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Abstract
BackgroundThe internet has the potential to increase individuals’ access to cognitive behavioral therapy (CBT) for insomnia at low cost. However, treatment preferences regarding internet-based computerized CBT for insomnia have not been fully examined.ObjectiveThe aim was to conduct an anonymous online survey to evaluate treatment preferences for insomnia among patients with insomnia and individuals without insomnia.MethodsWe developed an online survey to recruit a total of 600 participants living in the Kanto district in Japan. There were three subgroups: 200 medicated individuals with insomnia, 200 unmedicated individuals with insomnia, and 200 individuals without insomnia. The survey asked questions about the severity of the respondent’s insomnia (using the Athens Insomnia Scale), the frequency of sleep medication use and the level of satisfaction with sleep medication use, the respondent’s knowledge of CBT, his or her preference for CBT for insomnia before drug therapy, preference for CBT versus drug therapy, and preference for internet-based CBT versus face-to-face CBT.ResultsOf the 600 respondents, 47.7% (286/600) indicated that they received CBT before drug therapy, and 57.2% (343/600) preferred CBT for insomnia to drug therapy. In addition, 47.0% (282/600) preferred internet-based CBT for insomnia to face-to-face CBT. Although the respondents with insomnia who were taking an insomnia medication had a relatively lower preference for internet-based CBT (40.5%, 81/200), the respondents with insomnia who were not taking an insomnia medication had a relatively higher preference for internet-based CBT (55.5%, 111/200).ConclusionsThe results of our online survey suggest that approximately half of the people queried preferred CBT for insomnia to drug therapy, and half of the respondents preferred internet-based CBT for insomnia to face-to-face CBT.
Highlights
According to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition), insomnia is a sleep disorder characterized by recurrent poor sleep quality or quantity that causes distress or impairment in important areas of functioning
In a study from Australia, Walters et al [8] showed that a series of individuals with schizophrenia or schizoaffective disorders preferred cognitive behavioral therapy (CBT) when given the choice of pharmacotherapy, melatonin, and CBT
As shown by the respondents’ use of the Athens Insomnia Scale (AIS), the respondents with insomnia who were taking an insomnia medication and respondents with insomnia who were not taking an insomnia medication had significantly more severe insomnia compared to the respondents without insomnia
Summary
According to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition), insomnia is a sleep disorder characterized by recurrent poor sleep quality or quantity that causes distress or impairment in important areas of functioning. There are two treatment options for individuals who have insomnia: cognitive behavioral therapy (CBT) [2-4] and pharmacotherapy, including nonbenzodiazepines, benzodiazepines, melatonin agonists, and an orexin receptor antagonist. Treatment preferences regarding internet-based computerized CBT for insomnia have not been fully examined. The survey asked questions about the severity of the respondent’s insomnia (using the Athens Insomnia Scale), the frequency of sleep medication use and the level of satisfaction with sleep medication use, the respondent’s knowledge of CBT, his or her preference for CBT for insomnia before drug therapy, preference for CBT versus drug therapy, and preference for internet-based CBT versus face-to-face CBT. 47.0% (282/600) preferred internet-based CBT for insomnia to face-to-face CBT. Conclusions: The results of our online survey suggest that approximately half of the people queried preferred CBT for insomnia to drug therapy, and half of the respondents preferred internet-based CBT for insomnia to face-to-face CBT
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