Guided internet-based cognitive behavioral therapy for insomnia in patients with borderline personality disorder: Study protocol for a randomized controlled trial

Trigt, Shanna van; Zweerde, Tanja van der; Someren, Eus J.W. Van; Straten, Annemieke van; Marle, Hein J. F. van

doi:10.1016/j.invent.2022.100563

Cited by 7 publications

(4 citation statements)

References 50 publications

(65 reference statements)

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“…These studies appear to commonly exclude people with a history of psychotic illness, substance misuse, or PD. Albeit, a recent protocol for CBTi delivered to people with PD by mobile app has recently been published (van Trigt et al, 2022). Despite the evidence and the clinical frequency of sleep disturbance reported by people with PD, many further studies do not assess for Axis II diagnoses or do not report on any participants with cooccurring PD in their populations (Talbot et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Interventions to improve the sleep quality of adults with personality disorder: A systematic review

King,

Cheng,

Fok

et al. 2023

Personality & Mental Health

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Poor quality sleep is common for people who have a diagnosis of personality disorder (PD). Core cognitive and behavioral features of PD may cause and perpetuate poor sleep, but to date, no review has collated the evidence on the efficacy of interventions to improve sleep quality for people with PD. Structured searches for interventional studies among adults with PD and reporting validated measures of sleep quality were conducted up to November 2022 in multiple databases. Single‐case reports were excluded. Study quality was assessed with standardized risk of bias tools. Unreported data was sought systematically from authors. This review was pre‐registered with an international prospective register of systematic reviews (PROSPERO) (CRD42021282105). Of the 3503 identified studies, nine met inclusion criteria, representing a range of psychological, pharmaceutical, and other interventions and outcome measures. Meta‐analytic methods were not feasible because of the serious risk of bias in all studies, and results were therefore synthesized narratively. There is limited and low‐quality evidence of the effects of a variety of interventions to improve the sleep quality of people living with PD. Further research might consider specifically including people diagnosed with PD in trials of sleep interventions and using sleep outcome measures in trials of established PD treatments.

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Section: Discussionmentioning

confidence: 99%

Interventions to improve the sleep quality of adults with personality disorder: A systematic review

King,

Cheng,

Fok

et al. 2023

Personality & Mental Health

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“…This sub-trial follows a parallel design yet distinguishes itself by its primary outcome: the severity of BPD symptoms according to the Borderline Personality Disorder Severity Index (BPDSI). This sub-trial will be included in the overarching analyses, however specifics on screening procedure, randomization, measure selection and analyses are presented in a separate protocol paper [40].…”

Section: Methodsmentioning

confidence: 99%

“…Repeated assessments take place at baseline (T0), during the 6-8week treatment period, 2-month (T1), at 4-, 5-and 6-month (Tinterim) and 8-month follow up (T2). * all subgroup-specific information regarding the BPD (traits) sub-trial is allocated in a separate study protocol paper [40].…”

Section: Availability Of Data and Materialsmentioning

confidence: 99%

Do Better Nights Lead to Better Days? Guided Internet-Based Cognitive Behavioral Therapy for Insomnia in People Suffering from a Range of Mental Health Problems: Protocol of a Pragmatic Randomized Clinical Trial

Reesen

Zweerde

Batelaan

et al. 2023

Preprint

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“…Another EEG wearable that has been widely used in sleep studies is the ZMax EEG headband. Despite the broad utilization of ZMax for sleep monitoring, non-rapid eye movement (non-REM) sleep modulation through CLAS and targeted memory reactivation (TMR), and rapid eye movement (REM) sleep modulation (Berger, 2022;Bradshaw 2019;Esfahani et al, 2022b;Mota-Rolim 2018;Stocks et al, 2020;Talamini et al, 2022;Van Trigt et al, 2022), scientific validation and benchmarking of ZMax with respect to standard PSG (further denoted as PSG) has yet to be performed.…”

Section: Introductionmentioning

confidence: 99%

Validation of the sleep EEG headband ZMax

Esfahani,

Weber,

Boon

et al. 2023

Preprint

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Polysomnography (PSG) is the gold standard for recording sleep. However, the standard PSG systems are bulky, expensive, and often confined to lab environments. These systems are also time-consuming in electrode placement and sleep scoring. Such limitations render standard PSG systems less suitable for large-scale or longitudinal studies of sleep. Recent advances in electronics and artificial intelligence enabled "wearable" PSG systems. Here, we present a study aimed at validating the performance of ZMax, a widely-used wearable PSG that includes frontal electroencephalography (EEG) and actigraphy but no submental electromyography (EMG). We analyzed 135 nights with simultaneous ZMax and standard PSG recordings amounting to over 900 hours from four different datasets, and evaluated the performance of the headband's proprietary automatic sleep scoring (ZLab) alongside our open-source algorithm (DreamentoScorer) in comparison with human sleep scoring. ZLab and DreamentoScorer compared to human scorers with moderate and substantial agreement and Cohen's kappa scores of 59.61% and 72.18%, respectively. We further analyzed the competence of these algorithms in determining sleep assessment metrics, as well as shedding more lights on the bandpower computation, and morphological analysis of sleep microstructural features between ZMax and standard PSG. Relative bandpower computed by ZMax implied an error of 5.5% (delta), 4.5% (theta), 1.6% (alpha), 0.5% (sigma), 0.8% (beta), and 0.2% (gamma), compared to standard PSG. In addition, the microstructural features detected in ZMax did not represent exactly the same characteristics as in standard PSG. Besides similarities and discrepancies between ZMax and standard PSG, we measured and discussed the technology acceptance rate, feasibility of data collection with ZMax, and highlighted essential factors for utilizing ZMax as a reliable tool for both monitoring and modulating sleep.

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Guided internet-based cognitive behavioral therapy for insomnia in patients with borderline personality disorder: Study protocol for a randomized controlled trial

Cited by 7 publications

References 50 publications

Interventions to improve the sleep quality of adults with personality disorder: A systematic review

Interventions to improve the sleep quality of adults with personality disorder: A systematic review

Do Better Nights Lead to Better Days? Guided Internet-Based Cognitive Behavioral Therapy for Insomnia in People Suffering from a Range of Mental Health Problems: Protocol of a Pragmatic Randomized Clinical Trial

Validation of the sleep EEG headband ZMax

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