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Feasibility and preliminary efficacy of guided internet-delivered cognitive behavioral therapy for insomnia after the loss of a child to cancer: Randomized controlled trial
Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Uppsala universitet.ORCID iD: 0000-0002-5523-8126
Karolinska institutet; Region Stockholm.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.ORCID iD: 0000-0002-4142-5967
Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.ORCID iD: 0000-0002-8185-781x
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2021 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 25, article id 100409Article in journal (Refereed) Published
Abstract [en]

Bereaved individuals often experience sleep problems. The aim of this study was to evaluate feasibility and preliminary effects of internet-delivered cognitive behavioral therapy for insomnia (iCBT-i) in bereaved parents. Parents were randomized to iCBT-i (n = 10) or an active control group (n = 11). Primary outcome (insomnia) and secondary outcomes (prolonged grief, depression, posttraumatic stress, and grief rumination) were assessed pre- and post-treatment, with 9- and 18-month follow-ups. Feasibility was assessed post-treatment and one month later. Most parents reported positive effects of the treatment. The intervention group improved significantly from pre- to post-treatment and had a significantly larger reduction of insomnia when analyzed over all four time-points (Wald χ2 = 30.0, p < 0.001), although the effect at post-treatment was very small (d = 0.1) for insomnia. Thus, iCBT-i was feasible and was related to reduced insomnia and psychological distress in bereaved parents, both short- and long-term, but the results regarding the treatment effect are preliminary due to the small sample size.

Place, publisher, year, edition, pages
2021. Vol. 25, article id 100409
Keywords [en]
Bereavement, Child loss, Internet intervention, Treatment
National Category
Applied Psychology Psychiatry Health Sciences
Identifiers
URN: urn:nbn:se:esh:diva-9194DOI: 10.1016/j.invent.2021.100409ISI: 000687262000004PubMedID: 34401368OAI: oai:DiVA.org:esh-9194DiVA, id: diva2:1623266
Funder
Swedish Childhood Cancer Foundation, TJ2015-0021Swedish Childhood Cancer Foundation, PR2015-0050
Note

Forskningsfinansiär: ALF-avtal

Available from: 2021-12-28 Created: 2021-12-28 Last updated: 2021-12-28Bibliographically approved

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Sveen, JosefinPohlkamp, LilianKreicbergs, Ulrika

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