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Culturally Adapted CBTI for Chinese Insomnia Patients: a One-Arm Pilot Trial
Birling, Yoann1; Wang, Jian1; Li, Guixia1; Wu, Enlai2; Yu, Zhidan2; Feng, Yunshu1; Wu, Yuting2
First AuthorYoann Birling

Insomnia is a common mental disorder with severe consequences. Cognitive-behavioral therapy for insomnia (CBTI) has been proved effective against insomnia, but most of the research is limited to Western countries. This trial objective is to develop a Chinese culture-adapted CBTI program and assess its efficacy. An 8-week culturally adapted CBTI program was developed that included mixed group and individual session and culturally adapted relaxation and cognitive restructuring treatment components. A one-arm clinical trial was conducted at a public hospital between March 2016 and January 2017. Seventy-two Chinese adults (15 males, 57 females; mean age, 50 years) with insomnia disorder underwent the culturally adapted CBTI program. Sleep diaries and self-report scales, as well as polysomnography (PSG, for a subgroup only), were used to assess qualitative and quantitative measures of sleep, mental health status, and quality of life at baseline, post-treatment, and 4-month follow-up. Pre-post analyses showed significant changes in sleep diary sleep onset latency (SOL), wake after sleep onset (WASO), and total sleep time of respectively - 37.03 min (CI, - 48.90 to - 25.16), - 28.16 min (CI, - 40.22 to - 16.10), and + 27.49 min (CI, 10.51 to 44.47). Self-reported sleep quality, mental health, and quality of life improved compared to baseline. The self-reported outcomes were mainly stable at follow-up. PSG outcomes globally failed to show improvement. The design of a CBTI program adapted to Chinese population was achieved. Culturally adapted CBTI showed promising results. More rigorously designed studies are needed to ensure efficacy.

KeywordInsomnia Clinical Trial Treatment Cognitive-behavioral Therapy Cultural Adaptation
Funding Organizationproject
Funding Projectproject
WOS Research AreaPsychology
WOS SubjectPsychology, Clinical
WOS IDWOS:000432362600007
WOS KeywordCognitive-behavioral Therapy ; Randomized Controlled-trial ; Sleep Quality Index ; Severity Index ; Psychometric Properties ; Persistent Insomnia ; General-population ; Clinical-trials ; Health ; Metaanalysis
Citation statistics
Document Type期刊论文
Corresponding AuthorWang, Jian
Affiliation1.Guangan Men Hosp, Beijing 100053, Peoples R China
2.Chinese Acad Sci, Inst Psychol, Beijing 100049, Peoples R China
Recommended Citation
GB/T 7714
Birling, Yoann,Wang, Jian,Li, Guixia,et al. Culturally Adapted CBTI for Chinese Insomnia Patients: a One-Arm Pilot Trial[J]. INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE,2018,25(3):331-340.
APA Birling, Yoann.,Wang, Jian.,Li, Guixia.,Wu, Enlai.,Yu, Zhidan.,...&Wu, Yuting.(2018).Culturally Adapted CBTI for Chinese Insomnia Patients: a One-Arm Pilot Trial.INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE,25(3),331-340.
MLA Birling, Yoann,et al."Culturally Adapted CBTI for Chinese Insomnia Patients: a One-Arm Pilot Trial".INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE 25.3(2018):331-340.
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