Efficacy of cognitive-behavioral therapy for insomniaImplementation of a group format in the Spanish National Health System

  1. Paula Lantarón-Imedio 1
  2. Mª Rosario Pina-Camacho 2
  3. Marcos L. Moya-Diago 3
  4. Belén Pascual-Vera 4
  5. César Mateu 2
  6. Elvira García-Trilles 2
  7. Carmen Carrió 2
  1. 1 Servicio de Salud Mental. Hospital Universitario Infanta Elena, Madrid, España.
  2. 2 Servicio de Salud Mental. Hospital Arnau de Vilanova-Llíria, Valencia, España.
  3. 3 Departamento de Personalidad, Evaluación y Tratamientos Psicológicos. Unidad de Investigación y Tratamiento de Obsesiones y Compulsiones, I’TOC. Facultad de Psicología. Universitat de València. España.
  4. 4 Departamento de Psicología y Sociología. Facultad de Ciencias Sociales y Humanas. Universidad de Zaragoza, Campus de Teruel.
Revista:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Año de publicación: 2021

Volumen: 26

Número: 3

Páginas: 173-180

Tipo: Artículo

DOI: 10.5944/RPPC.29423 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de psicopatología y psicología clínica

Resumen

La terapia cognitivo-conductual para el insomnio (TCC-i) es considerada como el tratamiento de elección para este trastorno, aunque su implementación en contextos clínicos no está lo suficientemente extendida. Este estudio pretende examinar la eficacia de la TCC-i, en formato grupal, en el Sistema Nacional de Salud español. Cincuenta y dos participantes con un diagnóstico de Trastorno de Insomnio Primario (55.8% mujeres; Medad = 47.19, DT = 11.02) fueron asignados a la condición de TCC-i (n =17) o de lista de espera (n = 21). El tratamiento consistió en ocho sesiones grupales (2 horas/semana). Se observaron mejorías significativas en la gravedad del insomnio, la calidad de sueño y en las creencias y actitudes disfuncionales relacionadas con el insomnio, en aquellos pacientes que recibieron la TCC-i. Los síntomas emocionales también disminuyeron tras la intervención en el grupo de TCC-i. Los hallazgos apoyan la eficacia de la terapia cognitivo-conductual para el insomnio en un formato grupal para pacientes con trastorno de insomnio primario. Se sugiere el rol de las creencias y actitudes disfuncionales relacionadas con el insomnio en el mantenimiento de este trastorno.

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