CBT-I for Insomnia and Depression (1 CE)

$14.99
In stock
SKU
1515CE
 

Number of Credits: 1

This course is for: Clinical Psychologists, LMFTs, and Counselors

Course By: Rachel Schoor, Ph.D.

Content By: Bei, B., Asarnow, L. D., Krystal, A., Edinger, J. D., Buysse, D. J., & Manber, R. (2018). Treating insomnia in depression: Insomnia related factors predict long-term depression trajectories. Journal of consulting and clinical psychology, 86(3), 282. https://doi.org/ 10.1037/ccp0000282.

Course Description: Co-morbidity between major depressive disorders and insomnia is common and tends to be associated with poorer outcomes. However, individual trajectories during and after treatment are poorly understood regarding these two co-morbidities. The parent study was a multi-state, longitudinal, randomized controlled trial which examined the efficacy of a cognitive behavioral therapy intervention for insomnia, called CBT-I, in enhancing antidepressant treatment in patients with co-morbid major depressive disorder and insomnia. The intervention in this study was found to improve symptoms of insomnia, but not depressive symptoms. However, there was large heterogeneity or variations in treatment responses across participants. Thus, the current study was a secondary data analysis exploring the heterogeneity in long-term depression change courses, and their correlates, particularly insomnia related characteristics. Adults (N=148) with insomnia and major depressive disorder were recruited from the community, prescribed antidepressant pharmacology, and were randomized to seven session cognitive behavioral therapy for insomnia, or a control condition. The intervention lasted 16 weeks with depression and insomnia being assessed at baseline, bi-weekly during treatment, and every four-months post-intervention, until 2 years after treatment. Additionally, sleep effort and beliefs about sleep were also assessed. Growth mixture modeling reveal three types of courses, partial responders, initial responders, and optimal responders. There were no statistically significant differences between the classes on baseline measures or treatment received. However, there were statistically significant differences on insomnia-related measures after treatment began (p’s <.05), such that Optimal-Responders consistently endorsed the lowest insomnia severity, sleep effort, and unhelpful beliefs about sleep. These results suggest that early changes in insomnia characteristics may predict long-term depression outcomes.

Learning Objectives:

  • Identify three risk factors that insomnia is associated with among people with major depressive disorder.
  • Identify the three depressive symptom change trajectories in patients with comorbid major depressive and Insomnia disorders discussed in the study.
  • List three weaknesses or limitations of the current study.

Course Outline:

  • Read and understand Treating insomnia in depression: Insomnia related factors predict long-term depression trajectories
  • Review the Course Description and Learning Objectives
  • Consider the strengths and weakness of the current study
  • Work through the post-test questions; keep in mind that answer selections should be derived from the respective article
  • Return to the referenced article for any missed questions and/or to better understand the relationships between major depressive disorder, insomnia, and the cognitive behavioral therapy- insomnia intervention

Approvals:

Association for Advanced Training in the Behavioral Sciences is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Association for Advanced Training in the Behavioral Sciences maintains responsibility for this program and its contents.

Association for Advanced Training in the Behavioral Sciences has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5750. Programs that do not qualify for NBCC credit are clearly identified. Association for Advanced Training in the Behavioral Sciences is solely responsible for all aspects of the programs.

Florida Board of Clinical Social Work, Marriage & Family Therapy and Mental Health Counseling - #50-11015

Florida Board of Psychology #50-5452

NYSED:

Social Workers: Association for the Advanced Training in the Behavioral Sciences is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0112.

Counselors: Association for the Advanced Training in the Behavioral Sciences is recognized by the New York State Education Department's State Board for Mental Health Counselors as an approved provider of continuing education for licensed counselors #MHC-0165.

Marriage Family Therapists: Association for the Advanced Training in the Behavioral Sciences is recognized by the New York State Education Department's State Board for Marriage Family Therapists as an approved provider of continuing education for licensed Marriage Family Therapists #MFT-0077.

Psychologists: The Association for the Advanced Training in the Behavioral Science is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0164.

The sponsor of this program has been approved to offer Continuing Education credit for Certified Addiction Specialists (CAS) in accordance with the American Academy of Health Care Providers in the Addictive Disorders. Approval No. 22-1420.

Continuing Education licensing requirements vary by jurisdiction, are not always well defined and may even supersede the rules of a national accreditation organization. We recommend you contact the applicable state licensing board or accrediting organization for the latest regulations and specific requirements of your state when considering our programs for Continuing Education credit.

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More Information
Board ApprovalsAmerican Psychological Association (APA), NBCC, Florida Board - Social Work, MFT, Counseling, and Psychology, NYSED - Social Work, MFT and Counseling Only, American Academy of Health Care Providers in the Addictive Disorders
CE FormatOnline, Text-Based