Randomized controlled trial of cognitive refocusing versus stimulus control treatment for college insomnia: feasibility of a brief, electronic-based, and peer-led approach

Patricia A. Goodhines, Adrian M. Svingos, Samantha Gerish, Aesoon Park, Les A. Gellis

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: Performance of Cognitive Refocusing Treatment for Insomnia (CRT-I) relative to stimulus control treatment (SCT) remains unknown among college students. This pilot trial compared single-session, electronic-based, peer-led CRT-I to SCT, and as well as awareness-based (AC) and no-treatment (NTC) controls. Participants: College students (N = 82; M age=18.59 [SD = 0.78]; 58% female; 61% White; 16% Hispanic) with insomnia symptoms were randomly assigned to CRT-I (n = 12), SCT (n = 14), and AC (n = 14) conditions, or non-randomly recruited to NTC (n = 42). Methods: All participants completed baseline and one-month follow-up surveys, and reported daily task enactment (except NTC). Results: Feasibility ratings were comparable across conditions. Within-group treatment effects revealed greater improvements in (a) insomnia symptom severity among CRT-I (d = 1.13) and SCT (d = 1.66) groups relative to AC (d = 0.90) and (b) pre-sleep cognitive arousal among CRT-I (d = 0.94) and SCT (d = 1.42) groups relative to AC (d = 0.75). Conclusions: Brief, electronic-based, peer-led CRT-I and SCT interventions appear feasible and potentially efficacious for college insomnia.

Original languageEnglish (US)
JournalJournal of American College Health
DOIs
StateAccepted/In press - 2022

Keywords

  • Behavior therapy
  • cognitive therapy
  • college students
  • insomnia
  • sleep

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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