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Preventive effect of early rehabilitation program using cognitive behavior therapy for insomnia

Research Project

Project/Area Number 18K10716
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionChiba Prefectural University of Health Sciences (2018, 2022)
Chiba University (2019-2021)

Principal Investigator

Sato Daisuke  千葉県立保健医療大学, 健康科学部, 准教授 (00381682)

Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords認知行動療法 / 不眠障害 / 不眠 / リハビリテーション / 睡眠・覚醒 / ストレスマネジメント
Outline of Final Research Achievements

An RCT was conducted to test whether 4 weeks of Internet Cognitive Behavioral Therapy (ICBT) or "3 Good Things" Exercise (TGT) is effective for insomnia problems. A total of 312 adults with insomnia problems were randomly assigned (Internet Cognitive Behavioral Therapy: 106 in the ICBT group, "3 Good Things" exercise: 103 in the TGT group, and waiting: 103 in the WLC group), and PSQI scores at 4 and 8 weeks were analyzed for 270 participants after the 4-week intervention period. The results of the analysis showed that at 4 weeks, both the ICBT and TGT groups had significantly lower PSQI than the WLC group.

Academic Significance and Societal Importance of the Research Achievements

必ずしも改善につながらない睡眠薬による治療が、長期連用、依存、多剤併用等の問題を起こし、生活習慣病と同様に、不眠に対しても薬物治療だけでなく、エビデンスに基づいた生活指導を導入することの意義が示された。不眠についての不安を高めるような認知や行動の悪循環のパターンの変容を促す認知行動療法が治療の第一選択として活用されることで、利用しやすいインターネット上の生活指導としての不眠改善プログラムを提供することができれば、多くの人々の生活の質(QOL)の向上や医療費の適正化が期待できる。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (5 results)

All 2022 2021 2019

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (2 results)

  • [Journal Article] Effectiveness of Unguided Internet-Based Cognitive Behavioral Therapy and the Three Good Things Exercise for Insomnia: 3-Arm Randomized Controlled Trial2022

    • Author(s)
      Sato D, Sekizawa Y, Sutoh C, Hirano Y, Okawa S, Hirose M, Takemura R, Shimizu E.
    • Journal Title

      Journal of Medical Internet Research

      Volume: 24(2) Issue: 2 Pages: e28747-e28747

    • DOI

      10.2196/28747

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Treatment Preferences for Internet-Based Cognitive Behavioral Therapy for Insomnia in Japan: Online Survey2019

    • Author(s)
      Sato D, Sutoh C, Seki Y, Nagai E, Shimizu E.
    • Journal Title

      JMIR Formative Research

      Volume: 3 Issue: 2 Pages: e12635-e12635

    • DOI

      10.2196/12635

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of Internet-Delivered Computerized Cognitive Behavioral Therapy for Patients With Insomnia Who Remain Symptomatic Following Pharmacotherapy: Randomized Controlled Exploratory Trial.2019

    • Author(s)
      Sato D, Yoshinaga N, Nagai E, Nagai K, Shimizu E
    • Journal Title

      J Med Internet Res.

      Volume: 21(4) Issue: 4 Pages: e12686-e12686

    • DOI

      10.2196/12686

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 不眠を対象とした インターネット認知行動療法の有効性 を検討する3群ランダム化比較試験2022

    • Author(s)
      佐藤 大介,関沢 洋一,清水 栄司
    • Organizer
      第47回日本睡眠学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 不眠症のインターネット認知行動療法アプリの臨床試験について2021

    • Author(s)
      佐藤大介、清水栄司
    • Organizer
      Chiba neuroresearch meeting
    • Related Report
      2020 Research-status Report

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Published: 2018-04-23   Modified: 2024-01-30  

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