Johann, Anna, Hertenstein, Elisabeth, Feige, Bernd , Akram, Umair, Holub, Florian, Chiara, Baglioni, Domschke, Katharina, Schramm, Elisabeth, Nissen, Christoph, Kyle, Simon, Riemann, Dieter, Jurgen, Biermann and Siegelhalder, Kai (2020) Cognitive behavioural therapy for insomnia does not appear to have a substantial impact on early markers of cardiovascular disease: A preliminary randomised controlled trial. Journal of Sleep Research, 29 (5). e13102. ISSN 0962-1105
Full content URL: https://doi.org/10.1111/jsr.13102
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CBTi Cardiovasc Risk JSR 2020.pdf - Whole Document Available under License Creative Commons Attribution-NoDerivatives 4.0 International. 738kB |
Item Type: | Article |
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Item Status: | Live Archive |
Abstract
According to the World Health Organization, cardiovascular diseases are the leading cause of death in the world. Therefore, early prevention of these diseases is a public health priority. Epidemiological data suggest that insomnia may be a modifiable risk factor for cardiovascular diseases. A randomized controlled trial in a sample of insomnia patients without cardiovascular disease was conducted to investigate the effects of insomnia treatment on early markers of cardiovascular diseases assessed by 24‐hr ambulatory blood pressure, heart rate and heart rate variability monitoring, and morning fasting blood samples. Forty‐six patients with insomnia disorder were randomized to cognitive behavioural therapy for insomnia (CBT‐I; n = 23) or a waitlist control condition (n = 23). Contrary to the hypothesis, intention‐to‐treat analyses did not show any significant treatment effects on early markers of cardiovascular disease (d = 0.0–0.6) despite successful insomnia treatment (d = 1.3). Potential methodological and conceptual reasons for these negative findings are discussed. Future studies might include larger sample sizes that are at risk of cardiovascular diseases and focus on other cardiovascular markers.
Keywords: | Insomnia, Cognitive Behavioural Therapy for Insomnia, Cardiovascular disease |
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Subjects: | C Biological Sciences > C800 Psychology B Subjects allied to Medicine > B140 Neuroscience A Medicine and Dentistry > A300 Clinical Medicine B Subjects allied to Medicine > B120 Physiology B Subjects allied to Medicine > B810 Cardiography C Biological Sciences > C860 Neuropsychology |
Divisions: | College of Social Science > School of Psychology |
ID Code: | 52576 |
Deposited On: | 20 Dec 2022 09:58 |
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