Effectiveness of The KiSS Cognitive-Behavioral Multicomponent Therapy on Insomnia and Fatigue in Children
Insomnia is one of the most common sleep disorders in children. Considering the role of this disorder in the formation of behavioral and mental disorders and its comorbid with chronic diseases and the need to pay attention to the treatment of insomnia and fatigue in order to maintain children's health, this study aimed to evaluate the effectiveness of cognitive-behavior multicomponent Therapy, named the KiSS program (Kinder mit Schafstörungen Programm) on insomnia and fatigue in children.
This research method was quasi-experimental with a pre-test -post-test, and follow-up design in experimental and control groups. In order to perform this study among children of 8 to 10 years with insomnia referring to Medical & Psychology Clinic of Shokoufeh in, Tehran, Iran, within July to October 2021, 40 children were selected by the convenience sampling method based on inclusion criteria and were assigned randomly into experimental and control groups (each group including 20 children).The personal information questionnaire, Sleep Disturbance Scale for children (SDSC), Multidimensional Fatigue Scale (MFS) and Child Symptoms Inventory-4 (CSI-4) were used to collect data. The KiSS treatment was applied in the experimental group and cartoon watching in the control group. Due to the decrease in the number of subjects in the implementation phase, the number of children in each group was reduced to 15. The data were analyzed with SPSS software (version 22) using descriptive statistical indicators including mean and standard deviation and inferential statistics indicators including mixed-design ANOVA method.
The results of data analysis showed that the mean scores of insomnia the in the KiSS treatment experimental group in the post-test stage significantly decreased compared to the control group and the changes in the follow-up stage remained stable. The mean scores general, cognitive and sleep fatigue in the KiSS treatment group also increased significantly in the post-test stage compared to the control group and the changes in the follow-up stage remained stable.
Considering to the promising results of KiSS multicomponent therapy, this treatment can be used as one of the intervention methods for improvement of insomnia and fatigue caused by it in children aged 8 to 10 years.
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