Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial
Shift workers are at increased risk of insomnia. The standard treatment (cognitive behavioral therapy for insomnia) poses significant challenges for this demographic due to irregular work and sleep schedules. New approaches are still considered insufficient due to high attrition or insufficient effe...
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MDPI AG
2025-05-01
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| Series: | Clocks & Sleep |
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| Online Access: | https://www.mdpi.com/2624-5175/7/2/24 |
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| author | Tanja Grünberger Christopher Höhn Manuel Schabus Belinda Angela Pletzer Anton-Rupert Laireiter |
| author_facet | Tanja Grünberger Christopher Höhn Manuel Schabus Belinda Angela Pletzer Anton-Rupert Laireiter |
| author_sort | Tanja Grünberger |
| collection | DOAJ |
| description | Shift workers are at increased risk of insomnia. The standard treatment (cognitive behavioral therapy for insomnia) poses significant challenges for this demographic due to irregular work and sleep schedules. New approaches are still considered insufficient due to high attrition or insufficient effectiveness. Our preliminary study identified sleep-relevant state and trait factors (see secondary outcomes) for incorporation into an innovative manual that addresses sleep in an implicit manner. The objective was to reduce the focus on insomnia and to replace regularity-based interventions. With a sample of 55 insomniacs (67.74% male, mean age 41.62 years), standard and customized treatments were compared using pre-treatment, post-treatment, and three-month follow-up measurements (RCT, self-assessment data). Our linear mixed models revealed the main significant effects of the measurement point for the primary (insomnia severity, sleep quality, sleep onset latency, total sleep time, daytime sleepiness) and the secondary outcomes (selection: anxiety/depression, dysfunctional beliefs, arousal, emotional stability, concern). No main effects of the condition or interaction effects were identified. Non-inferiority and equivalence tests demonstrated that the customized treatment is equivalent to standard therapy, which is a favorable outcome in light of the implicit approach. Consequently, this innovative approach warrants further exploration, incorporating the present results. |
| format | Article |
| id | doaj-art-fb323d97a63b477faea80e6ef736aa9e |
| institution | Kabale University |
| issn | 2624-5175 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clocks & Sleep |
| spelling | doaj-art-fb323d97a63b477faea80e6ef736aa9e2025-08-20T03:26:20ZengMDPI AGClocks & Sleep2624-51752025-05-01722410.3390/clockssleep7020024Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled TrialTanja Grünberger0Christopher Höhn1Manuel Schabus2Belinda Angela Pletzer3Anton-Rupert Laireiter4Department of Psychology, Paris-Lodron-University Salzburg, A-5020 Salzburg, AustriaDepartment of Psychology, Paris-Lodron-University Salzburg, A-5020 Salzburg, AustriaDepartment of Psychology, Paris-Lodron-University Salzburg, A-5020 Salzburg, AustriaDepartment of Psychology, Paris-Lodron-University Salzburg, A-5020 Salzburg, AustriaDepartment of Psychology, Paris-Lodron-University Salzburg, A-5020 Salzburg, AustriaShift workers are at increased risk of insomnia. The standard treatment (cognitive behavioral therapy for insomnia) poses significant challenges for this demographic due to irregular work and sleep schedules. New approaches are still considered insufficient due to high attrition or insufficient effectiveness. Our preliminary study identified sleep-relevant state and trait factors (see secondary outcomes) for incorporation into an innovative manual that addresses sleep in an implicit manner. The objective was to reduce the focus on insomnia and to replace regularity-based interventions. With a sample of 55 insomniacs (67.74% male, mean age 41.62 years), standard and customized treatments were compared using pre-treatment, post-treatment, and three-month follow-up measurements (RCT, self-assessment data). Our linear mixed models revealed the main significant effects of the measurement point for the primary (insomnia severity, sleep quality, sleep onset latency, total sleep time, daytime sleepiness) and the secondary outcomes (selection: anxiety/depression, dysfunctional beliefs, arousal, emotional stability, concern). No main effects of the condition or interaction effects were identified. Non-inferiority and equivalence tests demonstrated that the customized treatment is equivalent to standard therapy, which is a favorable outcome in light of the implicit approach. Consequently, this innovative approach warrants further exploration, incorporating the present results.https://www.mdpi.com/2624-5175/7/2/24insomniashift worktailored therapyefficacy studyimplicit treatment |
| spellingShingle | Tanja Grünberger Christopher Höhn Manuel Schabus Belinda Angela Pletzer Anton-Rupert Laireiter Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial Clocks & Sleep insomnia shift work tailored therapy efficacy study implicit treatment |
| title | Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial |
| title_full | Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial |
| title_fullStr | Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial |
| title_full_unstemmed | Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial |
| title_short | Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial |
| title_sort | comparison of tailored versus standard group cognitive behavioral therapy for shift worker insomnia a randomized controlled trial |
| topic | insomnia shift work tailored therapy efficacy study implicit treatment |
| url | https://www.mdpi.com/2624-5175/7/2/24 |
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