University of Twente Student Theses
To Sleep or Not to Sleep: Body Scan Effectiveness in Adolescents with Insomnia and Cooccurring Depression and Anxiety Symptoms within CBT-i Treatment
Bernhardt, Marilena (2021) To Sleep or Not to Sleep: Body Scan Effectiveness in Adolescents with Insomnia and Cooccurring Depression and Anxiety Symptoms within CBT-i Treatment.
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| Abstract: | Insomnia is one of the most prevalent disorders in adolescence, often cooccurring with depression and anxiety. CBT-i that includes the body scan has been shown effective in treating insomnia symptoms in adolescents. This study investigates the effectiveness of the body scan over time for adolescents with insomnia when of anxiety and depression symptoms are present at baseline. 54 adolescents who participated in a large RCT on a 6-week internet delivered CBT-i treatment that included the choice of using the body scan were divided into a body scan (BS) group (N = 26, age M = 15.33 years, SD = 1.42, 77% girls), and a no body scan (NBS) group (N = 28, age M = 15.64 years, SD = 1.80, 82% girls).Participants were assessed for anxiety and depression symptoms with the Youth Self- Report (YSR), for subjective insomnia symptoms with the Holland Sleep Disorder Questionnaire (HSDQ), and for objective sleep parameters using actigraphy. Group differences were analysed with multiple repeated measures ANOVA across three measurement points: baseline, post-treatment, and follow-up. This study investigates the effectiveness of the body scan over time for adolescents with insomnia and baseline anxiety and depression symptoms. 54 adolescents who participated in a large RCT on a 6-week internet delivered CBT-i treatment including the body scan were divided into a body scan group (N = 26, age Mage = 15.33 (1.42), 77% girls), and a no body scan group (N = 28, age Mage= 15.64 (1.80), 82% girls). Participants were assessed with the Youth Self- Report, the Holland Sleep Disorder Questionnaire, and actigraphy. Group differences were analysed with multiple repeated measures ANOVA. Trends were found in actigraphy insomnia measures of wake after sleep onset, and sleep efficiency between the BS and NBS group. No differential effects between groups in body scan effectiveness on sleep onset latency, wake after sleep onset, and sleep efficiency, measured with actigraphy were found, when including anxiety and depressive symptoms as moderator. A trend was found for the moderation of baseline anxiety symptoms and the self-report HSDQ insomnia sub-scale, though not for baseline depressive symptoms. Applying the body scan in a CBT-i intervention appears to be equally effective for adolescents with insomnia with or without cooccurring anxiety and depressive symptoms. |
| Item Type: | Essay (Master) |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 77 psychology |
| Programme: | Psychology MSc (66604) |
| Link to this item: | https://purl.utwente.nl/essays/85630 |
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