Psychological treatment of secondary insomnia.

Lichstein, Kenneth L.; Wilson, Nancy M.; Johnson, Christopher T.

doi:10.1037/0882-7974.15.2.232

Cited by 190 publications

(144 citation statements)

References 37 publications

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“…Several studies have documented the benefits of insomnia-specific treatment in older adults with either comorbid medical or psychological conditions (Lichstein, Wilson, & Johnson, 2000;Pallesen et al, 2003;Rybarczyk, Lopez, Benson, Alsten, & Stepanski, 2002;Rybarczyk et al, 2005). One study found that older adults with chronic obstructive pulmonary disease, osteoarthritis or coronary artery disease benefited from group CBT and, in addition to improving sleep continuity, treatment of insomnia was associated with enhanced sleep satisfaction and quality of life (Rybarczyk et al, 2005).…”

Section: Insomnia In Older Adultsmentioning

confidence: 99%

“…Several controlled studies have shown that CBT is effective for insomnia associated with chronic pain (Currie, Wilson, Pontefract, & deLaplante, 2000), fibromyalgia (Edinger, Wohlgemuth, Krystal, & Rice, 2005), cancer (Espie et al, 2008;Savard, Simard, Ivers, & Morin, 2005), and with various medical conditions in older adults (Lichstein, Wilson, & Johnson, 2000;Rybarczyk et al, 2005).…”

Section: Insomnia 12 Treatment Of Comorbid Insomniamentioning

confidence: 99%

“…There were no differential group effects on secondary measures of medication use, anxiety, depression, and quality of life. In a study of 49 older adults with insomnia associated with medical and psychiatric conditions (Lichstein, Wilson, & Johnson, 2000), a multifaceted intervention reduced the amount of time awake at night and sleep efficiency at post treatment. Fifty-seven percent of treated patients achieved clinically significant improvements relative to 19% of control patients; there was no significant change on secondary measures of anxiety, depression, and impact of insomnia.…”

Section: Insomnia 12 Treatment Of Comorbid Insomniamentioning

confidence: 99%

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Chronic insomnia: Recent advances and innovations in treatment developments and dissemination.

Morin¹

2010

Canadian Psychology / Psychologie canadienne

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Insomnia is a prevalent public health problem that carries an important psychosocial and economic burden for those affected, their families, employers, and for society at large. Despite its negative impacts, insomnia often remains untreated and, when treatment is initiated, it is predominantly with medication, an option that is not always acceptable to people with insomnia. There is extensive evidence that psychological approaches, primarily cognitive behavioural therapy, are effective, produce durable and generalizable outcomes, and should be the first line therapy for chronic insomnia. Nonetheless, these approaches remain under utilised in clinical (medical) practise. Several innovative and cost-effective treatment delivery models (e.g., telephone consultations, Internet-based treatment) have yielded promising results but despite these advances, there remains a problem of supply. A significant challenge for the future will be to disseminate more efficiently validated therapies and practise guidelines and increase their use in clinical practise. Additional training opportunities are also needed for psychologists to develop expertise in a new emerging behavioural sleep medicine subspecialty.

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Section: Insomnia In Older Adultsmentioning

confidence: 99%

Section: Insomnia 12 Treatment Of Comorbid Insomniamentioning

confidence: 99%

Section: Insomnia 12 Treatment Of Comorbid Insomniamentioning

confidence: 99%

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Chronic insomnia: Recent advances and innovations in treatment developments and dissemination.

Morin¹

2010

Canadian Psychology / Psychologie canadienne

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“…36 Also, studies reporting a RFNE in insomniacs have largely excluded patients with significant psychiatric illnesses such as depression; however, it has been shown that insomnia and depression are frequently comorbid conditions, with over 90% of depressed patients suffering from sleep complaints. 21,22 Some studies on first night adaptation effects in depressed patients have observed a reduced or absent FNE 2,9,23 ; however, it is unknown whether patients suffering from both insomnia and depression exhibit similar laboratory adaptation effects as those suffering from only one of these disorders.…”

Section: Psgmentioning

confidence: 99%

Objective vs. Subjective Measurements of Sleep in Depressed Insomniacs: First Night Effect or Reverse First Night Effect?

McCall

2012

Journal of Clinical Sleep Medicine

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Study Objectives: This study examined changes in sleep parameters between the laboratory and the home setting before and after laboratory monitoring in depressed insomniacs undergoing treatment. Methods: This study was a post hoc analysis of a double-blind, randomized, placebo-controlled clinical trial performed with 60 depressed, insomniac outpatients. Patients underwent actigraphic monitoring along with sleep diaries over a continuous 2-week period. After one week of baseline monitoring, subjects spent one night in the laboratory with concurrent actigraphic and PSG monitoring with sleep diaries. Actigraphic monitoring and sleep diaries were continued for another week at home, along with initiation of open-label fl uoxetine (FLX). Results: Actigraphically recorded laboratory sleep during the night in the laboratory was found to be improved relative to actigraphically recorded sleep at home, with less wake time and greater sleep time and sleep effi ciency occurring in the laboratory. In contrast, sleep diaries indicated a slight worsening of sleep in the laboratory compared to home, with signifi cantly more awakenings in the laboratory compared to the week at home before and after the laboratory night. Conclusions S C I E N T I F I C I N V E S T I G A T I O N SM any individuals experience worse sleep during their fi rst night in a sleep laboratory than on successive nights. This "fi rst night effect" (FNE) is typically characterized by increased sleep onset latency, increased REM latency, a lower percentage of REM stage sleep, and lower sleep effi ciency as measured by polysomnography (PSG). While many studies have observed the FNE phenomenon in normal subjects and in those with depression or insomnia, 1-3 others have observed a reduced or absent FNE. [4][5][6] It has been suggested that factors such as the location of monitoring or pleasantness of the laboratory environment may attenuate this effect, or that individual variability may cancel out differences for entire samples. 5,7-10Many studies observing a FNE have also noted a "paradoxical" or "reverse" fi rst night effect (RFNE) in some of their subjects.11-14 The RFNE is characterized by the observation of decreased sleep onset latency, decreased REM latency, a higher percentage of REM, and greater sleep effi ciency in the fi rst night at the laboratory relative to successive nights, as measured by PSG.13 For insomniacs who demonstrate this phenomenon, several explanations have been proposed. Hauri et al. suggested that maladaptive reinforcements are formed between the insomniac's sleeping problems and their normal sleep environment. 13,15 This conditioned arousal reaction to their normal sleep environment does not generalize to the novel sleep environment of the laboratory, where they fall asleep more easily. Alternatively, de la Pena proposed that some insomniacs require a higher level of waking sensory stimulation to induce sleep, and the greater sensory stimulation of the novel laboratory environment improves their sleep. 16Studies investigating sleep ...

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“…We found six between-group design studies and one multiple baseline study that supported multicomponent CBT as an EBT (Hoelscher & Edinger, 1988;Lichstein, Wilson, & Johnson, 2000;McCurry, Logsdon, Vitiello, & Teri, 1998;Morin, Colecchi, Stone, Sood, & Brink, 1999;Morin, Kowatch, Barry, & Walton, 1993;Rybarczyk, Lopez, Benson, Alsten, & Stepanski, 2002;. Table 2 contains basic details of these studies.…”

Section: Multicomponent Cbtmentioning

confidence: 99%

Evidence-based psychological treatments for insomnia in older adults.

McCurry¹,

Logsdon²,

Teri³

et al. 2007

Psychology and Aging

142

113

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The review describes evidence-based psychological treatments (EBTs) for insomnia in older adults. Following coding procedures developed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology, two treatments were found to meet EBT criteria: sleep restriction-sleep compression therapy and multicomponent cognitive-behavioral therapy. One additional treatment (stimulus control therapy) partially met criteria, but further corroborating studies are needed. At the present time, there is insufficient evidence to consider other psychological treatments, including cognitive therapy, relaxation, and sleep hygiene education, as stand-alone interventions beneficial for treating insomnia in older adults. Additional research is also needed to examine the efficacy of alternative-complementary therapies, such as bright light therapy, exercise, and massage. This review highlights potential problems with using coding procedures proposed in the EBT coding manual when reviewing the existing insomnia literature. In particular, the classification of older adults as persons age 60 and older and the lack of rigorous consideration of medical comorbidities warrant discussion in the future.

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Psychological treatment of secondary insomnia.

Cited by 190 publications

References 37 publications

Chronic insomnia: Recent advances and innovations in treatment developments and dissemination.

Chronic insomnia: Recent advances and innovations in treatment developments and dissemination.

Objective vs. Subjective Measurements of Sleep in Depressed Insomniacs: First Night Effect or Reverse First Night Effect?

Evidence-based psychological treatments for insomnia in older adults.

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