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Brief CBT-I for insomnia comorbid with social phobia : a case study
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Tang, Nicole K. Y. (2010) Brief CBT-I for insomnia comorbid with social phobia : a case study. Behavioural and Cognitive Psychotherapy, Volume 38 (Number 1). p. 113. doi:10.1017/S1352465809990488
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Official URL: http://dx.doi.org/10.1017/S1352465809990488
Abstract
Background: Despite an obvious link between social anxiety and acute state of insomnia, chronic types of sleep disturbances in people with social phobia have so far received limited research/clinical attention. This case report aims to illustrate the possibility of rectifying sleep disturbances comorbid with social phobia, using a brief cognitive behaviour therapy for insomnia (CBT-I).
Method: Treatment involved five sessions of CBT-I provided individually on a weekly basis. Major treatment components included psychoeducation, sleep restriction therapy, stimulus control and cognitive restructuring.
Results: Treatment effects were assessed using sleep diary and questionnaires over the course of the treatment and at ~9 month follow-up. The results were encouraging with all targeted sleep parameters demonstrating improvements that met dual criteria for clinical significance. The gains were well maintained even at ~9 months after treatment. These improvements in sleep were accompanied by a reduction in sleep-related anxiety and dysfunctional beliefs and attitudes about sleep. Whilst the patient also reported a corresponding improvement in daytime functioning and general anxiety, no gains were observed in depression and social anxiety. Conclusions: These findings highlight the potential benefits of incorporating brief CBT-I into existing treatments for social phobia and encourage further research on the intricate relationship between sleep, mood and social anxiety.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||
| Journal or Publication Title: | Behavioural and Cognitive Psychotherapy | ||||
| Publisher: | Cambridge University Press | ||||
| ISSN: | 1352-4658 | ||||
| Official Date: | January 2010 | ||||
| Dates: |
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| Volume: | Volume 38 | ||||
| Number: | Number 1 | ||||
| Page Range: | p. 113 | ||||
| DOI: | 10.1017/S1352465809990488 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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