The Role of Perceived Partner Alliance on the Efficacy of CBT-I

Preliminary Findings from the Partner Alliance in Insomnia Research Study (PAIRS)

Published In: Behavioral Sleep Medicine, v. 13, no. 1, 2015, p. 64-72

Posted on RAND.org on January 01, 2014

by Jason G. Ellis, Vincent Deary, Wendy M. Troxel

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Despite cognitive behavioral therapy for insomnia (CBT-I) being effective, barriers to adherence have been documented. Perceived partner alliance has been shown to influence adherence and treatment outcome across a range of other health conditions. The present study examined patients' perceptions regarding the role of their partner in CBT-I and the impact of perceived partner alliance on treatment outcome. Twenty-one patients were interviewed, following CBT-I, to examine the areas where partners were thought to influence the process of CBT-I. The majority of statements made during interviews explicitly mentioned a partner's influence (65%). Additionally, the production of more positive partner statements was associated with better treatment outcome (using the Insomnia Severity Index). The integration of perceived partner alliance into CBT-I is discussed.

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