Cognitive-Behavioral Therapy for Insomnia Tailored to Patients With Cardiovascular Disease: A Pre–Post Study

Heenan, Adam; Pipe, Andrew; Lemay, Kyle; Davidson, Judith; Tulloch, Heather

doi:10.1080/15402002.2019.1594815

Cited by 18 publications

(16 citation statements)

References 70 publications

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“…Matthews and colleagues reported a significant relationship between adherence to bedtime and reported awakenings at night (r=.35) and also total sleep time (r=.38) 10 . This was not replicated in other studies 22,46 . Similarly, adherence to rise time was not reported to be associated with outcome 46 and neither was adherence to TIB 14,46 .…”

Section: Quasi-objective Datacontrasting

confidence: 70%

“…In sixteen studies individuals with insomnia and a comorbid condition were recruited; in eight the comorbid condition was cancer [9][10][11][12][16][17][18][19] . Other comorbidities included depression 20 , bipolar disorder 21 , alcohol dependency 13 , cardiac rehabilitation 22 , war veterans with blast exposure/head injury 23 , HIV 24 , chronic migraine 25 and COPD 26 . The majority of studies defined presence of insomnia by using diagnostic criteria (e.g., DSM-IV 27 , ICSD 28 , or research diagnostic criteria 29 ).…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…In several studies only behavioural components were delivered 24,25,30,35,39,48 . Additional interventions that were implemented alongside CBT-I were mindfulness meditation 48 , Armodafinil 18,19 , Modafinil 49 , cardiac relevant information 22 , one session of mindfulness 50 , reminders to improve adherence 45 , and CBT-I coach mobile app 51 .…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Adherence to Cognitive Behavior Therapy for Insomnia

Agnew¹,

Vallières

Hamilton³

et al. 2021

Sleep Medicine Clinics

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Section: Quasi-objective Datacontrasting

confidence: 70%

Section: Sample Characteristicsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

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Adherence to Cognitive Behavior Therapy for Insomnia

Agnew¹,

Vallières

Hamilton³

et al. 2021

Sleep Medicine Clinics

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“…Therefore, studies of behavioral interventions to improve sleep and thus potentially prognosis in patients with ACS are warranted. Such interventions could take either a preventive approach targeting fear of dying and helplessness at the time of ACS or a therapeutic approach through cognitive behavioral therapy (CBT) for insomnia tailored to patients with ACS-related distress [ 24 ]. The European Sleep Research Society guidelines recommend CBT as a first-line treatment for chronic insomnia (i.e., duration of at least 3 months) in adults of all ages [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep disturbance after acute coronary syndrome: A longitudinal study over 12 months

et al. 2022

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Background Sleep disturbance has been associated with poor prognosis in patients with acute coronary syndrome (ACS). This study examined the course of sleep disturbance and associated factors in patients with ACS who were followed for one year. Methods Study participants were 180 patients (mean age 59.6 years, 81.7% men) with ACS admitted to a tertiary hospital to undergo acute coronary intervention. Sleep disturbance was interviewer-assessed at admission (n = 180), at 3 months (n = 146), and at 12 months (n = 101) using the Jenkins Sleep Scale (JSS)-4, with a total of 414 assessments over one year. Random linear mixed regression models were used to evaluate the relationship between sociodemographic factors, cardiac diseases severity, perceived distress during ACS, comorbidities, medication, health behaviors, and sleep disturbance over time. Results At admission, 3 months, and 12 months, 56.7%, 49.3%, and 49.5% of patients, respectively, scored above the mean value for sleep disturbance in the general population (JSS-4 score ≥5). There was a significant decrease in continuous JSS-4 scores over time [estimate (SE) = -0.211 (0.074), p = 0.005]. Female sex [0.526 (0.206), p = 0.012], greater fear of dying [0.074 (0.026), p = 0.004], helplessness during ACS [0.062 (0.029), p = 0.034], and a history of depression [0.422 (0.171), p = 0.015] were independently associated with higher JSS-4 scores over time. Conclusion Despite a decrease from admission to 3 months, sleep disturbance is prevalent in the first year after ACS. Female sex, depression history, and distress during ACS identify patients at increased risk of developing persistent sleep disturbance and may inform interventions to prevent sleep disturbance.

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“…The literature on effective elements of early behavioral interventions to prevent PTSS induced by life-threatening medical events, including cardiac diseases, is still scarce [48]. Future trials could test whether targeting sleep problems in cardiac rehabilitation through cognitive behavioral therapy for insomnia adapted to patients with cardiovascular disease [49] will prevent PTSS. In patients with overt ACS-induced PTSS, cognitive therapies could improve sleep and reduce PTSS, as shown for non-cardiac populations with PTSD [19].…”

Section: Discussionmentioning

confidence: 99%

Insomnia Symptoms and Acute Coronary Syndrome-Induced Posttraumatic Stress Symptoms: A Comprehensive Analysis of Cross-sectional and Prospective Associations

Känel

Meister-Langraf

Pazhenkottil

et al. 2021

Annals of Behavioral Medicine

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Background Acute coronary syndrome (ACS) induces clinically significant posttraumatic stress symptoms (PTSS) in 12% of patients. Subjective sleep problems are a risk factor for the development of PTSS, but this is underexplored in patients with ACS. Purpose To examine the association of insomnia symptoms with ACS-induced PTSS. Methods In this longitudinal study with 154 patients (all white, 84.4% male, mean age 58.7 years) with a verified ACS, insomnia symptoms were interviewer assessed at hospital admission and at 3 months, using the Jenkins Sleep Scale (JSS)-4. ACS-induced PTSS were assessed with the Clinician-Administered Posttraumatic Stress Disorder Scale 3 months after hospital admission. In multivariable linear models, insomnia symptoms were regressed on PTSS, adjusting for demographics, clinical variables, health behaviors, and psychological data, including cognitive depressive symptoms. Results Greater insomnia symptoms at admission (β = .165, p = .034), greater increase in insomnia symptoms from admission to 3 months (β = .233, p = .008), and greater insomnia symptoms at 3 months (β = .239, p = .002) were independently associated with more severe total PTSS at 3 months. Concerning the individual PTSS clusters, both insomnia symptoms at admission (β = .214, p = .007) and at 3 months (β = .213, p = .012) were independently associated with reeexperiencing symptoms. Removing sleep items from PTSS scores and excluding patients on antidepressants in two sensitivity analyses did not substantially change the results. Conclusions Insomnia symptoms could play an important role in the development and severity of ACS-induced PTSS. This relationship seems not simply explained by the fact that sleeping difficulties are inherent to the phenotype of posttraumatic stress disorder. Clinical Trial information NCT01781247.

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Cognitive-Behavioral Therapy for Insomnia Tailored to Patients With Cardiovascular Disease: A Pre–Post Study

Cited by 18 publications

References 70 publications

Adherence to Cognitive Behavior Therapy for Insomnia

Adherence to Cognitive Behavior Therapy for Insomnia

Sleep disturbance after acute coronary syndrome: A longitudinal study over 12 months

Insomnia Symptoms and Acute Coronary Syndrome-Induced Posttraumatic Stress Symptoms: A Comprehensive Analysis of Cross-sectional and Prospective Associations

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