scholarly journals Cognitive behavioral therapy for the management of poor sleep in insomnia disorder

2014 ◽  
pp. 99 ◽  
Author(s):  
Simon Kyle ◽  
Christopher Miller ◽  
Colin Espie
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Poor Sleep ◽  
Insomnia Disorder

scholarly journals Efficacy of cognitive-behavioral therapy for insomnia: a group format implementation in the Spanish National Health System

2021 ◽  
Vol 26 (3) ◽  
pp. 173-180
Author(s):  
Paula Lantarón-Imedio ◽  
Mª Rosario Pina-Camacho ◽  
Marcos L. Moya-Diago ◽  
Belén Pascual-Vera ◽  
César Mateu ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Health System ◽  
Behavioral Therapy ◽  
National Health System ◽  
Cognitive Behavioral ◽  
Dysfunctional Beliefs ◽  
Group Format ◽  
Insomnia Disorder ◽  
Spanish National Health System ◽  
Beliefs And Attitudes

Background. Cognitive-behavioral therapy for insomnia (CBT-i) is considered the first-line treatment for this disorder, but it is not widely implemented in clinical settings. This study aims to examine the efficacy of a CBT-i in group format in the Spanish National Health System. Method. Fifty-two participants with a Primary Insomnia Disorder (55.8% women; Mage = 47.19, SD = 11.02) were assigned to a CBT-i (n =17) or waiting list condition (n = 21). Treatment consisted of eight group format sessions (2 hours/week). Results. Significant improvements in insomnia severity, sleep quality, and insomnia-related dysfunctional beliefs and attitudes were observed in patients who received CBT-i. Emotional symptoms also decreased after the intervention in the CBT-i group. Conclusion. Findings support the efficacy of cognitive-behavioral therapy for insomnia with a group protocol for patients with primary insomnia disorder. The maintenance role of insomnia-related dysfunctional beliefs and attitudes in this disorder is also suggested.

Acupuncture versus cognitive behavioral therapy for cognitive impairment in cancer survivors with insomnia: Implications for personalized medicine.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11522-11522
Author(s):  
Jun J. Mao ◽  
Kevin Liou ◽  
James Root ◽  
Qing Susan Li ◽  
Ting Bao ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Behavioral Therapy ◽  
Cancer Survivors ◽  
Cognitive Ability ◽  
Cognitive Functions ◽  
Behavioral Therapy ◽  
Acupuncture Group ◽  
Cognitive Behavioral ◽  
Group Differences ◽  
Poor Sleep

11522 Background: Cognitive impairment is a prevalent condition among cancer survivors that lacks effective treatment and can be maintained and exacerbated by poor sleep. This study explored whether treating insomnia with acupuncture or Cognitive Behavioral Therapy for Insomnia (CBT-I) improves subjective and objective cognitive functions in cancer survivors. Methods: We analyzed cognitive outcomes from a pragmatic randomized trial comparing acupuncture versus CBT-I for cancer survivors with insomnia. Analysis was limited to those reporting cognitive impairment at baseline. Acupuncture and CBT-I were delivered over 8 weeks. Perceived cognitive ability was assessed using the Brown Attention-Deficit Disorder Scale (BADDS). Objective cognitive function was evaluated with the Buschke Selective Reminding Test (BSRT). All outcomes were evaluated at baseline, Week 8 (end of intervention), and Week 20 (12 weeks post-intervention). Results: Among 99 cancer survivors, mean age was 60.4 years, 56.6% were women, and 26.3% were non-white. The most common cancer types were breast (31.3%) and prostate (19.2%). Perceived cognitive ability improved in both acupuncture and CBT-I groups at weeks 8 and 20 relative to baseline (all P < 0.001). No significant between-group differences were noted in BADDS total score (p = 0.28), but the CBT-I group demonstrated a better BADDS attention subscale score than the acupuncture group at weeks 8 and 20 (p = 0.031). With regards to objective cognitive functions assessed by BSRT, acupuncture improved attention (p = 0.017), learning (p = 0.040), and memory (p = 0.0020) at Week 8, whereas CBT-I only improved attention at Week 20 (p = 0.0002); between-group differences were not statistically significant. Conclusions: Among cancer survivors with insomnia, both acupuncture and CBT-I improved cognitive impairment relative to baseline, but their relative effects differed: the CBT-I group showed slightly better subjective attention, whereas the acupuncture group may have improved objective memory. Further investigation of these two therapies may lead to effective and personalized interventions for cancer survivors. Clinical trial information: NCT02356575.

0525 Subtypes of Efficacy of Cognitive-Behavioral Therapy for Insomnia

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A201-A201
Author(s):  
V Castronovo ◽  
M Sforza ◽  
A Galbiati ◽  
M Salsone ◽  
S Marelli ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Latent Class ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Long Term Outcome ◽  
Insomnia Disorder ◽  
Significant Difference ◽  
Class 1 ◽  
Anxiety Depression

Abstract Introduction Cognitive-Behavioral Therapy for Insomnia (CBT-I) is the first-line treatment for Insomnia disorder (ID). We aimed to identify ID patients’ subtypes based on clinical features and their response to CBT-I. Methods 294 chronic insomnia patients (61.6% female, mean age 40.7 ± 12.3 yrs) underwent 7-sessions group CBT-I. By use of latent class analysis (LCA) we identified insomnia disorder subtypes according to baseline (BL) evaluation of non-sleep indices and the response to CBT-I (Delta score of Insomnia Severity Index ISI between BL and end-of-treatment (ET). Moreover, we assessed ISI in 123 out of 294 insomnia patients (82 females (66.7%), mean age 40.59 ± 11.89 years) who completed a follow-up evaluation (FU) within a range of 4-10 years. Results We chose 3 latent classes as most parsimonious model. We identified Class 1 (insomnia+anxiety+depression+stress) (n=62), Class 2 (insomnia+anxiety+depression) (n=153) and Class 3 (only-insomnia) (n=79). The effect of CBT-I was maintained up to 10 years after the ET in the three classes but with significant difference between classes (p&lt;0.05). At the ET, the largest percentage of responders (ISI decrease ≥ 8) was found in Class 1 (63.5%). Results of overall CBT-I effectiveness: in Class 3, 98.6% had subthreshold insomnia (ISI score=0-14) at the ET, and 97.2% at the FU; in Class 2, 89.0% at the ET, and 78.2% at the FU; in Class 1, 80.7% at ET and 51.8% at the FU. Conclusion Our analysis identified three different subtypes of insomniacs on the basis of clinical outcomes. The presence of anxiety and depression did not diminish the effect of CBT-I both short and long term. However, ID patients characterized by the presence of stress (Class 1) were the best responders at the ET but this was not maintained at the FU evaluation. We can speculate that stress could be considered a risk factor that plays an important role in the long-term outcome of CBT-I. Support No

Effects of acupuncture versus cognitive behavioral therapy on brain-derived neurotrophic factor in cancer survivors with insomnia: an exploratory analysis

2021 ◽  
pp. 096452842199939
Author(s):  
Kevin T Liou ◽  
Sheila N Garland ◽  
Q Susan Li ◽  
Keimya Sadeghi ◽  
Jamie Green ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Survivors ◽  
Neurotrophic Factor ◽  
Behavioral Therapy ◽  
Brain Derived Neurotrophic Factor ◽  
Exploratory Analysis ◽  
Cognitive Behavioral ◽  
Enzyme Linked Immunosorbent Assay ◽  
Poor Sleep ◽  
Serum Bdnf

Introduction: Decreased brain-derived neurotrophic factor (BDNF) is associated with poor sleep. This study examined the effects of acupuncture versus cognitive behavioral therapy for insomnia (CBT-I) on serum BDNF and sleep outcomes in cancer survivors with insomnia. Methods: This was an exploratory analysis of a randomized clinical trial (n = 160) comparing acupuncture versus CBT-I for cancer survivors with insomnia. Interventions were delivered over 8 weeks. Outcomes were assessed at baseline and week 8. Serum BDNF was evaluated with enzyme-linked immunosorbent assay (ELISA). Sleep was evaluated with the insomnia severity index and consensus sleep diary. Pearson correlations between BDNF and sleep outcomes were calculated. Data analysis was limited to 87 survivors who provided serum samples. Results: Among 87 survivors, the mean age was 61.9 (SD: 11.4) years, 51.7% were women, and 24.1% were non-White. Mean serum BDNF did not significantly increase in acupuncture (n = 50) or CBT-I (n = 37) groups. When analysis was restricted to patients with low baseline BDNF (i.e. levels below the sample median of 47.1 ng/mL), the acupuncture group (n = 22) demonstrated a significant 7.2 ng/mL increase in mean serum BDNF (P = 0.03), whereas the CBT-I group (n = 21) demonstrated a non-significant 2.9 ng/mL increase (P = 0.28). Serum BDNF was not significantly correlated with sleep outcomes (all P > 0.05). Conclusion: Among cancer survivors with insomnia and low baseline BDNF, acupuncture significantly increased serum BDNF levels; however, the clinical significance of this finding requires further investigation. Trial registration no. NCT02356575 (ClinicalTrials.gov)

scholarly journals The Effectiveness of Targeted Music Therapy Intervention and Cognitive-Behavioral Therapy on Sleep Quality and Symptoms of Insomnia Disorder in seniors

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Reza Mottaghi ◽  
Ali Kamkar ◽  
Alireza Mardpoor
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Quality ◽  
Music Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Group Therapy ◽  
Insomnia Disorder ◽  
Behavioral Group ◽  
The Mean ◽  
Experimental Group

Context and Objective: Due to the high prevalence of sleep disorder in seniors, this study focuses on the effect of objective music therapy or MAT and cognitive-behavioral therapy or CBT on overall sleep quality and subscale indexes of sleep quality in seniors. Methodology: The present study is an experimental one with random selection of the subjects. The sample study is taken from 5000 senior member’s if Shiraz’s Jahandedehgan day care center. This study holds 66 subjects containing the entry and exclusion criteria. Following 7.85 percent loss, 61 seniors suffering from primary insomnia disorder and mean age of 68.15 were placed into three groups, two experimental and one control group. The experimental group one takes part in musical and cognitive-behavioral group therapy and the experimental group two takes part in cognitive-behavioral group therapy while the last group received no intervention. All patients in this study were measured for the level of disorder and before and after the treatment using the PSQI scale of insomnia disorder. The collected data were measured by statistical software SPSS 21 and were analyzed by multivariate analysis of covariance or MANCOVA and ANCOVA. Findings: The mean of overall sleep quality before the intervention in experimental groups 1&2 and control were 13/31, 12/95, and 12/7 respectively and were changed into 13.31, 9.73, and 7.59 after the intervention in post-test and finally in the 3 months follow-ups the means become 7.22, 9.32, and 13.55. The mean difference in the overall sleep quality after the intervention and the subscale indexes were significant as The result showed musical therapy and cognitive behavioral caused a significant reduction on the patients with the symptoms of insomnia disorder (P<0.001). Conclusion: The present study shows that music therapy and cognitive-behavioral therapy are more effective in developing overall sleep quality and decreasing the symptoms of insomnia disorder in seniors than the cognitive-behavioral therapy alone. Using this method by experts in the field of mental health and elderly care companions is strongly recommended. Trial registration: This study is registered in the IRCT Register, IRCT2015041521754N3. Ethical approval was gained in June 2015.

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