Online Cognitive Behavior Therapy for Comorbid Sleep Problems in Alcohol Use Disorder

Karolinska Institute

Status: Enrolling

Conditions: Dyssomnias; Sleep Disorder; Insomnia; Alcohol Use Disorder

Treatments: Behavioral: Cognitive behavior therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04402619

BCS Sömnskola

Details and patient eligibility

About

The main goal is to study the effects of internet-delivered cognitive behavioural therapy with minimum guidance for comorbid sleep problems in alcohol use disorder, in routine addiction care.

Full description

Alcohol use disorder (AUD) is highly prevalent and a major contributor to the global burden of disease. Insomnia symptoms are very common among individuals with AUD, including those in recovery, which may in turn promote alcohol relapse. Specialization and silo phenomena in healthcare organization, separating addiction from other types of psychiatric care, means that individuals with AUD and comorbid sleep problems often have difficulty accessing evidence-treatment for the latter. Offering online treatment for sleep problems to individuals enrolled in traditional routine addiction care is an attractive and pragmatic approach to offering parallel treatments covering the full clinical presentation, which has not yet been evaluated. This pilot and feasibility trial will recruit n=25 from patients in routine addiction care with comorbid sleep problems and AUD, who will complete an online, ten-module, CBT-based treatment program with minimum guidance for sleep problems, tailored for individuals with AUD.

Enrollment: 25 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Enrolled patient at Stockholm Center for Dependency Disorders
• Diagnosed alcohol use disorder
• Self-rated sleep problem

Exclusion criteria

• Addiction to sedative or hypnotic medication
• Psychoactive medication not yet 3-month stable in dose
• Bipolar disorder
• Psychotic disorder
• Suicidality
• Periodic Limb Movement Disorder (PLMD)
• Sleep apnea

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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25 participants in 1 patient group

Online CBT

Experimental group

Description:

Ten modules with minimum therapist guidance

Treatment:

Behavioral: Cognitive behavior therapy