{"created":"2023-06-19T10:43:51.187307+00:00","id":4193,"links":{},"metadata":{"_buckets":{"deposit":"d90eafd3-6628-431d-a6d3-286a9119d85e"},"_deposit":{"created_by":11,"id":"4193","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4193"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004193","sets":["30:200:201"]},"author_link":["8959","8956","8960","8290","8957","8958","8292"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-04-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicVolumeNumber":"19","bibliographic_titles":[{},{"bibliographic_title":"International Journal of Environmental Research and Public Health","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"乳原, 彩香"}],"nameIdentifiers":[{},{}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"This study examined whether cognitive behavioral therapy (CBT) for insomnia (CBT-I) improved insomnia severity, by changing sleep-related mediating factors. It also examined whether an improvement in insomnia led to enhanced mental health. This study was a secondary analysis of a randomized controlled trial of e-mail-delivered CBT-I for young adults with insomnia. The participants were randomized to either CBT-I or self-monitoring. The mental health-related measures were depression, anxiety, and stress. The sleep-related mediating factors were sleep hygiene practices, dysfunctional beliefs, sleep reactivity, and pre-sleep arousal. A total of 41 participants, who completed all the sessions (71% females; mean age 19.71 ± 1.98 years), were included in the analysis. The hierarchical multiple regression analysis showed that 53% of the variance in the improvements in insomnia severity was explained by the treatment group (β = −0.53; ΔR2 = 0.25; p < 0.01) and the changes in sleep reactivity (β = 0.39; ΔR2 = 0.28; p < 0.05). Moreover, the mediation analysis showed that the reductions in depression and stress were explained by the changes in insomnia severity; however, anxiety symptoms were not reduced. CBT-I for young adults suggested that sleep reactivity is a significant mediator that reduces insomnia severity, and that the alleviation and prevention of depression and stress would occur with the improvement in insomnia.","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"MDPI"}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.3390/ijerph19084423"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.3390/ijerph19084423","subitem_relation_type_select":"DOI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2022 by the authors. Licensee MDPI, Basel, Switzerland."}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1661-7827","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"UBARA, Ayaka"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TANIZAWA, Noriko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HARATA, Megumi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUH, Sooyeon"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YANG, Chien-Ming"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"LI, Xin"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OKAJIMA, Isa"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-19"}],"displaytype":"detail","filename":"ijerph1904423.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","license_note":"This article is an open access article distributed under the terms and\nconditions of the Creative Commons Attribution (CC BY) license \n(https://creativecommons.org/licenses/by/4.0/).","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ijerph1904423","url":"https://shiga-med.repo.nii.ac.jp/record/4193/files/ijerph1904423.pdf"},"version_id":"3ed98133-eaec-48b1-a514-6c82f05b355e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"insomnia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"depression","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"anxiety","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"stress","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cognitive behavioral therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mediator","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"college students","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"How Does E-mail-Delivered Cognitive Behavioral Therapy Work for Young Adults (18–28 Years) with Insomnia? Mediators of Changes in Insomnia, Depression, Anxiety, and Stress.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"How Does E-mail-Delivered Cognitive Behavioral Therapy Work for Young Adults (18–28 Years) with Insomnia? Mediators of Changes in Insomnia, Depression, Anxiety, and Stress."}]},"item_type_id":"4","owner":"11","path":["201"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-04-19"},"publish_date":"2022-04-19","publish_status":"0","recid":"4193","relation_version_is_last":true,"title":["How Does E-mail-Delivered Cognitive Behavioral Therapy Work for Young Adults (18–28 Years) with Insomnia? Mediators of Changes in Insomnia, Depression, Anxiety, and Stress."],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:16:24.035710+00:00"}