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

Law, Emily F.; Tham, See Wan; Aaron, Rachel V.; Dudeney, Joanne; Palermo, Tonya M.

doi:10.1111/head.13355

Cited by 59 publications

(40 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, as a modifiable target, insomnia symptoms has potential to be a powerful target of early intervention in youth following concussion. There have not yet been any studies specifically to treat insomnia in youth following concussion, although insomnia has been successfully treated in other pediatric populations and this will be an important avenue for future investigations (36,47). Nonetheless, our data suggest that sleep should be part of a standard clinical assessment following concussion.…”

Section: Discussionmentioning

confidence: 85%

See 1 more Smart Citation

The role of sleep deficiency in the trajectory of postconcussive symptoms in adolescents

2019

Self Cite

View full text Add to dashboard Cite

Objective: To investigate the trajectory of sleep deficiency after concussion and examine its role as a predictor of postconcussive symptoms (PCS) over 3 weeks and at 3 months post-concussion. Design: This was a prospective pilot study of 29 adolescents recruited from a pediatric Emergency Department (69% female, mean age = 14.0 years, SD = 1.8) following a concussion. Methods: Adolescents completed questionnaire assessments at baseline, Weeks 1, 2, and 3 on PCS and sleep patterns. Concurrently, adolescents also completed a daily diary and wore an actigraph continuously to monitor sleep activity. At 3 months post-concussion, adolescents repeated questionnaire measures. Results: At enrollment, 53.6% reported severe PCS, and 12% maintained severe symptoms at 3 months. Over the first three weeks, sleep duration and daytime sleepiness gradually declined; however, insomnia symptoms remained unchanged. After accounting for age, sex and time since concussion, greater insomnia symptoms at enrollment were associated with more severe PCS at 3 weeks and 3 months (β = 1.17, p < .001). In contrast, sleep duration, efficiency and waketime after sleep onset were not predictors. Conclusions: Study findings suggest that insomnia symptoms after concussion may provide a target for early intervention to reduce prolonged severity and duration of PCS.

show abstract

Section: Discussionmentioning

confidence: 85%

“…All items are summed to a total score to rate severity of insomnia symptoms (33). This has been validated in the pediatric population (34)(35)(36).…”

Section: Assessment Of Sleep Patternsmentioning

confidence: 99%

The role of sleep deficiency in the trajectory of postconcussive symptoms in adolescents

2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Follow-up at 2, 6 weeks post-treatment.CBT-i: 29.6, Placebo: 32.1Law et al . (2018) 31 USASingle-arm Pre-postAdolescent males and females ( n = 21, Female = 81%) with chronic migraine or chronic TTH6 session hybrid CBT-i b HA frequency, HA intensity, pain related disability, insomnia Sx, sleep quality, sleep hygiene, total-sleep-time. Follow-up immediately post-treatment and 3-months post-treatmentSingle-arm intervention: 15.5 Abbreviations: BSM, behavioural sleep modification; CBT-i, cognitive behaviour therapy for insomnia; HA, headache; mTBI, mild traumatic brain injury; RCT, randomised controlled trial; R x , prescribed medication; Sx, symptoms; TTH, tension-type headache. a Sham behavioural intervention included consistent suppertime, performing acupressure, recording liquid consumption, range of motion exercises, consuming protein at breakfast.…”

Section: Resultsmentioning

confidence: 99%

Psychological Sleep Interventions for Migraine and Tension-Type Headache: A Systematic Review and Meta-Analysis

Sullivan

Martin

Boschen

2019

Sci Rep

View full text Add to dashboard Cite

Disordered sleep, poor sleep quality, and insufficient or excessive sleep duration are known triggers of primary and secondary headaches. Given this, it is plausible that improving sleep will subsequently reduce headache activity. We report a systematic review of the literature, examining studies utilising psychological sleep interventions for the treatment of migraine and tension-type headache. PubMed, EMBASE, CINAHL, PsycINFO, and Cochrane Central were searched, using terms pertaining to psychological sleep interventions and headaches. Meta-analysis was performed for two outcome measures; headache frequency, and headache intensity. 103 studies were retrieved, of which 55 were duplicates. After completing reviews, three studies were retained. An additional eligible study was published after the initial search, and was found via monthly update searches, resulting in a total of four included studies. The effects of psychological sleep interventions (and in one study, combined with drug therapy) significantly reduced headache frequency and headache intensity. Three studies improved various sleep outcomes such as duration, efficiency, and excessive sleepiness. Psychological sleep interventions improve headache frequency and sleep, however there is conflicting evidence for the effect on headache intensity between studies. Limitations include the small number of studies conducted to date. Despite this, the notable improvements in headaches and sleep achieved after psychological sleep interventions indicates further research on this promising topic is warranted.

show abstract

“…5 The three empirical articles are intended to provide a sampling of recent developments in the field. 9 Rains concludes the series with a review of clinical applications, addressing both assessment and management strategies for sleep disorders comorbid with migraine that will be of great value to practicing clincians. Ong and colleagues present observational and laboratory data on relations between circadian factors and headache among women with CM.…”

mentioning

confidence: 99%

“…8 Law and colleagues present a pilot trial of a hybrid CBT intervention for adolescents with migraine and insomnia, in which elements of CBT for insomnia and headache are integrated. 9 Rains concludes the series with a review of clinical applications, addressing both assessment and management strategies for sleep disorders comorbid with migraine that will be of great value to practicing clincians. 10 Special thanks are due to Editor-in-Chief Tom Ward, MD, and managing editor Jason Roberts, PhD, for providing the impetus and continued support for this collection of articles.…”

mentioning

confidence: 99%

Foreword: Special Collection on Sleep Disorders and Migraine

Smitherman

2018

Headache

View full text Add to dashboard Cite

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

Cited by 59 publications

References 63 publications

The role of sleep deficiency in the trajectory of postconcussive symptoms in adolescents

The role of sleep deficiency in the trajectory of postconcussive symptoms in adolescents

Psychological Sleep Interventions for Migraine and Tension-Type Headache: A Systematic Review and Meta-Analysis

Foreword: Special Collection on Sleep Disorders and Migraine

Contact Info

Product

Resources

About