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:: Volume 24, Issue 4 (Bimonthly 2020) ::
Feyz 2020, 24(4): 433-445 Back to browse issues page
Efficacy of cognitive behavioral therapy with or without metacognitive techniques on sleep efficiency and perceived social support in people with chronic insomnia disorder
Behzad Salmani , Jaafar Hasani , Afshin Ahmadvand , Shahram Mohammad-Khani , Hamid-Reza Hassan-Abadi
Ph.D. in Health Psychology, Department of Clinical Psychology, Faculty of Psychology & Educational Sciences, Kharazmi University, Tehran, I.R. Iran. , b.salmani1365@gmail.com
Abstract:   (2036 Views)
Background: Cognitive behavioral therapy is the first-line and golden standard in treating chronic insomnia disorder but some studies showed that by addressing metacognitive components, its efficacy increases. The present study aimed to evaluate efficacy of cognitive behavioral therapy with or without metacognitive techniques in people with chronic insomnia disorder.
Materials and Methods: Once evaluator took diagnostic assessments, four patients including one male and three females who met eligibility criteria were assigned to cognitive behavioral therapy and cognitive behavioral therapy with metacognitive techniques consisting of detached mindfulness and worry/ rumination postponement. All of the patients were assessed six times by sleep efficacy index and perceived social support scale. Then, dada were analyzed by visual interpretation of ups and downs in graphs, effect size and diagnostic recovery.
Results: Although duration of the disorder in patients who received cognitive behavioral therapy with metacognitive techniques was longer compared to patients in the other group, they had higher sleep efficiency and perceived social support than the other group. Both of the groups especially which received metacognitive techniques were achieved high effect size and diagnostic recovery. Treatment gains were maintained till three months after treatment ended. 
Conclusion: Adding metacognitive techniques to golden standard in treating of chronic insomnia disorder could increase the efficacy of cognitive behavioral therapy in terms of sleep efficiency and perceived social support.
Keywords: Chronic insomnia disorder, Cognitive behavioral therapy, Metacognitive techniques, Sleep efficiency, Perceived social support
Full-Text [PDF 631 kb]   (637 Downloads)    
Type of Study: Research | Subject: General
Received: 2019/07/27 | Revised: 2020/11/7 | Accepted: 2020/02/10 | Published: 2020/10/10
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Salmani B, Hasani J, Ahmadvand A, Mohammad-Khani S, Hassan-Abadi H. Efficacy of cognitive behavioral therapy with or without metacognitive techniques on sleep efficiency and perceived social support in people with chronic insomnia disorder. Feyz 2020; 24 (4) :433-445
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Volume 24, Issue 4 (Bimonthly 2020) Back to browse issues page
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