefs about sleep had on individuals’ behaviors. Moreover, the results suggested that metacognitive beliefs in insomnia may need to be considered an important factor in maintaining insomnia.
Maryam Azimi, Alireza Moradi, Jafar Hasani,
Volume 11, Issue 1 (5-2017)
Abstract
The objective of this study was to investigate the effectiveness of face to face and internet-based Cognitive Behavioral Therapy for Insomnia on Cognitive Emotion Regulation Strategies of individuals with Comorbidity of insomnia and depression. This study employed pretest-posttest and follow-up quasi-experimental designs with two experimental groups and one control group. A convenience sample of 45 university staff and professors who theire score were higher than the cut-off score in PSQT and BDI-II questionnaire was selected by using diagnostic interview based on the DSM-5 criteria for depression and insomnia. We randomly assigned 15 people in to three group. The experimental groups received 6 sessions of cognitive behavioral therapy for insomnia. The results showed that the face to face procedure was more effective in reducing putting into catastrophizing and increasing perspective- taking, refocus on planning, than internet-based one. The two experimental groups had a significant difference in rumination, “positive refocusing”, “blaming others” and “blaming self compared with the control group. Moreover, the three groups were similar in terms of “positive reappraisal” and “acceptance”. According to the findings, both procedure of treatment was effectively improved the cognitive emotion regulation strategies
Najmeh Shafaat, Shahrokh Makvand Hosseini, Ali Mohammad Rezaei,
Volume 11, Issue 2 (8-2017)
Abstract
The aim of the current research was to examine the effectiveness of group multi-components cognitive-behavior therapy on insomnia severity and quality of sleep of breast cancer patients after surgerical operation. Applying an available sampling procedure and randome assignment method for assigning group samples, a sample of 30 breast cancer patients (experimental=15, control= 15) were selected. The criteria of inclusion and exclusion were checked for and the Pittsburgh Sleep Quality Index (PSQI) and Insimnia Severity Inventory (ISI) were completed by all subject in three occasions (pre, post and follow-up stages). The six session’s therapy protocol were conducted on experimental group, whereas another group received only simple meeting with the therapist. Data extracted from questionnaires and analysed using Multivariate Analysis of Covariance (MANCOVA). Significant differences were revealed for insomnia severity in the follow up stage, and for quality of sleep in the post-test and follow-up stages, between two groups with decreased mean scores in the experimental group than contol.Multi-components Cognitive-behavioral therapy could improve insomnia severity and sleep quality of patients with breast cancer after surgery and is recommended for these patients to resolve their insomnia problems.
Behzad Salmani, Jaafar Hasani, Hamid Reza Hasan Abadi, Shahram Mohammad Khani,
Volume 13, Issue 1 (5-2019)
Abstract
The aim of this study was to evaluate the efficacy of cognitive behavioral therapy (CBT) with or without metacognitive techniques and Zolpidem (10 mg) for people with chronic insomnia disorder. After assessing eligibility criteria, six patients included four female and two male entered the study. All patients allocated randomly to three treatments (CBT, CBT+ & Zolpidem 10 mg.) and assessed 6 times by research instruments. Results were analyzed by recovery percent, clinical significant index, effect size and diagnostic recovery. Results of the study showed that during post-treatment and 1-month & 3-months follow-up, patients who received CBT+ have higher rate of recovery in sleep efficiency and sleep quality than other patients. In terms of insomnia severity, CBT & CBT+ have no significant difference but both were superior to patients who received Zolpidem 10 mg. Also, patients who received Zolpidem (10 mg) failure to keep treatment achievements in follow-up. Adding metacognitive techniques to CBT increased its efficacy. Findings of this study could regard as a pilot information about new ways for raising efficacy of cognitive behavioral therapy for chronic insomnia disorder.
