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https://www.readbyqxmd.com/read/27923435/a-single-arm-pilot-trial-of-brief-cognitive-behavioral-therapy-for-insomnia-in-adolescents-with-physical-and-psychiatric-comorbidities
#1
Tonya M Palermo, Sarah Beals-Erickson, Maggie Bromberg, Emily Law, Maida Chen
STUDY OBJECTIVES: The majority of adolescents with chronic insomnia have physical health or psychiatric comorbidities; insomnia is also associated with greater negative daytime symptoms (e.g., depressive symptoms) and reduced overall health-related quality of life (HRQOL). However, to date, there has been limited attention to treatment of insomnia in this population. The purpose of this study was to determine the preliminary efficacy of a brief cognitive behavioral therapy for insomnia (CBT-I) intervention on sleep, psychological symptoms, and HRQOL outcomes in adolescents with insomnia and co-occurring physical or psychiatric comorbidities...
November 28, 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/27917672/-insomnia-and-habits-to-help-to-fall-asleep-among-adults
#2
Katalin Fusz, Béla Faludi, Dorina Pusztai, Nóra Sebők, András Oláh
INTRODUCTION: The quality of sleep can be influenced by several factors, insomnia in turn has an effect on the state of health. AIM: The aim of our survey is to measure the effects of insomnia, furthermore, the sleep affecting agents and habits to help to fall asleep among adults. METHOD: We collected the online nationwide and the written datas from the South-Transdanubia region, 455 adults filled the questionnaire which contains the Athens Insomnia Scale...
December 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27909991/the-role-of-orexins-hypocretins-in-alcohol-use-and-abuse
#3
Leigh C Walker, Andrew J Lawrence
Addiction is a chronic relapsing disorder characterized by compulsive drug seeking and drug taking despite negative consequences. Alcohol abuse and addiction have major social and economic consequences and cause significant morbidity and mortality worldwide. Currently available therapeutics are inadequate, outlining the need for alternative treatments. Detailed knowledge of the neurocircuitry and brain chemistry responsible for aberrant behavior patterns should enable the development of novel pharmacotherapies to treat addiction...
December 2, 2016: Current Topics in Behavioral Neurosciences
https://www.readbyqxmd.com/read/27904908/spreading-of-pain-and-insomnia-in-patients-with-chronic-pain-results-from-a-national-quality-registry-sqrp
#4
Peter Alföldi, Elena Dragioti, Tobias Wiklund, Björn Gerdle
OBJECTIVE: To explore how demographics, pain, psychosocial factors and insomnia relate to the spread of chronic pain. METHODS: The study included 708 patients (68% women; median age 46 years; interquartile range 35-57 years) with chronic pain who were referred to a multidisciplinary pain centre. Spreading of pain was assessed using a questionnaire covering 36 anatomically predefined pain regions. Data were collected on demographics, pain symptoms, psychological distress, and insomnia (Insomnia Severity Index)...
November 30, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27904656/the-berlin-treatment-algorithm-recommendations-for-tailored-innovative-therapeutic-strategies-for-multiple-sclerosis-related-fatigue
#5
REVIEW
Christian Veauthier, Helge Hasselmann, Stefan M Gold, Friedemann Paul
More than 80% of multiple sclerosis (MS) patients suffer from fatigue. Despite this, there are few therapeutic options and evidence-based pharmacological treatments are lacking. The associated societal burden is substantial (MS fatigue is a major reason for part-time employment or early retirement), and at least one out of four MS patients view fatigue as the most burdensome symptom of their disease. The mechanisms underlying MS-related fatigue are poorly understood, and objective criteria for distinguishing and evaluating levels of fatigue and tiredness have not yet been developed...
2016: EPMA Journal
https://www.readbyqxmd.com/read/27902836/effect-of-a-web-based-cognitive-behavior-therapy-for-insomnia-intervention-with-1-year-follow-up-a-randomized-clinical-trial
#6
Lee M Ritterband, Frances P Thorndike, Karen S Ingersoll, Holly R Lord, Linda Gonder-Frederick, Christina Frederick, Mark S Quigg, Wendy F Cohn, Charles M Morin
Importance: Although cognitive behavior therapy for insomnia (CBT-I) has been established as the first-line recommendation for the millions of adults with chronic insomnia, there is a paucity of trained clinicians to deliver this much needed treatment. Internet-delivered CBT-I has shown promise as a method to overcome this obstacle; however, the long-term effectiveness has not been proven in a representative sample with chronic insomnia. Objective: To evaluate a web-based, automated CBT-I intervention to improve insomnia in the short term (9 weeks) and long term (1 year)...
November 30, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/27900743/-the-relationship-between-coping-behaviors-and-symptom-distress-in-elderly-patients-with-cancer-undergoing-initial-chemotherapy
#7
Shih-Ping Wu, Ya-Chuan Hsu
BACKGROUND: Elderly cancer patients undergoing initial chemotherapy often suffer discomfort from medication-related symptom distress. This discomfort may affect treatment responses and outcomes negatively. PURPOSE: This correlational, cross-sectional design study used a purposive sample of 100 patients who were both over 60 years of age and currently undergoing initial chemotherapy. The participants completed a structured questionnaire that was administered at a medical center in southern Taiwan...
December 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27900583/does-elite-sport-degrade-sleep-quality-a-systematic-review
#8
REVIEW
Luke Gupta, Kevin Morgan, Sarah Gilchrist
BACKGROUND: Information on sleep quality and insomnia symptomatology among elite athletes remains poorly systematised in the sports science and medicine literature. The extent to which performance in elite sport represents a risk for chronic insomnia is unknown. OBJECTIVES: The purpose of this systematic review was to profile the objective and experienced characteristics of sleep among elite athletes, and to consider relationships between elite sport and insomnia symptomatology...
November 29, 2016: Sports Medicine
https://www.readbyqxmd.com/read/27886073/effect-of-six-month-diet-intervention-on-sleep-among-overweight-and-obese-men-with-chronic-insomnia-symptoms-a-randomized-controlled-trial
#9
Xiao Tan, Markku Alén, Kun Wang, Jarkko Tenhunen, Petri Wiklund, Markku Partinen, Sulin Cheng
Growing evidence suggests that diet alteration affects sleep, but this has not yet been studied in adults with insomnia symptoms. We aimed to determine the effect of a six-month diet intervention on sleep among overweight and obese (Body mass index, BMI ≥ 25 kg/m²) men with chronic insomnia symptoms. Forty-nine men aged 30-65 years with chronic insomnia symptoms were randomized into diet (n = 28) or control (n = 21) groups. The diet group underwent a six-month individualized diet intervention with three face-to-face counseling sessions and online supervision 1-3 times per week; 300-500 kcal/day less energy intake and optimized nutrient composition were recommended...
November 23, 2016: Nutrients
https://www.readbyqxmd.com/read/27880055/excessive-daytime-sleepiness-in-asthma-what-are-the-risk-factors
#10
Sandra Andersson Kallin, Eva Lindberg, Johan Nilsson Sommar, Apostolos Bossios, Linda Ekerljung, Andrei Malinovschi, Roelinde Middelveld, Christer Janson
OBJECTIVE: Previous studies have found that excessive daytime sleepiness (EDS) is a more common problem in asthmatic subjects than in the general population. The aim of this study was to investigate whether the prevalence of EDS is increased in asthmatic subjects and, if so, to analyse the occurrence of potential risk factors for EDS in asthmatics. METHODS: Cross-sectional epidemiological study. In 2008, a postal questionnaire was sent out to a random sample of 45,000 individuals aged 16-75 years in four Swedish cities...
November 23, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/27875916/new-era-in-treatment-options-of-chronic-hepatitis-c-focus-on-safety-of-new-direct-acting-antivirals-daas
#11
Cristina Scavone, Liberata Sportiello, Concetta Rafaniello, Annamaria Mascolo, Maurizio Sessa, Francesco Rossi, Annalisa Capuano
New direct-acting antivirals have changed hepatitis C virus infection management extremely. Areas covered: The pharmacological management of HCV infection and the main characteristics of new DAA therapies have been discussed. In order to analyse safety data regarding DAA therapies, a narrative review was performed searching for safety results of main second generation DAAs pivotal and post-marketing studies. Data on main DAAs drug-drug interactions have also been discussed. Results of main DAAs pivotal studies revealed that these drugs were frequently associated to adverse events such as asthenia, headache, nausea, and insomnia...
December 2016: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/27866826/the-impact-of-online-therapeutic-feedback-on-outcome-measures-in-internet-cbti-for-adolescents-with-insomnia
#12
Eduard Jan de Bruin, Anne Marie Meijer
BACKGROUND: Guided Internet cognitive behavioral therapy for insomnia (CBTI) offers an effective treatment for adolescents, but little is known about the active ingredients of therapeutic feedback on outcomes. OBJECTIVE: This study aims to identify which factors can be distinguished in written therapeutic feedback in Internet CBTI, and examine whether these factors and participation in a chat session contribute to sleep outcomes. METHODS: Internet CBTI was applied to 57 adolescents (mean age 15...
September 13, 2016: Sleep Medicine
https://www.readbyqxmd.com/read/27860166/treatment-of-antiviral-resistant-recurrent-erythema-multiforme-with-dapsone
#13
Allen S W Oak, Lucia Seminario-Vidal, Naveed Sami
Recurrent erythema multiforme (REM) is a chronic disease characterized by frequent episodes of target cutaneous lesions in an acral distribution. Conventional treatment includes systemic corticosteroids and antiviral therapy. The aim of this study was to evaluate dapsone as a potential steroid sparing-agent for the treatment of REM after a failed trial of at least one antiviral therapy (acyclovir, famciclovir, or valacyclovir). A retrospective chart review was conducted on thirteen patients with a diagnosis of REM who underwent treatment with dapsone after failing at least one antiviral therapy...
November 18, 2016: Dermatologic Therapy
https://www.readbyqxmd.com/read/27859588/influence-of-sleep-disturbance-on-global-functioning-after-posttraumatic-stress-disorder-treatment
#14
Janeese A Brownlow, Carmen P McLean, Philip R Gehrman, Gerlinde C Harb, Richard J Ross, Edna B Foa
Chronic insomnia and recurrent nightmares are prominent features of posttraumatic stress disorder (PTSD). Evidence from adult research indicates that these sleep disturbances do not respond as well to cognitive-behavioral therapies for PTSD and are associated with poorer functional outcomes. This study examined the effect of prolonged exposure therapy for adolescents versus client-centered therapy on posttraumatic sleep disturbance, and the extent to which sleep symptoms impacted global functioning among adolescents with sexual abuse-related PTSD...
December 2016: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/27855734/pareidolias-in-effectiveness-of-benzodiazepine-receptor-agonists-in-the-treatment-of-insomnia-an-examination-of-response-and-remission-rates
#15
Vivek Pillai, Thomas Roth, Timothy Roehrs, Kenneth Moss, Edward L Peterson, Christopher L Drake
STUDY OBJECTIVES: To examine the real-world effectiveness of benzodiazepine receptor agonists (BzRAs) by quantifying response and remission rates in a clinical sample receiving chronic BzRA treatment for insomnia. METHODS: Participants were outpatients (N = 193; 72% female; 55.2 ± 11.1 yo) who had an insomnia diagnosis per medical records, and who were taking a therapeutic dose of BzRA for their insomnia. Endpoints were nocturnal sleep disturbance and Insomnia Severity Index (ISI) scores...
October 28, 2016: Sleep
https://www.readbyqxmd.com/read/27852564/chronic-insomnia-diagnosis-and-non-pharmacological-management
#16
REVIEW
David Cunnington, Moira Junge
No abstract text is available yet for this article.
November 16, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27837576/restless-legs-syndrome-mimicking-s1-radiculopathy
#17
Th Zambelis, B R Wolgamuth, S N Papoutsi, M-I Kontaxaki
Α case of a chronic idiopathic form of a severe type of Restless Legs Syndrome (RLS), which developed during pregnancy and persisted after this, misdiagnosed for 34 years as radiculopathy S1, is reported. In spite of the thorough clinical and laboratory investigation, in addition to constant changes of the therapeutic approach, the diagnosis of S1 radiculopathy could not be confirmed, resulting in a chronic clinical course; the latter was characterized by relapses and remissions not attributed or linked in any way to the treatment (various types of)...
July 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/27835720/a-novel-therapy-for-chronic-sleep-onset-insomnia-a-retrospective-nonrandomized-controlled-study-of-auto-adjusting-dual-level-positive-airway-pressure-technology
#18
Barry Krakow, Victor A Ulibarri, Natalia D McIver, Michael R Nadorff
Objective: Evidence indicates that behavioral or drug therapy may not target underlying pathophysiologic mechanisms for chronic insomnia, possibly due to previously unrecognized high rates (30%-90%) of sleep apnea in chronic insomnia patients. Although treatment studies with positive airway pressure (PAP) demonstrate decreased severity of chronic sleep maintenance insomnia in patients with co-occurring sleep apnea, sleep-onset insomnia has not shown similar results. We hypothesized advanced PAP technology would be associated with decreased sleep-onset insomnia severity in a sample of predominantly psychiatric patients with comorbid sleep apnea...
September 29, 2016: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/27827534/correlates-of-sleep-disturbances-in-depressed-older-persons-the-netherlands-study-of-depression-in-older-persons-nesdo
#19
Rian Johanna Gerdina Peters van Neijenhof, Erik van Duijn, Hannie C Comijs, Julia F van den Berg, Margot W M de Waal, Richard C Oude Voshaar, Roos C van der Mast
OBJECTIVES: Sleep disturbances are common among depressed older persons. To gain insight into sleep disturbances in late-life depression, their occurrence and correlates were assessed. METHODS: Baseline data of 294 depressed older persons of the Netherlands Study of Depression in Older persons study were used. A diagnosis of current depression according to the diagnostic and statistical manual of mental disorders-IV (DSM-IV) was assessed with the Composite International Diagnostic Interview...
November 9, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27823715/trait-and-pre-sleep-state-dependent-arousal-in-insomnia-disorders-what-role-may-sleep-reactivity-and-sleep-related-metacognitions-play-a-pilot-study
#20
Laura Palagini, Mauro Mauri, Liliana Dell'Osso, Dieter Riemann, Christopher L Drake
OBJECTIVE: Research into the cause of chronic insomnia has identified hyperarousal as a key factor, which is likely to have both trait and state components. Sleep-related cognition, metacognition, and sleep reactivity also play an important role in insomnia. Our aim was to investigate how these insomnia-related constructs are associated with trait predisposition and pre-sleep arousal in subjects with an insomnia disorder. METHODS: Fifty-three individuals with insomnia disorder (according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (F = 33; 52 + 10)) and 30 healthy controls (F = 18; 51...
September 2016: Sleep Medicine
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