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

Frontiers in Psychology

Psychology

Maria Tillfors¹  Daniel Wallsten¹  Annika Norell²  Oskar Eriksson³  Edward Watkins⁴  Tina Kindbom⁵  Malin Anniko⁵  Ida Halldin⁵  Varja Lamourín⁵  Hugo Hesser⁶ 

[1] Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden;Faculty of Health and Science, Kristianstad University, Kristianstad, Sweden;School of Behavioral, Social and Legal Sciences, Örebro University, Örebro, Sweden;Kronoparken Primary Healthcare Center, Karlstad, Sweden;Mood Disorders Centre, School of Psychology, University of Exeter, Exeter, United Kingdom;School of Behavioral, Social and Legal Sciences, Örebro University, Örebro, Sweden;School of Behavioral, Social and Legal Sciences, Örebro University, Örebro, Sweden;Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden;

关键词: anxiety;    depression;    group therapy;    insomnia;    repetitive negative thinking;    rumination-focused CBT;   

DOI  :  10.3389/fpsyg.2023.1196945

 received in 2023-03-30, accepted in 2023-08-04,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionRepetitive 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.MethodsA 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.ResultsGroup 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.DiscussionThe 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.

【 授权许可】

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Copyright © 2023 Wallsten, Norell, Anniko, Eriksson, Lamourín, Halldin, Kindbom, Hesser, Watkins and Tillfors.