Efficacy of Cognitive-Behavioral Therapy for Insomnia Associated With Traumatic Brain Injury: A Single-Case Experimental Design

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

“…Previous reports have shown that CBTI reduced daytime fatigue and improved nocturnal sleep quality among patients with TBI [48]. Similarly, a recent sleep health program by the Department of Veteran's Affairs, which incorporated CBTI, relaxation techniques, sleep restriction, stimulus control, and exercise proved beneficial in patients with persistent TBI symptoms [106].…”

“…Sleep diaries have been used to demonstrate sleep disturbances in patients with mTBI relative to matched controls [47], as well as to measure treatment response to sleep treatments such as cognitive behavioral treatment for insomnia (CBTI) [48,49]. Sleep diaries offer the advantage of prospectively capturing sleep-wake patterns and behaviors that may interfere with or promote sleep, including the regularity of bed times and rise times, the frequency, timing, and duration of daytime naps, use of prescribed or nonprescribed stimulants (e.g., energy drinks, caffeine) or central nervous system depressants, including alcohol, and other relevant behaviors.…”

“…Importantly, wrist actigraphy can aid in the diagnosis of circadian rhythm disorders and evaluation of sleep in individuals unable to undergo PSG. Actigraphy presents many benefits and has been suggested as an ideal methodology for monitoring patients following brain injury [48]. Indeed, actigraphy has been used to study adult and adolescent patients with mTBI [41,51,[53][54][55][56][57][58].…”

Le sommeil chez les patients en état de conscience altérée

“…La prescription de médicaments hypnotiques pour le traitement à court terme de troubles du sommeil peut être une méthode efficace chez ces patients mais leur utilisation à long terme est problématique. Des traitements nonpharmacologiques comme l'intervention psychothérapeutique peuvent offrir une alternative [31]. En particulier, la thérapie comportementale cognitive a démontrée à plusieurs reprises son efficacité pour le traitement des perturbations de sommeil chez des individus sains aussi bien que chez des patients traumatiques.…”

Sleep and Sleep Impairment in Victims of Traumatic Brain Injury

“…This mode of behavioral therapy was applied in a modified form in a small group of TBI survivors and showed similar efficacy to that found in non-TBI insomnia patients (23). Quite recently a group of 24 patients who sustained mildsevere TBI was assessed for efficacy of CBT as compared to the "classical" treatment modes (a combination of occupational and physiotherapy, pharmacotherapy, and mood psychotherapy).…”