The effectiveness of transdiagnostic cognitive behavioral therapy for comorbid insomnia: a case report

  • Hoda Doos Ali Vand Department of Clinical Psychology, Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences
  • Banafsheh Gharraee Department of Clinical Psychology, Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences
  • Ali-Asghar Asgharnejad Farid Department of Clinical Psychology, Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences
  • Mir Farhad Ghaleh Bandi Department of Psychiatry, Mental Health Research Center, Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences
  • Mojtaba Habibi Department of Health Psychology, Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences
Keywords: Anxiety, Depression, Sleep Initiation and Maintenance Disorders, Unified Protocol

Abstract

Objective: Similar cognitive and behavioral factors underlie and perpetuate insomnia and emotional disorders. This brief case report aims to evaluate the effectiveness of the Unified Protocol (UP), a transdiagnostic treatment designed to target emotional disorders in treating comorbid insomnia.Method: The patient was a 32-year-old male, who met the DSM-IV-TR criteria for chronic insomnia, major depressive disorder, and generalized anxiety disorder. After 3 baseline weeks, the patient underwent 14 sessions of UP and was retested after a 1-month follow-up. Consensus Sleep Diary (CSD), Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Index (PSQI) were completed during baseline, treatment, and follow-up.Results: The treatment led to improvements in sleep onset latency, time awake after sleep onset, terminal awakenings, sleep quality, and insomnia severity. These gains were maintained at 1-month follow-up.Conclusion: UP is effective in improving different symptoms of chronic insomnia. Controlled clinical studies with more cases are required to investigate the effects of UP in the treatment of insomnia.

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Published
2018-04-23
How to Cite
1.
Doos Ali Vand H, Gharraee B, Asgharnejad Farid A-A, Ghaleh Bandi MF, Habibi M. The effectiveness of transdiagnostic cognitive behavioral therapy for comorbid insomnia: a case report. ijps. 13(2):154-9.
Section
Case Report(s)