Cognitive Behavioral Treatment of Insomnia

Williams, J. H.; Roth, Alicia J.; Vatthauer, Karlyn E.; McCrae, Christina S.

doi:10.1378/chest.12-0731

Cited by 83 publications

(57 citation statements)

References 69 publications

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“…In standard practice, for example, CBT for headache and insomnia are typically delivered in separate courses of 4–8 sessions 3852 . Hybrid CBT, in contrast, provides treatment for two problems simultaneously and requires fewer points of contact for care, which has the potential to address known barriers to care related to cost and distance from trained professionals 53 .…”

Section: Discussionmentioning

confidence: 99%

Hybrid Cognitive‐Behavioral Therapy Intervention for Adolescents With Co‐Occurring Migraine and Insomnia: A Single‐Arm Pilot Trial

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Hybrid Cognitive‐Behavioral Therapy Intervention for Adolescents With Co‐Occurring Migraine and Insomnia: A Single‐Arm Pilot Trial

et al. 2018

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“…CBT comprises several therapeutic strategies including sleep education, sleep hygiene, stimulus control, sleep restriction, relaxation training, and cognitive therapy, which target a broad range of symptoms and etiologic factors [46]. According to the combined results, we found that CBT could shorten sleep latency, alleviate sleep disturbance and reduce the use of sleep medications.…”

Section: Principal Findings and Possible Interpretationsmentioning

confidence: 93%

Non-pharmacological interventions for improving sleep quality in patients on dialysis: systematic review and meta-analysis

Yang

Xue

et al. 2015

Sleep Medicine Reviews

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“…This included treatment components of cognitive therapy, stimulus control, sleep restriction, sleep practice (hygiene) education, and time monitoring behavior. 24,25 Participants diagnosed with comorbid insomnia with obstructive sleep apnea (OSA) received either sleep education or 4-8 biweekly sessions of CBT-i for their insomnia, and automatic positive airway pressure (APAP) for their OSA. All treatments were administered and supervised by either a psychologist certified in Behavioral Sleep Medicine or a sleep medicine physician with expertise in CBT-i.…”

Section: Methodsmentioning

confidence: 99%

Improved Sleep Quality is Associated with Reductions in Depression and PTSD Arousal Symptoms and Increases in IGF-1 Concentrations

Rusch

Guardado

Baxter

et al. 2015

Journal of Clinical Sleep Medicine

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predict depression reoccurrence, 7 which highlights the critical importance of treating underlying sleep disturbances in patients with mood and anxiety disorders to maintain psychiatric recovery, especially in the often stressful period of deployment readjustment. Although sleep disturbance represents a strong risk factor for depression and PTSD, less is known regarding the impact of targeting sleep disturbances directly to improve BRIEF SUMMARY Current Knowledge/Study Rationale: Previous studies recognized a relationship between sleep disturbance and psychiatric morbidity; however, limited work has examined this link in military personnel, a cohort at elevated risk for both insomnia and psychopathology. The current study examines the relation between improved sleep and attenuation of depression and posttraumatic symptoms in military personnel, as well as changes in trophic factors that likely modulate these conditions. Study Impact: Results indicate a strong association between improved sleep and reduced psychiatric symptoms, as well as enriched healthrelated quality of life. Sleep-focused treatments may be an effective means to facilitate psychiatric recovery. Findings highlight the importance of conducting sleep assessments in military personnel with mood and anxiety disorders.Study Objectives: One-third of deployed military personnel will be diagnosed with insomnia, placing them at high risk for comorbid depression, posttraumatic stress disorder (PTSD), and medical conditions. The disruption of trophic factors has been implicated in these comorbid conditions, which can impede postdeployment recovery. This study determined if improved sleep quality is associated with (1) reductions in depression and posttraumatic symptoms, as well as enrichments in health-related quality of life (HRQOL), and (2) changes in plasma concentrations of brain derived neurotrophic factor (BDNF) and insulin-like growth factor-1 (IGF-1). Methods: Forty-four military personnel diagnosed with insomnia underwent clinical evaluations and blood draws at pretreatment and at posttreatment following cognitive behavioral therapy for insomnia and automatic positive airway pressure treatment. Participants were classifi ed as sleep improved (n = 28) or sleep declined (n = 16) based on their change in pretreatment to posttreatment Pittsburgh Sleep Quality Index (PSQI) score. Both groups were compared on outcomes of depression, PTSD, HRQOL, BDNF, and IGF-1. Results: Paired t-tests of the sleep improved group revealed signifi cant declines in depression (p = 0.005) and posttraumatic arousal (p = 0.006) symptoms, and a signifi cant increase in concentrations of IGF-1 (p = 0.009). The sleep declined group had no relevant change in psychiatric symptoms or trophic factors, and had further declines on fi ve of eight dimensions of HRQOL. Between-group change score differences were signifi cant at p < 0.05. Conclusions: These fi ndings suggest that interventions, which successfully improve sleep quality, are an effective means to reduce the depression and ...

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Cognitive Behavioral Treatment of Insomnia

Cited by 83 publications

References 69 publications

Hybrid Cognitive‐Behavioral Therapy Intervention for Adolescents With Co‐Occurring Migraine and Insomnia: A Single‐Arm Pilot Trial

Hybrid Cognitive‐Behavioral Therapy Intervention for Adolescents With Co‐Occurring Migraine and Insomnia: A Single‐Arm Pilot Trial

Non-pharmacological interventions for improving sleep quality in patients on dialysis: systematic review and meta-analysis

Improved Sleep Quality is Associated with Reductions in Depression and PTSD Arousal Symptoms and Increases in IGF-1 Concentrations

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