scholarly journals Effects of trazodone versus cognitive behavioral therapy in the insomnia with short sleep duration phenotype: a preliminary study

2020 ◽  
Vol 16 (12) ◽  
pp. 2009-2019
Author(s):  
Alexandros N. Vgontzas ◽  
Kristina Puzino ◽  
Julio Fernandez-Mendoza ◽  
Venkatesh Basappa Krishnamurthy ◽  
Maria Basta ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Duration ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Preliminary Study

scholarly journals 0373 Trazodone vs. Cognitive Behavioral Therapy in Insomnia with Short Sleep Duration: Effects on Total Sleep Time and Cortisol Levels

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A142-A143 ◽  
Author(s):  
A N Vgontzas ◽  
J Fernandez-Mendoza ◽  
J H Baker ◽  
V Krishnamurthy ◽  
J Gaines ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Duration ◽  
Total Sleep Time ◽  
Behavioral Therapy ◽  
Sleep Time ◽  
Cognitive Behavioral ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Cortisol Levels

scholarly journals 0526 Objective Total Sleep Duration Do Not Predicting the Effectiveness of Cognitive-Behavioral Therapy for Insomnia (CBT-I)

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A201-A201
Author(s):  
A Galbiati ◽  
M Sforza ◽  
C Leitner ◽  
A Filice ◽  
M Manconi ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Duration ◽  
Behavioral Therapy ◽  
Sleep Onset ◽  
Severity Index ◽  
Sleep Time ◽  
Cognitive Behavioral ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Normal Sleep

Abstract Introduction Several studies investigated the role of objective sleep markers, in particular of Total Sleep Time (TST) in identifying different subtypes of Insomnia Disorder (ID) and in evaluating the efficacy of treatments. Based on objective TST two phenotypes of ID are usually distinguished in the literature: normal sleepers (objective sleep duration ≥ 6 hours) and short sleepers (objective sleep duration < 6 hours). Aim of our study was to evaluate in normal and short sleepers (objective sleep duration was assessed by both Polysomnography and Actigraphy) possible different response to Cognitive-Behavioral Therapy for Insomnia (CBT-I). Methods 53 ID patients (females = 50.9%; mean age = 56.53±11.43) were divided into “Short Sleep duration” and “Normal Sleep duration” groups. All patients underwent 7-sessions group CBT-I. Main clinical outcome was Insomnia Severity Index questionnaire (ISI); secondary outcomes were Sleep Efficacy (SE), Sleep Latency (SL), Wake After Sleep Onset (WASO), Number of Awakenings (N°awk) according to sleep diaries. Results All ID patients showed significant improvements after treatment for all clinical outcomes. Non-significant effects of CBT-I between “Short Sleep duration” and “Normal Sleep duration” measured by patients were found in terms of ISI, SE, SL, WASO and N°awk, neither using Polysomnography nor Actigraphy. Furthermore, no accordance between these two objective measurements was found for the identification of the two subgroups. Conclusion Our findings suggest that the use of objective TST (both by Actigraphy and Polysomnography) is not a consistent predictor for CBT-I effectiveness. Moreover, only a small percentage of patients were classified as short or normal sleepers according both to Polysomnography and Actigraphy. These findings underline the instability and poor reliability of using objective TST in subtyping insomniacs. Support No

374 Cognitive Behavioral Therapy with Exercise in Adults with Insomnia and Short Sleep: Daytime Function Outcomes from a Pilot Study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A149-A149
Author(s):  
Andrew Kubala ◽  
Mara Egeler ◽  
Daniel Buysse ◽  
Martica Hall ◽  
Emma Barinas-Mitchell ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Behavioral Therapy ◽  
Exercise Program ◽  
Short Sleep Duration ◽  
Post Intervention ◽  
Short Sleep ◽  
Supervised Exercise ◽  
Daytime Function ◽  
Supervised Exercise Program ◽  
Insomnia Severity

Abstract Introduction Cognitive behavioral therapy for insomnia (CBT-I) is efficacious, but there is mixed evidence as to whether improvement is blunted in adults with insomnia and short sleep duration. Exercise training can reduce physiologic hyperarousal and may increase homeostatic sleep drive, which could potentiate CBT-I treatment effects. This pilot study explored changes in self-reported outcomes from a CBT-I intervention augmented by exercise training in a sample of adults with insomnia and objective short sleep duration. Methods Eight adults (50% female, 62.5% white) with insomnia disorder and short sleep duration (mean actigraphic TST <6.5 hr) completed a 12-week single-arm trial. Participants self-administered the online “Sleep Healthy Using the Internet” (SHUT-I) CBT-I program with additional staff guidance while completing a supervised exercise program (EX; 150 min/wk of moderate-intensity aerobic exercise and 2 days/wk of strength training). Participants completed assessments of self-reported sleep and daytime function pre- and post-intervention, including the Insomnia Severity Index (ISI), Flinders Fatigue Scale (FFS), Ford Insomnia Response to Stress Test (FIRST), Perceived Stress Scale (PSS), and Epworth Sleepiness Scale (ESS). Differences between timepoints were analyzed using paired t-tests and Cohen’s d effect size calculations. Results Insomnia severity significantly decreased after the intervention (ISI: p<0.001, d=2.99), with 75% reporting post-intervention ISI ≤ 7. Likewise, fatigue significantly decreased after the intervention (FFS: p=0.032, d=0.95). Symptoms of stress-related sleep reactivity and stress were also reduced (FIRST: p=0.012, d=1.19; PSS: p=0.014, d=1.14). Though nonsignificant, large reductions in sleepiness were additionally observed (ESS: p=0.058, d=0.80). Conclusion In this pilot trial among patients with insomnia and short sleep duration, online CBT-I plus a supervised exercise program resulted in a significant reduction in insomnia severity. The intervention also produced large and meaningful reductions in fatigue and stress, which are common daytime impairments in patients with insomnia. Future research should attempt to disentangle the independent contributions of CBT-I and exercise on outcomes in this population. Support (if any) NIH: K23HL118318

Can Cognitive Behavioral Therapy Reduce Relapse Rates of Depression After ECT? A Preliminary Study

2006 ◽  
Vol 22 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Lisa Fenton ◽  
Madonna Fasula ◽  
Robert Ostroff ◽  
Gerard Sanacora
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Preliminary Study ◽  
Relapse Rates

scholarly journals Correction: Preliminary Study on the Effectiveness of Short Group Cognitive Behavioral Therapy (GCBT) on Indonesian Older Adults

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
Author(s):  
Dharmayati Bambang Utoyo ◽  
Edo Sebastian Jaya ◽  
Retha Arjadi ◽  
Lathifah Hanum ◽  
Kresna Astri ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Preliminary Study

Effects of two-session group cognitive behavioral therapy for psychophysiological insomnia: A preliminary study

2015 ◽  
Vol 13 (4) ◽  
pp. 348-356
Author(s):  
Daisuke Harada ◽  
Wataru Yamadera ◽  
Miki Sato ◽  
Masayuki Iwashita ◽  
Ryo Aoki ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Psychophysiological Insomnia ◽  
Preliminary Study

scholarly journals 0395 Effect Of Cognitive-behavioral Therapy On Nocturnal Autonomic Activity In Patients With Fibromyalgia: A Preliminary Study

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A150-A151
Author(s):  
F Chouchou ◽  
T Dang-Vu ◽  
J Gouin ◽  
E Miró ◽  
P Martínez ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Autonomic Activity ◽  
Preliminary Study
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