Cognitive Behavioral Therapy for Insomnia Enhances Depression Outcome in Patients with Comorbid Major Depressive Disorder and Insomnia
Stanford University · Duke Medical Center
Abstract
STUDY OBJECTIVE: Insomnia impacts the course of major depressive disorder (MDD), hinders response to treatment, and increases risk for depressive relapse. This study is an initial evaluation of adding cognitive behavioral therapy for insomnia (CBTI) to the antidepressant medication escitalopram (EsCIT) in individuals with both disorders. DESIGN AND SETTING: A randomized, controlled, pilot study in a single academic medical center. PARTICIPANTS: 30 individuals (61% female, mean age 35 +/- 18) with MDD and insomnia. INTERVENTIONS: EsCIT and 7 individual therapy sessions of CBTI or CTRL (quasi-desensitization). MEASUREMENTS AND RESULTS: Depression was assessed with the HRSD17 and the depression portion of the…
Citation impact
- FWCI
- 38.16
- Percentile
- 100%
- References
- 40
Authors
6Topics & keywords
- Insomnia
- Actigraphy
- Major depressive disorder
- Cognitive behavioral therapy for insomnia
- Escitalopram
- Cognitive behavioral therapy
- Depression (economics)
- Psychiatry
- Good health and well-being