Cognitive behavioural therapy for insomnia does not appear to have a substantial impact on early markers of cardiovascular disease: A preliminary randomised controlled trial

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

Documents
Cognitive behavioural therapy for insomnia does not appear to have a substantial impact on early markers of cardiovascular disease: A preliminary randomised controlled trial
Published manuscript
[img]
[Download]
[img]
Preview
PDF
CBTi Cardiovasc Risk JSR 2020.pdf - Whole Document
Available under License Creative Commons Attribution-NoDerivatives 4.0 International.

738kB
Item Type:Article
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
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

Repository Staff Only: item control page