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Cognitive behavioural group therapy for insomnia (CBGT-I) in patients undergoing haemodialysis: a randomized clinical trial

Published online by Cambridge University Press:  16 September 2022

Hossein Shareh Open the ORCID record for Hossein Shareh [Opens in a new window] ,
Morteza Hasheminik Open the ORCID record for Morteza Hasheminik [Opens in a new window]  and
Mehdi Jamalinik Open the ORCID record for Mehdi Jamalinik [Opens in a new window]
Hossein Shareh*
Affiliation:
Department of Educational Science, Hakim Sabzevari University, Iran
Morteza Hasheminik
Affiliation:
Department of Nursing, Sabzevar Branch, Islamic Azad University, Iran
Mehdi Jamalinik
Affiliation:
Department of Nursing, Tabas Branch, Islamic Azad University, Iran
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

Given the many complications of drug therapy, it seems reasonable to use non-pharmacological therapies that can improve mental and physical disorders in haemodialysis patients.

Aims:

This study aims to determine the effectiveness of cognitive behavioural group therapy for insomnia (CBGT-I) in sleep quality, depression, anxiety and general psychological health of haemodialysis patients.

Method:

This randomized clinical trial was conducted on 116 haemodialysis patients who were randomly assigned to experimental (n=58) and control (n=58) groups. In the experimental group, CBGT-I was provided during nine weekly sessions. Data collection tools included Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory-II (BDIII), Beck Anxiety Inventory (BAI), General Health Questionnaire (GHQ-28), Clinical Global Improvement Scale (CGI), Client Satisfaction Questionnaire (CSQ) and Working Alliance Inventory-Short Form (WAI-S). Data were analysed by SPSS-25 and p<.05 was considered significant.

Results:

The findings demonstrated that CBGT-I compared with control group was effective in improving sleep quality (p<.001, η2=.790), depression (p<.001, η2=.616), anxiety (p<.001, η2=.682) and general psychological health (p<.001, η2=.871). Participants of CBGT-I showed notable improvements as a result of the treatment, were satisfied with treatment, and had a good therapeutic relationship.

Conclusions:

CBGT-I is effective in reducing depression and anxiety in addition to improving sleep quality and general psychological health in haemodialysis patients. Therefore, it is recommended to be used as a complementary treatment for these patients.

Keywords

cognitive behavioural group therapy for insomniadepressionkidney failuremental health
Type
Empirically Grounded Clinical Interventions
Information
Behavioural and Cognitive Psychotherapy , Volume 50 , Issue 6 , November 2022 , pp. 559 - 574
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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