Predictors of treatment attendance and adherence to treatment recommendations among individuals receiving Cognitive Behavioral Therapy for Insomnia

ABSTRACT

Insomnia disorders affect up to 10% of adults and are associated with other health problems and poor quality of life. Cognitive Behavioral Therapy for Insomnia (CBT-I) is an effective treatment; however, its effectiveness is hindered by poor attendance and adherence to treatment recommendations. The present study sought to identify predictors of attendance and adherence in CBT-I. Participants were 108 adults with insomnia disorder. Participants were primarily female (71.3%), middle aged (mean age = 50.5), and Caucasian (92.6%). Demographic variables, physical health problems, Beck Anxiety Inventory, Center for Epidemiologic Studies Depression-Revised scale, and Insomnia Severity Index were used to predict attending three or more sessions and adherence to consistent bedtime and waketime. Higher age was associated with better attendance and less deviation in bed and wake times. Anxiety and depression symptoms were associated with less attendance, and depression was also associated with more deviation in waketimes. To promote better attendance and adherence in treatment, depression or anxiety symptoms should be addressed before or during CBT-I. Identifying and tailoring CBT-I treatments toward the needs of different age groups may also improve attendance and adherence.     

Friendship network mechanisms linking emotional intelligence and subjective well-being: Beyond a mediation model

ABSTRACT

This study examined whether the status (central or peripheral position) of individuals in a friendship network and the quality of a friendship network represent key mechanisms in determining how emotional intelligence is associated with subjective well-being. Using data collected from 217 Chinese senior undergraduates, we found that the interaction of the quality of a friendship network and a peripheral position in a friendship network mediated relations of emotional intelligence with subjective well-being. Although a central position in a friendship network did not interact with the quality of a friendship network, it did mediate the relations of emotional intelligence with subjective well-being on its own. The findings expand the growing body of research findings on the association between emotional intelligence and subjective well-being by investigating the role of friendship networks and highlight the importance of a network perspective in understanding the association.     

Perceived Coparenting Support and Later Relationship Status among Cohabiting Parents

Abstract

To help with the fragile nature of cohabiting parents' relationship, more understanding about their interpersonal experiences is needed to identify factors that matters for their relationship stability. We examined how cohabiting parents' perceived coparenting support from their partner was associated with their later relationship status (married/cohabiting/not together). Further, we examined the possible moderating effect of perceived coparenting support on the association between marriage plans and later relationship status. Results suggested that the associations between fathers' plans and couples' marriage entrance as well as continued cohabitation were dependent upon fathers' perceived coparenting support from mothers. Clinical and research implications are discussed.