scholarly journals Cognitive-behavioral therapy for sleep disturbance decreases inflammatory cytokines and oxidative stress in hemodialysis patients

2011 ◽  
Vol 80 (4) ◽  
pp. 415-422 ◽  
Author(s):  
Hung-Yuan Chen ◽  
I-Chih Cheng ◽  
Yi-Ju Pan ◽  
Yen-Ling Chiu ◽  
Shih-Ping Hsu ◽  
...  
2019 ◽  
pp. 555-570
Author(s):  
Ketan Deoras ◽  
Jonathan Oliver ◽  
Mita S. Deoras

This chapter covers the bidirectional relationship between depression and insomnia. Patients with insomnia are more likely to develop depression; the prevalence of depression in people with comorbid insomnia is almost 10 times greater than in those without insomnia. Conversely, depression itself has sleep disturbance as a symptom 80% of the time. Treatment of comorbid insomnia and depression should aim at treating both conditions. While cognitive-behavioral therapy for insomnia (CBT-i) should always be considered in the treatment of chronic insomnia, instances may arise when medications are required. Sedative–hypnotics derive from a wide variety of classes of medications and may need to be used in conjunction with antidepressants in the depressed insomniac.


2011 ◽  
Vol 28 (6) ◽  
pp. 464-470 ◽  
Author(s):  
Colleen E. Carney ◽  
Andrea L. Harris ◽  
Joey Friedman ◽  
Zindel V. Segal

2021 ◽  
Vol 12 ◽  
Author(s):  
Alexander Sweetman ◽  
Bastien Lechat ◽  
Peter G. Catcheside ◽  
Simon Smith ◽  
Nick A. Antic ◽  
...  

ObjectiveCo-morbid insomnia and sleep apnea (COMISA) is a common and debilitating condition that is more difficult to treat compared to insomnia or sleep apnea-alone. Emerging evidence suggests that cognitive behavioral therapy for insomnia (CBTi) is effective in patients with COMISA, however, those with more severe sleep apnea and evidence of greater objective sleep disturbance may be less responsive to CBTi. Polysomnographic sleep study data has been used to predict treatment response to CBTi in patients with insomnia-alone, but not in patients with COMISA. We used randomized controlled trial data to investigate polysomnographic predictors of insomnia improvement following CBTi, versus control in participants with COMISA.MethodsOne hundred and forty five participants with insomnia (ICSD-3) and sleep apnea [apnea-hypopnea index (AHI) ≥ 15] were randomized to CBTi (n = 72) or no-treatment control (n = 73). Mixed models were used to investigate the effect of pre-treatment AHI, sleep duration, and other traditional (AASM sleep macrostructure), and novel [quantitative electroencephalography (qEEG)] polysomnographic predictors of between-group changes in Insomnia Severity Index (ISI) scores from pre-treatment to post-treatment.ResultsCompared to control, CBTi was associated with greater ISI improvement among participants with; higher AHI (interaction p = 0.011), less wake after sleep onset (interaction p = 0.045), and less N3 sleep (interaction p = 0.005). No quantitative electroencephalographic, or other traditional polysomnographic variables predicted between-group ISI change (all p > 0.09).DiscussionAmong participants with COMISA, higher OSA severity predicted a greater treatment-response to CBTi, versus control. People with COMISA should be treated with CBTi, which is effective even in the presence of severe OSA and objective sleep disturbance.


2017 ◽  
Vol 11 ◽  
pp. 117822341774556 ◽  
Author(s):  
Simon B Zeichner ◽  
Rachel L Zeichner ◽  
Keerthi Gogineni ◽  
Sharon Shatil ◽  
Octavian Ioachimescu

The number of patients with breast cancer diagnosed with sleep disturbance has grown substantially within the United States over the past 20 years. Meanwhile, there have been significant improvements in the psychological treatment of sleep disturbance in patients with breast cancer. More specifically, cognitive behavioral therapy for insomnia (CBT-I), mindfulness, and yoga have shown to be 3 promising treatments with varying degrees of benefit, supporting data, and inherent limitations. In this article, we will outline the treatment approach for sleep disturbance in patients with breast cancer and conduct a comprehensive review of CBT-I, mindfulness, and yoga as they pertain to this patient population.


2011 ◽  
Vol 12 ◽  
pp. S6
Author(s):  
Shun Nakajima ◽  
IsaO kajima ◽  
Masaki Nakamura ◽  
Akira Usui ◽  
Shingo Nishida ◽  
...  

Author(s):  
Dewiyanti Toding ◽  
Masfuri Masfuri ◽  
Sri Yona

The prevalency of hemodialysis patient with depression was high but only a few of patients who experienced the symptoms of the depression were diagnosed and treated. Therefore, the study and treatment of depression is one of the highest priorities in health care in the hemodialysis unit. Although psychological therapy has been widely implemented in hemodialysis patients who were depressed, the effectiveness from psychological therapy particularly applied to hemodialysis patients in Indonesia has not been certainty. This article was intended to assess the effectiveness of psychological therapy on a decline in depression levels in hemodialysis patients. The study of the article was a literature study obtained through data retrieval on four online databases of Pubmed, Ebsco, Cocharane and Scopus with the inclusion criteria have randomized control trial (RCT) designs, full text, published in 2015-2020, and in English. In the search, there were 219 articles found later in the review on abstract according to the research purpose that followed 8 selected articles after quality assessment using Critical Appraisal Skills Programme guide. The 4 types of psychological therapy were cognitive behavioral therapy, psychoeducation, hemodialysis self-management and hope therapy are potentially applied in Indonesia. These modifications and combinations of interventions could be suggested as to further research to improve th effectivities of phisicological therapy on hemodyalisis patients who were depressed. Keywords: cognitive behavioral therapy; hemodialysis; hemodialysis self-management; hope therapy; intervention; psychoeducation ABSTRAK Prevalensi pasien hemodialisis yang mengalami depresi masih tinggi tetapi hanya sebagian kecil yang gejala depresinya didiagnosis dan ditangani. Oleh karena itu, kajian dan penanganan terhadap depresi merupakan salah satu prioritas utama dalam pelayanan kesehatan di unit hemodialisis. Meskipun terapi psikologis telah banyak digunakan pada pasien hemodialisis yang mengalami depresi, tetapi belum ada kepastian efektifitas dari terapi psikologis terutama untuk bisa diterapkan pada pasien hemodialisis di Indonesia. Artikel ini bertujuan untuk menilai efektifitas terapi psikologis terhadap penurunan tingkat depresi pada pasien hemodialisis. Penelitian artikel ini mengunakan kajian literatur yang diperoleh melalui pencarian pada 4 database online yaitu Pubmed, EBSCO, Cocharane dan Scopus dengan kriteria inklusi memiliki desain Randomized Control Trial (RCT), full text, dipublikasi tahun 2015-2020, dan berbahasa Inggris. Dalam pencarian ditemukan ada 219 artikel, kemudian di telaah yang sesuai dengan tujuan penelitian dan selanjutnya diperoleh 8 artikel terpilih setelah dilakukan penilain kualitas dengan menggunakan panduan Critical Appraisal Skills Programme (CASP). 4 jenis terapi psikologis yaitu cognitive behavioral therapy, psychoeducation, hemodialysis self- management dan hope therapy berpotensi untuk diterapkan di Indonesia. Modifikasi dan kombinasi dari berbagai intervensi ini disarankan untuk dilakukan pada penelitian selanjutnya untuk lebih meningkatkan efektivitas terapi psikologis pada pasien hemodialisis yang mengalami depresi. Kata kunci: cognitive behavioral therapy; hemodialisis; hemodialysis self-management; hope therapy; intervensi; psychoeducation


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lucy Ymer ◽  
Adam McKay ◽  
Dana Wong ◽  
Kate Frencham ◽  
Natalie Grima ◽  
...  

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