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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, Sweden;Uppsala University, Sweden.
Karolinska Institutet, Sweden;Region Stockholm, Sweden.
Ersta Sköndal Bräcke University College, Sweden.
Ersta Sköndal Bräcke University College, Sweden;Karolinska Institutet, Sweden.
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2021 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 25, article id 100409Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
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 chi(2) = 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
Elsevier, 2021. Vol. 25, article id 100409
Keywords [en]
Bereavement, Child loss, Treatment, Internet intervention
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-106884DOI: 10.1016/j.invent.2021.100409ISI: 000687262000004PubMedID: 34401368Scopus ID: 2-s2.0-85107294614Local ID: 2021OAI: oai:DiVA.org:lnu-106884DiVA, id: diva2:1592858
Available from: 2021-09-09 Created: 2021-09-09 Last updated: 2022-02-08Bibliographically approved

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Kaldo, Viktor

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