Development and Evaluation of Individual CBT for Insomnia in Substance Users
摘要
This study developed and evaluated the efficacy of an individual cognitive behavioral therapy for substance users with insomnia. Individual Cognitive Behavioral Therapy for Insomnia in Substance (CBT-I-SUD) was a five-session program consisting of sleep restriction, stimulus control, sleep hygiene, cognitive therapy, and relaxation techniques. Participants were recruited from a drug addiction rehabilitation center of a national forensic hospital in Korea. Twenty-nine qualified participants were randomly assigned to receive individual CBT-I-SUD (trial group, 15 participants) and individual CBT for depression–substance use disorder (CBT-D-SUD; control group, 14 participants). Sleep, substance abuse, and emotion-related outcome measures were used to evaluate the therapy. The program led to significant improvement in insomnia severity, sleep quality, craving, readiness for change, treatment eagerness, and depression. For substance users who need to be cautious about taking sleeping pills, this program is expected to have a positive effect on insomnia, preventing relapses, and controlling emotions.