Better Sleep in Psychiatric Care - Depression, Anxiety and PTSD (BSIP-DAP)

Karolinska Institute

Status: Active, not recruiting

Conditions: Sleep Problem; Anxiety Disorders; Affective Disorder

Treatments: Other: Care as usual wait-list control group; Behavioral: Adjusted group CBT-i for Depression, Anxiety and PTSD

Study type: Interventional

Funder types: Other

Identifiers

NCT04136054

2018/80-31/1.1

Details and patient eligibility

About

Cognitive Behavioral Therapy (CBT) is treatment of choice for insomnia. Many patients in psychiatric care have sleep problems including insomnia, but are rarely given the choice to participate in CBT to improve their sleep. Patients with PTSD, Anxiety disorders and Depression display high levels of sleep difficulties. Sleep problems are often general, such as insomnia and sleep phase problems. In a previous pilot study, the investigators of the current study developed a CBT protocol that would target sleep problems in this mixed psychiatric population. The basis was CBT for insomnia (CBT-i), but also including techniques that would alleviate sleep phase problems (e.g. the systematic use of light and darkness), and techniques to target more general sleep related problems (e.g. difficulties waking up in the morning), that are also common in psychiatric patients. This treatment was well tolerated and gave large withing-group effects on insomnia severity in the pilot study. In a naturalistic randomized controlled trial, the investigators now evaluate the effects of this psychological treatment on sleep and anxiety and depressive symptoms in patients at the units for Anxiety and Affective disorders and Trauma, Southwest Psychiatry and Northern Stockholm Psychiatry, Stockholm County Council, Sweden.

Enrollment: 130 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being a patient at the clinics involved in the project
• Experiencing sleep problems (subjective report)
• Being able to participate in a psychological intervention in group format

Exclusion criteria

• Night shift work

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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130 participants in 2 patient groups

Adjusted group CBT-i for Depression, Anxiety and PTSD

Experimental group

Description:

Cognitive Behavioral group intervention for sleep problems in patients with Depression, Anxiety and PTSD, based on Cognitive Behavioral Therapy for insomnia

Treatment:

Behavioral: Adjusted group CBT-i for Depression, Anxiety and PTSD

Care as usual wait-list control group

Active Comparator group

Description:

Treatment as Usual. (After about five months, participants in this condition are offered the experimental group treatment.)

Treatment:

Other: Care as usual wait-list control group