Journal article

Trajectories of change and long-term outcomes in a randomised controlled trial of internet-based insomnia treatment to prevent depression

Philip J Batterham, Helen Christensen, Andrew J Mackinnon, John A Gosling, Frances P Thorndike, Lee M Ritterband, Nick Glozier, Kathleen M Griffiths

BJPSYCH OPEN | CAMBRIDGE UNIV PRESS | Published : 2017

Abstract

BACKGROUND: Insomnia treatment using an internet-based cognitive-behavioural therapy for insomnia (CBT-I) program reduces depression symptoms, anxiety symptoms and suicidal ideation. However, the speed, longevity and consistency of these effects are unknown. AIMS: To test the following: whether the efficacy of online CBT-I was sustained over 18 months; how rapidly the effects of CBT-I emerged; evidence for distinct trajectories of change in depressive symptoms; and predictors of these trajectories. METHOD: A randomised controlled trial compared the 6-week Sleep Healthy Using the Internet (SHUTi) CBT-I program to an attention control program. Adults (N=1149) with clinical insomnia and subclin..

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University of Melbourne Researchers

Grants

Awarded by NHMRC project


Awarded by NHMRC fellowship


Awarded by National Health and Medical Research Council of Australia


Funding Acknowledgements

This trial was funded by NHMRC project grant 1005867. H.C. is supported by NHMRC fellowship 1056964. P.J.B. is supported by NHMRC fellowship 1083311, and at the time of the study, K.M.G. was supported by NHMRC fellowship 1059620. The funding body had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication. The study was approved by the Australian National University Human Ethics Committee (protocol number 2011/041). The trial is registered with the Australian and New Zealand Clinical Trials Registry, number ACTRN12611000121965.