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Get Free AccesssDBAS scores were significantly reduced at 9-week follow-up for those randomized to dCBT-I (n = 566) compared with PE (n = 507). The estimated mean difference was -1.49 (95% CI -1.66 to -1.31, p < .001, Cohen's d. = 0.93). DBAS mediated all the effect of dCBT-I on the HADS and the CFQ, and 64% of the change on the ISI (Estimated indirect effect -3.14, 95% CI -3.60 to -2.68) at 9-week follow-up compared with PE. Changes in the DBAS fully mediated the effects of dCBT-I on psychological distress and fatigue, and the DBAS partially mediated the effects on insomnia severity. These findings may have implications for understanding how dCBT-I works and highlights the role of changing cognitions in dCBT-I.
Patrick Faaland, Øystein Vedaa, Knut Langsrud, Børge Sivertsen, Stian Lydersen, Simen Berg Saksvik, Cecilie L. Vestergaard, Kaia Kjørstad, Daniel Vethe, Lee M. Ritterband, Allison G Harvey, Tore C. Stiles, Jan Scott, Håvard Kallestad (2023). Dysfunctional beliefs and attitudes about sleep (DBAS) mediate outcomes in dCBT-I on psychological distress, fatigue, and insomnia severity. , 110, DOI: https://doi.org/10.1016/j.sleep.2023.07.018.
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Type
Article
Year
2023
Authors
14
Datasets
0
Total Files
0
Language
en
DOI
https://doi.org/10.1016/j.sleep.2023.07.018
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