Cost effectiveness of brief behavior therapy for insomnia in depression

• Project/Area Number: 21730559
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Single-year Grants
• Research Field: Clinical psychology
• Research Institution: Nagoya City University
• Principal Investigator: WATANABE Norio Nagoya City University, 大学院・医学研究科, 助教 (20464563)
• Project Period (FY): 2009 – 2010
• Project Status: Completed (Fiscal Year 2010)
• Budget Amount: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000); Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: うつ病 / 不眠 / QoL / 無作為割り付け対照試験 / 精神療法 / 重症度評価 / 費用対効果分析 / 医療経済分析 / 心理療法

Research Abstract

This study aimed to investigate the added value of brief behavioral Therapy for insomnia over treatment as usual (TAU) for residual depression and refractory insomnia.
Thirty-seven outpatients were randomly assigned to TAU alone or TAU plus brief behavioral therapy for insomnia.
Information about both insomnia and depression were collected at 4- and 8-week follow-ups. Brief behavioral therapy for insomnia plus TAU resulted in significantly lower scores in terms of both insomnia and depression at 8 weeks.
In patients with residual depression and treatment refractory insomnia, adding brief behavioral therapy for insomnia to usual clinical care produced statistically significant and clinically substantive added benefits.

Research Products

• [Journal Article] Brief behavioral therapy for refractory insomnia in residual depression : an assessor傭lind, randomized controlled trial. (2011)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML.
  • Journal Title: Journal of Clinical Psychiatry. Online ahead of print.
  • Peer Reviewed
• [Journal Article] Brief behavioral therapy for refractory insomnia in residual depression : an assessor-blind, randomized controlled trial (2011)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML
  • Journal Title: Journal of Clinical Psychiatry Volume: (Online ahead of print)
  • Peer Reviewed
• [Journal Article] 日本における認知行動療法の効果研究の現状と課題 (2009)
  • Author(s): 藤澤大介, 渡辺範雄, 鈴木伸一, 鍋山麻衣子, 平井啓, 中川敦夫
  • Journal Title: 2巻 Pages: 6-17
  • Peer Reviewed
• [Journal Article] 日本における認知行動療法の効果研究の現状と課題 (2009)
  • Author(s): 藤澤大介, 渡辺範雄, 他
  • Journal Title: 認知療法研究 2 Pages: 6-17
• [Journal Article] 気分障害と不安障害は本当に違う概念なのか? (2009)
  • Author(s): 渡辺範雄
  • Journal Title: こころのりんしょうa・la・carte 28 Pages: 614-617
• [Presentation] 合同シンポジウム3:うつ病不眠に対する短期睡眠行動療法RCT(DEBUT study). (2010)
  • Author(s): 渡辺範雄, 古川壽亮, 下寺信次, 諸隈一平, 香月富士日, 藤田博一, 佐々木恵, 川村千紘, Perlis ML.
  • Organizer: 第23回日本サイコオンコロジー学会第10回日本認知療法学会合同大会
  • Place of Presentation: 名古屋
  • Year and Date: 2010-11-02
• [Presentation] 合同シンポジウム3:うつ病不眠に対する短期睡眠行動療法RCT(DEBUT study) (2010)
  • Author(s): 渡辺範雄, 古川壽亮, 下寺信次, 諸隈一平, 香月富士日, 藤田博一, 佐々木恵, 川村千紘, Perlis ML.
  • Organizer: 第23回日本サイコオンコロジー学会 第10回日本認知療法学会 合同大会
  • Place of Presentation: 名古屋(ウインクあいち)
  • Year and Date: 2010-11-02
• [Presentation] NR4-61 : Brief Behavioral Therapy for Insomnia for Outpatients with Residual Depression with Comorbid Insomnia : Assessor-Blind, Randomized Controlled Trial. (2010)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML.
  • Organizer: American Psychiatric Association Annual Meeting.
  • Place of Presentation: New Orleans, LA
  • Year and Date: 2010-05-25
• [Presentation] NR4-61 : Brief Behavioral Therapy for Insomnia for Outpatients with Residual Depression with Comorbid Insomnia : Assessor-Blind, Randomized Controlled Trial (2010)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML.
  • Organizer: American Psychiatric Association Annual Meeting
  • Place of Presentation: New Orleans, LA (Morial Convention Center)
  • Year and Date: 2010-05-25
• [Presentation] 不眠:病因・診断・評価・治療と認知行動療法(シンポジウム) (2009)
  • Author(s): 渡辺範雄
  • Organizer: 第9回日本認知療法学会
  • Place of Presentation: 千葉幕張メッセ
  • Year and Date: 2009-10-23
• [Book] コラム:うつ病不眠への認知行動療法(In:大野裕.うつ病治療ハンドブック) (2011)
  • Author(s): 渡辺範雄
  • Publisher: 金剛出版
• [Book] コラム:うつ病不眠への認知行動療法.In:大野裕.うつ病治療ハンドブック (2011)
  • Author(s): 渡辺範雄
  • Publisher: 金剛出版