P135 Intervention adherence and usefulness as predictors of the efficacy of Cognitive Behavioural Therapy for Insomnia during perinatal periods

نویسندگان

چکیده

Abstract Introduction One third of birthing parents experience insomnia symptoms during perinatal periods. Cognitive Behavioural Therapy for Insomnia (CBT-I) is effective insomnia. However, it unclear how adherence to and perceived usefulness individual CBT-I components predict treatment efficacy. Methods 76 nulliparous (age M±SD=33.07±3.10) with prenatal received from two randomised controlled trials. symptoms, sleep-related impairment, dysfunctional beliefs attitudes about sleep (DBAS), were self-reported at 30 35-weeks gestation, 2 6-months postpartum. Linear regressions assessed whether predicted outcomes, controlling age, mental health history social support. Results Adherence decreased over time across all components. “Cognitive restructuring” “sleep hygiene” had the highest ratings, while “relaxation mindfulness” was least useful adhered to. Controlling covariates, higher lower DBAS gestation (p=.024). At postpartum, (p=.032), usefulness/adherence “managing deprivation, sleepiness, fatigue” (usefulness p=.003; p=.029) impairment p=.007). No significant relationships found between outcomes other (i.e., psychoeducation, cognitive restructuring, stimulus control). Conclusion Individual play different roles in efficacy as navigate diverse challenges Strategies enhance relevant specific milestones may

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ژورنال

عنوان ژورنال: Sleep advances

سال: 2022

ISSN: ['2632-5012']

DOI: https://doi.org/10.1093/sleepadvances/zpac029.203