Recent evidence suggests that phylogenetic constraints exerted on dogs by the process of domestication have altered the ability of dogs to represent the physical world and the displacement of objects. In this study, invisible (Experiment 1) and visible (Experiment 2) displacement problems were administered to determine whether domestic dogs' and gray wolves' cognitive capacities to infer the position of a hidden object differ. The results revealed that adult dogs and wolves performed similarly in searching for disappearing objects: Both species succeeded the visible displacement tasks but failed the invisible displacement problems. We conclude that physical cognition for finding hidden objects in domestic dogs and gray wolves is alike and unrelated to the process of domestication.
Objective:
Cognitive-behavioral therapy for insomnia (CBT-I) is an effective insomnia treatment but has yet to be applied to adolescents with sleep disruption following concussion. This pilot study evaluated CBT-I to improve insomnia in adolescents with protracted concussion recovery.
Setting:
Tertiary pediatric hospital.
Participants:
Participants (N = 24) were 12 to 18 years old (M = 15.0, SD = 1.4), 15.1 weeks (SD = 9.2) postinjury, and presenting with sleep disruption and persistent postconcussion symptoms.
Design:
A single-blind, parallel-group randomized controlled trial (RCT) design comparing 6 weeks of CBT-I and a treatment-as-usual control group. Outcomes were measured before treatment, at treatment completion, and 4 weeks after completion.
Main Measures:
Primary outcome was Insomnia Severity Index. Secondary outcomes included Pittsburgh Sleep Quality Index, Dysfunctional Beliefs and Attitudes about Sleep Scale, 7-night sleep diary, PROMIS Depression, PROMIS Anxiety, and Health and Behavior Inventory.
Results:
Adolescents who received CBT-I demonstrated large and clinically significant improvements in insomnia ratings at posttreatment that were maintained at follow-up. They also reported improved sleep quality, fewer dysfunctional beliefs about sleep, better sleep efficiency, shorter sleep-onset latency, and longer sleep time compared with those with treatment as usual. There was also a modest reduction in postconcussion symptoms.
Conclusion:
In this pilot RCT, 6 weeks of CBT-I produced significant improvement in sleep in adolescents with persistent postconcussion symptoms. A larger trial is warranted.
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