0353 PRELIMINARY DATA FOR THE SLEEP TO PREVENT EVOLVING AFFECTIVE DISORDERS (SPREAD) TRIAL

Abstract

Introduction: Digital (i.e., internet delivered) cognitive behavioral therapy for insomnia (dCBT‐I) has shown promise as an efficacious and widely accessible treatment for insomnia. Furthermore, reduction of insomnia may also reduce and prevent depression; however, the effectiveness of dCBT‐I for insomnia and depression across a range of demographic patient types have not been established. Methods: 330 individuals with insomnia (DSM‐5 criteria) were randomized into two conditions: dCBT‐I (N=146; age 49.7 ± 14.1, 76.0% female, 25.3% black, 25.3% 50), socioeconomic status (annual household income .05), the dCBT‐I condition exhibited a significantly lower rate of clinically significant depression at post‐treatment (8.2%) compared to the control group (19.0%, p