Comparing Cognitive Behavioral Therapy for Insomnia Alone Versus Combined With Acceptance and Commitment Therapy to Improve Anxiety in Youth Aged 15 to 24

What this Trial Is About

This research aims to compare two types of therapycognitive-behavioral therapy for insomnia CBT-I alone and CBT-I combined with acceptance and commitment therapy ACTto improve anxiety symptoms in young people aged 15 to 24 who have insomnia and anxiety. Insomnia is common among adolescents and youth and often occurs alongside anxiety, affecting about 30% of individuals. The study addresses the shared neurological and cognitive factors that contribute to both sleep difficulties and anxiety, focusing on improving treatment by targeting both conditions together. Participants will receive six sessions of face-to-face group therapy lasting 90 to 120 minutes each, with groups of 8 to 10 youths. One group will receive only CBT-I, which includes sleep education, stimulus control, sleep restriction, cognitive therapy, and relaxation training. The other group will receive CBT-I plus ACT components such as mindfulness and thought diaries. Both approaches aim to improve sleep and reduce anxiety symptoms. During the study, researchers will assess anxiety severity at the start, after the 6-week intervention, and again at a 3-month follow-up. They will also monitor insomnia symptoms, sleep patterns, daytime sleepiness, mood, sleep beliefs, psychological flexibility, arousal levels, rumination, stress events, life satisfaction, and overall well-being using questionnaires and clinical interviews. The total duration includes initial screening, treatment sessions, and follow-up assessments to evaluate the lasting effects of the therapies.

CBT-I Versus CBT-I+ACT for Youths With Insomnia and Anxiety