{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T15:36:26Z","timestamp":1779896186638,"version":"3.53.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,2,9]],"date-time":"2025-02-09T00:00:00Z","timestamp":1739059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2018\/19506\u20105"],"award-info":[{"award-number":["2018\/19506\u20105"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Cognitive behavioural therapy for insomnia is the treatment of choice for patients with insomnia, but not all patients benefit, and novel psychological treatment approaches have emerged (e.g. acceptance and commitment therapy). Thus, the aim of the present study was to evaluate whether treatment modality, adherence, insomnia severity, anxiety, depression, beliefs about sleep or acceptance of sleep problems are factors associated with response to psychological insomnia treatment. The sample consisted of 152 adults (115 women; mean age\u2009=\u200940.6\u2009years, SD\u2009=\u200910.2) with chronic insomnia, and they participated in a randomized clinical trial comparing acceptance and commitment therapy for insomnia (as a standalone) with cognitive behavioural therapy for insomnia. The outcome measure was proportion of treatment responders (8 points reduction or more) on the Insomnia Severity Index, assessed at pre\u2010 and post\u2010treatment and 6\u2010month follow\u2010up. The predictor variables were assessed at pre\u2010treatment. The final multivariate model showed that undergoing cognitive behavioural therapy for insomnia increased the chances of treatment response at post\u2010treatment by 2.70 times when compared with acceptance and commitment therapy for insomnia (odds ratio\u2009=\u20092.70 [1.14\u20136.38]). In addition, each additional point in pre\u2010treatment insomnia severity (odds ratio\u2009=\u20091.15 [1.01\u20131.30]) and dysfunctional beliefs about sleep (odds ratio\u2009=\u20091.02 [1.00\u20131.05]) scores increased the chances of response at post\u2010treatment. Treatment adherence increased the chances of treatment response at post\u2010treatment by 3.07 times (odds ratio\u2009=\u20093.07 [1.28\u20137.34]). Finally, each additional point on the Insomnia Severity Index pre\u2010treatment increased the chances of treatment response at the 6\u2010month follow\u2010up (odds ratio\u2009=\u20091.14 [1.01\u20131.29]). In conclusion, cognitive behavioural therapy for insomnia increases the chance of treatment response compared with acceptance and commitment therapy for insomnia. Moreover, higher adherence, insomnia severity and dysfunctional beliefs about sleep predict treatment outcome in both treatments.<\/jats:p>","DOI":"10.1111\/jsr.14473","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T07:50:07Z","timestamp":1739260207000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cognitive and psychological factors associated with treatment response in\n                    <scp>ACT<\/scp>\n                    \u2010I and\n                    <scp>CBT<\/scp>\n                    \u2010I for insomnia"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2283-5231","authenticated-orcid":false,"given":"Ila Marques Porto","family":"Linares","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0633-8104","authenticated-orcid":false,"given":"Susanna","family":"Jernel\u00f6v","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Centre for Psychiatry Research Karolinska Institute, &amp; Stockholm Health Care Services, Huddinge Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2212-4608","authenticated-orcid":false,"given":"Renatha","family":"El Rafihi\u2010Ferreira","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,9]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"International classification of sleep disorders","author":"American Academy of Sleep Medicine","year":"2014"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders fifth edition (DSM\u20105).","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.11.1140"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.8.1567"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000881"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2022.2071272"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2022.100554"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1009537722740"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0036606"},{"key":"e_1_2_10_11_1","volume-title":"Acceptance and Commitment Therapy: The Process and Practice of Mindful Change\"","year":"2012"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2023.12.017"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.682"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.07.001"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2022.03.003"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2007.07.002"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2021.11.001"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2020.02.001"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.3249"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-011-9250-7"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2017.02.001"},{"key":"e_1_2_10_22_1","unstructured":"World Health Organization. (2003).Adherence to long\u2010term therapies: evidence for action.http:\/\/www.who.int\/chp\/knowledge\/publications\/adherence_report\/en\/"}],"container-title":["Journal of Sleep Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.14473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:04:58Z","timestamp":1762499098000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsr.14473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,9]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/jsr.14473"],"URL":"https:\/\/doi.org\/10.1111\/jsr.14473","archive":["Portico"],"relation":{},"ISSN":["0962-1105","1365-2869"],"issn-type":[{"value":"0962-1105","type":"print"},{"value":"1365-2869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,9]]},"assertion":[{"value":"2024-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14473"}}