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Scott H Waltman, David Shearer, Bret A Moore
PURPOSE OF REVIEW: Post-traumatic nightmares (PTN) are a common and enduring problem for individuals with post-traumatic stress disorder (PTSD) and other clinical presentations. PTN cause significant distress, are associated with large costs, and are an independent risk factor for suicide. Pharmacological and non-pharmacological treatment options for PTN exist. A previous review in this journal demonstrated that Prazosin, an alpha blocker, was a preferred pharmacological treatment for PTN and imagery rescripting therapy (IRT) was a preferred non-pharmacological treatment...
October 11, 2018: Current Psychiatry Reports
Y T Wu, J Wang, Y W Chen, W Guo, E L Wu, C R Tang, F Feng, Y S Feng
Objectives: To evaluate the effectiveness of cognitive behavior therapy for insomnia (CBT-i) in chronic insomnia patients in terms of the improvements of psychological and sleep diary parameters. Methods: Patients who met the diagnostic criteria of chronic insomnia, were divided into primary group or comorbid group. Both groups received standard CBT-i interventions. Psychological scales and sleep diaries were used to evaluate participants' severity of insomnia and psychological conditions related to insomnia at four time points: before intervention (baseline), immediate after intervention, 4 weeks and 16 weeks after intervention...
October 1, 2018: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Charlotte Randall, Sara Nowakowski, Jason G Ellis
OBJECTIVES/BACKGROUND: Insomnia is a serious condition that affects over 60% of the prison population and has been associated with aggression, anger, impulsivity, suicidality, and increased prison health care use. Nonpharmacological interventions for prison inmates are scarce despite the high prevalence and significant consequences of insomnia among those incarcerated. The aim of the present study was to examine the preliminary efficacy and effectiveness of a one-shot session of cognitive behavioral therapy for insomnia (CBT-I) for prison inmates with acute insomnia in an open trial...
October 5, 2018: Behavioral Sleep Medicine
Angelika Anita Schlarb, Jasmin Faber, Martin Hautzinger
Purpose: The aim of this study was to examine the effectiveness of a combined cognitive-behavioral therapy for insomnia (CBT-I) and hypnotherapy for insomnia (HT-I) program for insomnia patients with or without additional depression regarding depressive symptoms and various sleep parameters. Patients and methods: A sample of 63 patients suffering from insomnia received a six-session sleep intervention, which combined cognitive-behavioral and hypnotherapeutical elements...
2018: Neuropsychiatric Disease and Treatment
Timothy Yeung, Jennifer L Martin, Constance H Fung, Lavinia Fiorentino, Joseph M Dzierzewski, Juan C Rodriguez Tapia, Yeonsu Song, Karen Josephson, Stella Jouldjian, Michael N Mitchell, Cathy Alessi
We examined whether baseline self-reported physical activity is associated with the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older veterans. Community-dwelling veterans aged 60 years and older with insomnia received CBT-I in a randomized controlled trial. Participants who received active treatment were divided into low and high physical activity based on self-report. Sleep outcomes were measured by sleep diary, questionnaire and wrist actigraphy; collected at baseline, post-treatment, 6-month and 12-month follow-up...
2018: Frontiers in Aging Neuroscience
Faith S Luyster, Lee M Ritterband, Susan M Sereika, Daniel J Buysse, Sally E Wenzel, Patrick J Strollo
BACKGROUND/OBJECTIVE: Insomnia is common among adults with asthma and is associated with worse asthma control. Cognitive-behavioral therapy for insomnia (CBT-I) is an effective treatment for insomnia with medical comorbidities, but it has not been tested in asthma. The purpose of this study was to assess the feasibility and acceptability of an Internet-based CBT-I intervention, called Sleep Healthy Using the Internet (SHUTi), among adults with asthma and comorbid insomnia, and to gather preliminary efficacy data on changes in insomnia severity, sleep quality, asthma control, and asthma-related quality of life...
September 25, 2018: Behavioral Sleep Medicine
Whitney T Eriksen, Lydia Singerman, Sally A D Romero, Jason Bussell, Frances K Barg, Jun J Mao
OBJECTIVE: To understand cancer survivors' perceptions regarding the use of acupuncture for the treatment of cancer-related insomnia. DESIGN: Semistructured interviews with cancer survivors participating in a randomized controlled trial comparing the effectiveness of Cognitive Behavioral Therapy for Insomnia (CBT-I) and acupuncture for the treatment of insomnia. Interviews were conducted before randomization into either treatment option, and structured to elicit participants' experiences with insomnia as well as their beliefs and understanding surrounding acupuncture for the treatment of insomnia...
September 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Kelly M Shaffer, Sheila N Garland, Jun J Mao, Allison J Applebaum
Caregivers are relatives, friends, or partners who have a significant relationship with and provide assistance (i.e., physical, emotional) to a patient with often life-threatening, serious illnesses. Between 40 and 76 percent of caregivers for people with cancer experience sleep disturbance. This is thought to be due, in part, to the unique responsibilities, stressors, and compensatory behaviors endemic to caregiving that serve as precipitating and perpetuating factors of insomnia. Sleep disturbances are associated with significant alterations in one's mental and physical health...
September 2018: Journal of Psychotherapy Integration
Mika Tanaka, Mayumi Ikeuchi, Hideaki Matsuki, Koichi Yaguchi, Tomoko Kutsuzawa, Katsutoshi Tanaka, Yoshitaka Kaneita
Objectives Chronic insomnia is common in late adulthood. A non-pharmacological approach should take priority in the treatment of insomnia for the elderly. Many studies have shown the efficacy of Cognitive Behavioral Therapy for Insomnia (CBT-I) for elderly diagnosed with insomnia. However the effect of CBT-I on mild insomnia among older adults in community settings has not been ascertained. We conducted a randomized controlled trial to evaluate the effectiveness of a brief CBT-I delivered by nurses, which is feasible in community settings, to improve sleep quality and decrease the dose of hypnotics use for older adults...
2018: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
Ying Zhang, Jun Su, Jingquan Wang, Guangzhang Tang, Wei Hu, Jinghong Mao, Wanwen Ren, Yi Liu, Zhenghe Yu
Patients transferred out of the intensive care unit (ICU) are always impaired by sleep disorders. Cognitive behavioral therapy for insomnia (CBT-I) and eszopiclone are 2 commonly prescribed strategies for insomnia. In the current study, the effect of the combined application of the 2 methods on sleep disorders in ICU transferred out patients was assessed.Twenty-nine insomnia patients receiving combined treatment of CBT-I and eszopiclone and a corresponding number of patients treated with eszopiclone were collected...
September 2018: Medicine (Baltimore)
Peter J Colvonen, Sean P A Drummond, Abigail C Angkaw, Sonya B Norman
OBJECTIVE: Approximately 35-61% of individuals with posttraumatic stress disorder (PTSD) report insomnia. Further, upward of 70% report clinically significant insomnia following PTSD treatment. There are converging lines of evidence suggesting that insomnia not only independently affects daytime functioning and worsens PTSD symptoms but also may compromise response to PTSD treatment, such as prolonged exposure (PE). Taken together, integrated insomnia and PTSD treatment may increase client-centered care and treatment outcomes...
September 13, 2018: Psychological Trauma: Theory, Research, Practice and Policy
Elaine M Boland, Kassondra Bertulis, Shirley H Leong, Michael E Thase, Philip R Gehrman
BACKGROUND: The presence of insomnia in the context of depression is linked to a number of poor outcomes including reduced treatment response, increased likelihood of relapse, and greater functional impairment. Given the frequent co-occurrence of depression and insomnia, research into systems and processes relevant to both disorders, specifically reward processing and circadian rhythm disruption, may help parse this complex comorbidity. METHODS: A pilot study was conducted on a sample of 10 veterans with clinically significant depression and insomnia symptoms...
January 1, 2019: Journal of Affective Disorders
Noah Lorenz, Eva Heim, Alexander Roetger, Eva Birrer, Andreas Maercker
BACKGROUND: Insomnia has become a major public health concern. AIMS: The study examined the efficacy of a web-based unguided self-help programme with automated feedback. The programme was based on cognitive behaviour therapy for insomnia (CBT-I). The investigation particularly focused on factors that contribute to the maintenance of insomnia and tested whether treatment effects were stable over a period of 12 months. METHOD: Fifty-six participants were randomly assigned either to web-based CBT-I or to the waiting-list control group...
September 6, 2018: Behavioural and Cognitive Psychotherapy
Christina S McCrae, Jennifer M Mundt, Ashley F Curtis, Jason G Craggs, Andrew M O'Shea, Roland Staud, Richard B Berry, William M Perlstein, Michael E Robinson
STUDY OBJECTIVES: Insomnia frequently co-occurs with fibromyalgia, which is associated with gray matter atrophy. We examined the effect of cognitive behavioral therapy for insomnia (CBT-I) and pain (CBT-P) on cortical thickness. METHODS: Patients with fibromyalgia and insomnia underwent MRI before and after random assignment to CBT-I (n = 14), CBT-P (n = 16), or waitlist control (WLC; n = 7). RESULTS: Repeated-measures analyses of variance revealed significant interactions for two regions (left lateral orbitofrontal cortex, left rostral middle frontal, P s < ...
September 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Lukas Frase, Christoph Nissen, Dieter Riemann, Kai Spiegelhalder
The disorder insomnia represents a relevant and frequent condition in clinical care. Cognitive behavioral therapy of insomnia (CBT-I) is regarded as first line treatment. Pharmacotherapy can be considered if CBT-I is not available or effective. Therefore, pharmacological approaches for disturbed sleep are still among the most widely prescribed pharmacological treatments in clinical care. Areas covered: In this review, the authors highlight basic physiological pathways of sleep regulation to understand fundamental pharmacological principles of sleep medicine...
September 2018: Expert Opinion on Pharmacotherapy
Håvard Kallestad, Øystein Vedaa, Jan Scott, Gunnar Morken, Ståle Pallesen, Allison G Harvey, Phil Gehrman, Frances Thorndike, Lee Ritterband, Tore Charles Stiles, Børge Sivertsen
INTRODUCTION: Insomnia is a major public health concern. While cognitive behaviour therapy for insomnia (CBT-I) is acknowledged as the best available intervention, there are unanswered questions about its wider dissemination, socioeconomic benefits and its impact on health resource utilisation. The aim of this randomised controlled trial (RCT) is to investigate the effectiveness of a fully automated online version of CBT-I compared with online patient education about sleep (PE). Outcome measures comprise changes in symptoms of insomnia, time off work due to sick leave as well as medication and health resource utilisation...
August 30, 2018: BMJ Open
Anja Friedrich, Merle Claßen, Angelika A Schlarb
BACKGROUND: The SWIS sleep training for university students showed promising results regarding subjective and objective sleep parameters. As sleep disorders and impaired sleep quality are closely related to various aspects of mental health, the current study examines the effects of the SWIS sleep training on mental health in university students. METHODS: Fifty six university students (M = 25.84, SD = 5.06) participated in the study, 68% were women. Forty one were randomly assigned to the SWIS treatment (pre-post-follow-up), 15 to a Waiting List Control condition (WLC, pre-post)...
August 29, 2018: BMC Psychiatry
Aliza Werner-Seidler, Lara Johnston, Helen Christensen
Sleep disturbance is common among young people, with consequences for academic, emotional and behavioural development. Cognitive-behavioural therapy for insomnia (CBT-I) is efficacious, yet it is costly and not available to many who need it. Digitally-delivered CBT-I (eCBT-I) has the potential to overcome these barriers. The purpose of this systematic review was to identify studies which report on the efficacy or effectiveness of eCBT-I for young people with sleep disturbance. Electronic databases were systematically searched and three studies met inclusion criteria...
March 2018: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
Jennifer L Martin, M Safwan Badr, Salam Zeineddine
Sleep disorders are common among women veterans and contribute to poor functioning and quality of life. Studies show that women veterans are particularly prone to insomnia, sleep-disordered breathing, and insufficient sleep. Standard cognitive behavioral therapy for insomnia (CBT-I) should be viewed as first-line therapy for insomnia disorder, and women veterans should be screened and treated for sleep-disordered breathing. Behavioral and lifestyle factors contributing to insufficient sleep should also be addressed...
September 2018: Sleep Medicine Clinics
Vivian W Chiu, Melissa Ree, Aleksandar Janca, Rajan Iyyalol, Milan Dragovic, Flavie Waters
This study investigated sleep subtypes in schizophrenia, and their response to Cognitive Behavioural Therapy for Insomnia (CBT-I) treatment. Sleep profiling was conducted using latent class analysis on baseline Pittsburgh Sleep Quality Index data (N = 74 outpatients with schizophrenia who were poor sleepers, 52% male, mean age = 41.4 years). Of these, 40 took part in CBT-I treatment. Analyses revealed three sleep subtypes based on total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL) parameters: Cluster 1 ('classic severe insomnia', 44...
October 2018: Psychiatry Research
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