Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial
dc.contributor.author | Wallsten, D | |
dc.contributor.author | Norell, A | |
dc.contributor.author | Anniko, M | |
dc.contributor.author | Eriksson, O | |
dc.contributor.author | Lamourín, V | |
dc.contributor.author | Halldin, I | |
dc.contributor.author | Kindbom, T | |
dc.contributor.author | Hesser, H | |
dc.contributor.author | Watkins, E | |
dc.contributor.author | Tillfors, M | |
dc.date.accessioned | 2023-11-16T11:51:21Z | |
dc.date.issued | 2023-09-07 | |
dc.date.updated | 2023-11-16T11:16:10Z | |
dc.description.abstract | INTRODUCTION: Repetitive negative thinking (RNT) has been described as a maintaining transdiagnostic factor for psychopathology within the areas of depression, anxiety and insomnia. We investigated the effects of rumination-focused cognitive-behaviour therapy (RF-CBT) in a group format at a primary health care centre on symptoms of depression, anxiety, insomnia, RNT, and quality of life. The participants presented clinical symptom levels of worry and at least two disorders among anxiety disorders, major depressive disorder, and insomnia disorder. METHODS: A randomised controlled superiority parallel arm trial was used. 73 participants were included and randomised in pairs to either group-administered RF-CBT or a waiting list condition. The primary outcomes were self-rated worry and transdiagnostic symptoms (depression, anxiety, and insomnia). Intention-to-treat analyses of group differences were conducted using linear mixed models. Adverse side effects and incidents were presented descriptively. RESULTS: Group RF-CBT significantly reduced self-reported insomnia at post-treatment and self-reported insomnia and depression at the 2 month-follow-up, relative to the wait-list control group. There was no significant difference in change in RNT, anxiety, or quality of life. DISCUSSION: The current study suggests that group-administered RF-CBT may be effective for insomnia and potentially effective for depression symptomatology. However, the study was underpowered to detect small and moderate effects and the results should therefore be interpreted with caution. | en_GB |
dc.description.sponsorship | County Council in Värmland | en_GB |
dc.format.extent | 1196945- | |
dc.format.medium | Electronic-eCollection | |
dc.identifier.citation | Vol. 14, article 1196945 | en_GB |
dc.identifier.doi | https://doi.org/10.3389/fpsyg.2023.1196945 | |
dc.identifier.grantnumber | LIVFOU-763591 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/134557 | |
dc.identifier | ORCID: 0000-0002-2432-5577 (Watkins, Edward) | |
dc.language.iso | en | en_GB |
dc.publisher | Frontiers Media | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/37744585 | en_GB |
dc.rights | © 2023 Wallsten, Norell, Anniko, Eriksson, Lamourín, Halldin, Kindbom, Hesser, Watkins and Tillfors. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms | en_GB |
dc.subject | anxiety | en_GB |
dc.subject | depression | en_GB |
dc.subject | group therapy | en_GB |
dc.subject | insomnia | en_GB |
dc.subject | repetitive negative thinking | en_GB |
dc.subject | rumination-focused CBT | en_GB |
dc.title | Treatment of worry and comorbid symptoms within depression, anxiety, and insomnia with a group-based rumination-focused cognitive-behaviour therapy in a primary health care setting: a randomised controlled trial | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-11-16T11:51:21Z | |
dc.identifier.issn | 1664-1078 | |
exeter.article-number | ARTN 1196945 | |
exeter.place-of-publication | Switzerland | |
dc.description | This is the final version. Available on open access from Frontiers media via the DOI in this record | en_GB |
dc.description | Data availability statement: The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation. | en_GB |
dc.identifier.eissn | 1664-1078 | |
dc.identifier.journal | Frontiers in Psychology | en_GB |
dc.relation.ispartof | Front Psychol, 14 | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2023-08-04 | |
dc.rights.license | CC BY | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-09-07 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-11-16T11:49:21Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-11-16T11:51:26Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-09-07 |
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