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Sleepless in Sweden: A Single Subject Study of Effects of Cognitive Therapy for Insomnia on Three Adolescents

Published online by Cambridge University Press:  16 December 2010

Annika Norell-Clarke ,
EvaLotta Nyander  and
Markus Jansson-Fröjmark
Annika Norell-Clarke*
Affiliation:
Örebro University, Sweden
EvaLotta Nyander
Affiliation:
Örebro University, Sweden
Markus Jansson-Fröjmark
Affiliation:
Örebro University, Sweden
*
Reprint requests to Annika Norell-Clarke, Örebro University, School of Law, Psychology and Social Work, Fakultetsgatan 1, Örebro 70182, Sweden. E-mail: annika.norell@oru.se
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Abstract

Background: Sleeping difficulties are an increasing problem for youths, but there is a lack of treatment research for this age group. Aim: The aim of this study was to investigate the effects of Cognitive Therapy for Insomnia (CT-I) on youths with primary insomnia; this treatment has never been tested on youths before. Method: The study was conducted according to an AB single-case experimental phase design, with pre-tests and post-tests. After 7–10 days of baseline assessment, three youths aged 16–18 (2 male) with primary insomnia participated in a 7-week long treatment. A sleep diary was used throughout the treatment. A follow-up assessment including one week with a sleep diary was conducted 3 months later. Visual inspection was used to analyze outcome. Results: Insomnia severity was greatly reduced for all participants after treatment. Daily measures showed that sleep onset latency was reduced for two participants but no change in total sleep time was confirmed. Daytime symptoms fluctuated for the participants. The insomnia-specific psychological processes were reduced to varying extents. These results were maintained at the follow-up measure. Conclusions: CT-I may be a promising treatment for youths with insomnia and the treatment should be tested further in randomized controlled studies.

Keywords

Insomniacognitive therapysingle-caseadolescence
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 3 , May 2011 , pp. 367 - 374
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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