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https://www.readbyqxmd.com/read/29778918/cognitive-mechanisms-of-sleep-outcomes-in-a-randomized-clinical-trial-of-internet-based-cognitive-behavioral-therapy-for-insomnia
#1
Philip I Chow, Karen S Ingersoll, Frances P Thorndike, Holly R Lord, Linda Gonder-Frederick, Charles M Morin, Lee M Ritterband
OBJECTIVE: The aim of this study was to investigate in a randomized clinical trial the role of sleep-related cognitive variables in the long-term efficacy of an online, fully automated cognitive behavioral therapy intervention for insomnia (CBT-I) (Sleep Healthy Using the Internet [SHUTi]). METHOD: Three hundred and three participants (Mage  = 43.3 years; SD = 11.6) were randomly assigned to SHUTi or an online patient education condition and assessed at baseline, postintervention (nine weeks after baseline), and six and 12 months after the intervention period...
December 20, 2017: Sleep Medicine
https://www.readbyqxmd.com/read/29774791/insomnia-and-eating-expectancies-among-college-students-the-role-of-emotion-dysregulation
#2
Brooke Y Kauffman, Jafar Bakhshaie, Hantin Lam, Candice Alfano, Michael J Zvolensky
There is limited understanding of the relation between insomnia and aspects of eating among college students though available data suggest salient clinical relationships. The present study explored a potential transdiagnostic mechanism in the relation between insomnia symptoms and eating expectancies. Participants were a racially/ethnically diverse sample of 1589 college students (80.4% females; Mage = 22.2 years, SD = 5.27) from an urban university. Primary analysis included three regression-based models of eating expectancies...
May 18, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29774635/safety-and-efficacy-from-a-6-week-double-blind-study-and-a-52-week-open-label-extension-of-aripiprazole-in-adolescents-with-schizophrenia-in-japan
#3
Hideo Matsumoto, Jun Ishigooka, Hiroaki Ono, Yoshihiro Tadori
AIMS: The purpose of this study was to evaluate the safety and efficacy of aripiprazole in adolescents with schizophrenia in Japan. METHODS: In a 6-week, randomized, double-blind, dose-comparison study, adolescents (aged 13-17 years) with schizophrenia were randomized to receive aripiprazole 2, 6-12, or 24-30 mg/day. Patients who completed the 6-week study participated in a 52-week, flexible-dose, open-label extension (OLE) study of aripiprazole (initial dose: 2 mg/day, maintenance dose: 6-24 mg/day, maximum dose: 30 mg/day)...
May 18, 2018: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29761479/antidepressants-for-insomnia-in-adults
#4
REVIEW
Hazel Everitt, David S Baldwin, Beth Stuart, Gosia Lipinska, Andrew Mayers, Andrea L Malizia, Christopher Cf Manson, Sue Wilson
BACKGROUND: Insomnia disorder is a subjective condition of unsatisfactory sleep (e.g. sleep onset, maintenance, early waking, impairment of daytime functioning). Insomnia disorder impairs quality of life and is associated with an increased risk of physical and mental health problems including anxiety, depression, drug and alcohol abuse, and increased health service use. hypnotic medications (e.g. benzodiazepines and 'Z' drugs) are licensed for sleep promotion, but can induce tolerance and dependence, although many people remain on long-term treatment...
May 14, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29760253/deprescribing-benzodiazepine-receptor-agonists-evidence-based-clinical-practice-guideline
#5
Kevin Pottie, Wade Thompson, Simon Davies, Jean Grenier, Cheryl A Sadowski, Vivian Welch, Anne Holbrook, Cynthia Boyd, Robert Swenson, Andy Ma, Barbara Farrell
OBJECTIVE: To develop an evidence-based guideline to help clinicians make decisions about when and how to safely taper and stop benzodiazepine receptor agonists (BZRAs); to focus on the highest level of evidence available and seek input from primary care professionals in the guideline development, review, and endorsement processes. METHODS: The overall team comprised 8 clinicians (1 family physician, 2 psychiatrists, 1 clinical psychologist, 1 clinical pharmacologist, 2 clinical pharmacists, and 1 geriatrician) and a methodologist; members disclosed conflicts of interest...
May 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29753926/long-term-clinical-effect-of-group-cognitive-behavioral-therapy-for-insomnia-a-case-series-study
#6
Vincenza Castronovo, Andrea Galbiati, Marco Sforza, Mattia Poletti, Laura Giarolli, Tracy Kuo, Marco Zucconi, Mauro Manconi, Michael Hensley, Charles Morin, Luigi Ferini-Strambi
OBJECTIVE: Cognitive-behavioral therapy for insomnia (CBT-I) is recognized as the first-choice intervention for insomnia. One of the best-known advantages of CBT-I in comparison with pharmacotherapy is its long-term effect. However, only few studies have assessed its benefits with follow-up periods of longer than three years. In this clinical case series study we aimed to describe the long-term effects of group CBT-I after a mean 7.8 ± 1.6 years of follow-up (range 4-10 years). METHODS: A total of 292 insomnia disorder (ID) patients were consecutively enrolled at the Sleep Disorders Center of San Raffaele Hospital, Milan; 123 patients (82 (66...
April 11, 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29751698/-pharmacological-effect-of-schisandrae-chinensis-fructus-and-relative-active-components-on-cardiovascular-and-cerebrovascular-diseases
#7
Min-Yu Zhang, Hong-Wei Wu, Li-Ping Xu, Hong-Jun Yang
Cardiovascular and cerebrovascular diseases (CCDs) are the primary causes of death in Chinese adults. With the increase in morbidity and mortality rates and the decrease in the age of onset, CCD becomes a very natural target for traditional Chinese medicine. Schisandrae Chinensis Fructus (SCF) is the dry ripe fruit of Schisandra chinensis (Turcz.) Baill., which features a sweet and sour taste and the effects of calming the heart and tranquilizing the mind. It is mainly used for treatment of dysphoria and palpitation, insomnia and dreamful sleep due to the lack of spirit preservation...
April 2018: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://www.readbyqxmd.com/read/29749262/comparison-of-the-effects-of-melatonin-and-oxazepam-on-anxiety-levels-and-sleep-quality-in-patients-with-st-segment-elevation-myocardial-infarction-following-primary-percutaneous-coronary-intervention-a-randomized-clinical-trial
#8
Padideh Ghaeli, Mohammad Solduzian, Shaghayegh Vejdani, Azita Hajhossein Talasaz
BACKGROUND: Anxiety and sleep disorders are prevalent problems in patients presenting with ST-segment-elevation myocardial infarction (STEMI). Usually, these problems are managed by benzodiazepines, which-albeit effective-could cause adverse effects and drug interaction. OBJECTIVE: This study was designed to compare the effects of melatonin and oxazepam in the management of anxiety and insomnia on patients following primary percutaneous coronary intervention (PCI) with a view to providing a safer alternative...
May 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/29747931/efficacy-of-different-leuprolide-administration-schedules-in-premenopausal-breast-cancer-a-retrospective-review
#9
Daniel C Kendzierski, Bryan P Schneider, Patrick J Kiel
BACKGROUND: Leuprolide is a safe and effective treatment of estrogen receptor-positive premenopausal breast cancer. Data from the SOFT/TEXT trials solidified leuprolide in combination with an aromatase inhibitor as an effective hormonal treatment for premenopausal breast cancer. However, the efficacy of monthly leuprolide depot compared to leuprolide depot every 3 months in combination with an aromatase inhibitor in this patient population is unclear. PATIENTS AND METHODS: In this single center retrospective study, 201 patients were enrolled between January 1, 2015, and October 1, 2016; 100 were included in the 7...
April 18, 2018: Clinical Breast Cancer
https://www.readbyqxmd.com/read/29747706/does-online-insomnia-treatment-reduce-depressive-symptoms-a-randomized-controlled-trial-in-individuals-with-both-insomnia-and-depressive-symptoms
#10
T van der Zweerde, A van Straten, M Effting, S D Kyle, J Lancee
BACKGROUND: Insomnia is effectively treated with online Cognitive Behavioral Therapy for Insomnia (CBT-I). Previous research has suggested the effects might not be limited to sleep and insomnia severity, but also apply to depressive symptoms. Results, however, are mixed. METHODS: In this randomized controlled trial we investigated the effects of guided online CBT-I on depression and insomnia in people suffering from symptoms of both. Participants (n = 104) with clinical insomnia and at least subclinical depression levels were randomized to (1) guided online CBT-I and sleep diary monitoring (i-Sleep) or (2) control group (sleep diary monitoring only)...
May 11, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29745915/association-of-diabetes-compensation-with-sleeping-habits-and-well-being-in-patients-with-diabetes-mellitus
#11
L Navasardyan, A Аvetisyan, M Simonyan, E Aghajanova
Recent data estimates that sleep deprivation and poor quality of night sleep have an impact on the incidence and prevalence of both obesity and type 2 diabetes, as well as cardiovascular events in all ages. The aim of this work is to evaluate the association between diabetes compensation and sleep quality and quantity, comparing patients with type 1 and type 2 diabetes, as well as to establish any potential connection with "screen" time, physical activity and well-being. For this reason 49 patients with type 1 (n=28) and type 2 DM (n=21) were investigated...
April 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29745445/prevalence-of-psychiatric-morbidity-in-united-states-military-spouses-the-millennium-cohort-family-study
#12
Maria M Steenkamp, Nida H Corry, Meng Qian, Meng Li, Hope Seib McMaster, John A Fairbank, Valerie A Stander, Laura Hollahan, Charles R Marmar
BACKGROUND: Approximately half of US service members are married, equating to 1.1 million military spouses, yet the prevalence of psychiatric morbidity among military spouses remains understudied. We assessed the prevalence and correlates of eight mental health conditions in spouses of service members with 2-5 years of service. METHOD: We employed baseline data from the Millennium Cohort Family Study, a 21-year longitudinal survey following 9,872 military-affiliated married couples representing all US service branches and active duty, Reserve, and National Guard components...
May 10, 2018: Depression and Anxiety
https://www.readbyqxmd.com/read/29744873/methylphenidate-for-attention-deficit-hyperactivity-disorder-adhd-in-children-and-adolescents-assessment-of-adverse-events-in-non-randomised-studies
#13
REVIEW
Ole Jakob Storebø, Nadia Pedersen, Erica Ramstad, Maja Lærke Kielsholm, Signe Sofie Nielsen, Helle B Krogh, Carlos R Moreira-Maia, Frederik L Magnusson, Mathilde Holmskov, Trine Gerner, Maria Skoog, Susanne Rosendal, Camilla Groth, Donna Gillies, Kirsten Buch Rasmussen, Dorothy Gauci, Morris Zwi, Richard Kirubakaran, Sasja J Håkonsen, Lise Aagaard, Erik Simonsen, Christian Gluud
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in childhood. The psychostimulant methylphenidate is the most frequently used medication to treat it. Several studies have investigated the benefits of methylphenidate, showing possible favourable effects on ADHD symptoms, but the true magnitude of the effect is unknown. Concerning adverse events associated with the treatment, our systematic review of randomised clinical trials (RCTs) demonstrated no increase in serious adverse events, but a high proportion of participants suffered a range of non-serious adverse events...
May 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29740872/prodromal-symptoms-of-multiple-sclerosis-in-primary-care
#14
Giulio Disanto, Chiara Zecca, Sharon MacLachlan, Rosaria Sacco, Lahiru Handunnetthi, Ute C Meier, Alex Simpson, Laura McDonald, Andrea Rossi, Pascal Benkert, Jens Kuhle, Sreeram V Ramagopalan, Claudio Gobbi
OBJECTIVE: Early diagnosis and treatment initiation significantly influence long term disability outcome in multiple sclerosis (MS). We aimed at identifying prodromal symptoms of MS in primary care settings. METHODS: This was a nested case-control study comparing the occurrence of various symptoms in MS patients vs controls at 0-2, 2-5 and 5-10 years before index date (first MS record). A total of 10,204 incident MS cases were identified within the UK Clinical Practice Research Datalink (CPRD) between 01/01/1987 and 28/02/2016 (median (IQR) age=47 (39-57) years, females=7,308 (71...
May 8, 2018: Annals of Neurology
https://www.readbyqxmd.com/read/29732536/cognitive-behavioral-therapy-for-insomnia-to-reduce-chronic-migraine-a-sequential-bayesian-analysis
#15
REVIEW
Todd A Smitherman, Alexander J Kuka, Anne H Calhoun, A Brooke Pellegrino Walters, Rachel E Davis-Martin, Carrie E Ambrose, Jeanetta C Rains, Timothy T Houle
BACKGROUND: Insomnia is frequently comorbid with chronic migraine, and small trials suggest that cognitive-behavioral treatment of insomnia (CBTi) may reduce migraine frequency. This study endeavored to provide a quantitative synthesis of existing CBTi trials for adults with chronic migraine using Bayesian statistical methods, given their utility in combining prior knowledge with sequentially gathered data. METHODS: Completer analyses of 2 randomized trials comparing CBTi to a sham control intervention (Calhoun and Ford, 2007; Smitherman et al, 2016) were used to quantify the effects of a brief course of treatment on headache frequency...
May 6, 2018: Headache
https://www.readbyqxmd.com/read/29722088/declarative-virtual-water-maze-learning-and-emotional-fear-conditioning-in-primary-insomnia
#16
Marion Kuhn, Elisabeth Hertenstein, Bernd Feige, Nina Landmann, Kai Spiegelhalder, Chiara Baglioni, Johanna Hemmerling, Diana Durand, Lukas Frase, Stefan Klöppel, Dieter Riemann, Christoph Nissen
Healthy sleep restores the brain's ability to adapt to novel input through memory formation based on activity-dependent refinements of the strength of neural transmission across synapses (synaptic plasticity). In line with this framework, patients with primary insomnia often report subjective memory impairment. However, investigations of memory performance did not produce conclusive results. The aim of this study was to further investigate memory performance in patients with primary insomnia in comparison to healthy controls, using two well-characterized learning tasks, a declarative virtual water maze task and emotional fear conditioning...
May 2, 2018: Journal of Sleep Research
https://www.readbyqxmd.com/read/29680498/sleep-eeg-spectral-power-is-correlated-with-subjective-objective-discrepancy-of-sleep-onset-latency-in-major-depressive-disorder
#17
Seung-Gul Kang, Sara Mariani, Stephanie A Marvin, Kwang-Pil Ko, Susan Redline, John W Winkelman
We aimed to identify the sleep electroencephalography (EEG) spectral power correlates of the subjective-objective discrepancy (SOD) of sleep onset latency (SOL) in major depressive disorder (MDD), primary insomnia (PI), and normal sleeping control (NSC) groups. We examined relative power values in standard frequency bands of the EEG spectra during the first Non-Rapid Eye Movement (NREM) sleep period as correlates of SOD of SOL between sleep diary and polysomnography in MDD (n = 36), PI (n = 19), and NSC (n = 23) groups...
April 19, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29680429/repetitive-thought-is-associated-with-both-subjectively-and-objectively-recorded-polysomnographic-indices-of-disrupted-sleep-in-insomnia-disorder
#18
Andrea Galbiati, Enrico Giora, Simone Sarasso, Marco Zucconi, Luigi Ferini-Strambi
BACKGROUND: Repetitive thought is a hallmark of several psychopathological conditions and in particular a perpetuating and maintaining factor in Insomnia Disorder. Accordingly, one of the primary complaints reported by Insomnia patients is the inability to shut-off or control thoughts. Worry and rumination are the two best-known styles of repetitive thought leading to sleep disturbances. The aim of this study was to investigate the relationship of these two cognitive processes on nocturnal sleep indices objectively recorded by polysomnography...
May 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29680424/trazodone-for-the-treatment-of-insomnia-a-meta-analysis-of-randomized-placebo-controlled-trials
#19
Xiao-Yan Yi, Shi-Fen Ni, Mohammad Rasoul Ghadami, Hua-Qing Meng, Ming-Yan Chen, Li Kuang, Yu-Qing Zhang, Li Zhang, Xin-Yu Zhou
OBJECTIVE: To assess the efficacy and tolerability of trazodone compared with placebo in patients with insomnia. METHODS: Electronic databases were searched and relevant reports were hand-screened to identify eligible trials. Only randomized placebo-controlled trials were included. Standardized mean differences (SMD) and the odds ratios (OR) were estimated using a random-effect model. Primary efficacy outcomes included sleep efficiency (SE%) and self-reported sleep quality (SQ)...
May 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29662527/stimulant-withdrawal-in-a-child-with-autism-spectrum-disorder-and-adhd-a-case-report
#20
Aneta Krakowski, Abel Ickowicz
Objective: To consider whether the concepts of tolerance and withdrawal to stimulant medications apply to a preadolescent female, affected by autism spectrum disorder (ASD) and treated for associated attention-deficit/hyperactivity disorder (ADHD). Methods: We describe the case history and review scientific English language literature pertaining to acute withdrawal effects associated with methylphenidate and amphetamine derivatives in children. Results: An 11-year-old female with ASD and ADHD referred to our clinic experienced vomiting, headaches, and light sensitivity following abrupt discontinuation of methylphenidate; she subsequently presented with migraines and marked malaise immediately after a dose reduction in lisdexamfetamine...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
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