Brief Behavioral Treatment for Insomnia in Persons Living with HIV

Abstract

This study examined the feasibility and preliminary efficacy of brief behavioral treatment for insomnia (BBTI) for persons living with HIV (PLWH). Of the 22 persons enrolled, 9 were lost before starting treatment, and one dropped out after starting BBTI. Acceptability was rated favorably by those completing the treatment (n = 12). The most common problems pertained to sleep hygiene: variable bedtimes and rise times, watching television, or consuming caffeine. Improvements on sleep outcomes at posttreatment were clinically and statistically significant on questionnaire and sleep diary outcomes. This study supports the overall feasibility of BBTI in PLWH, and the preliminary evidence supports further research on this treatment for PLWH who have insomnia, but dropouts indicate that some individuals may have difficulty initiating treatment.

Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

“…Buchanan and colleagues recently reported significant improvements in sleep quality and total sleep time among a clinic-based sample of adults living with HIV following a multi-session behavioral intervention for insomnia. 56 However, two additional pilot interventions targeting changes in sleep hygiene behavior demonstrated minimal or nonsignificant improvement in sleep duration or efficiency, self-reported sleep disturbances, and daytime activity. 57,58 Despite obvious contributions to the literature on sleep promotion and HIV, these studies are limited by small sample sizes, lack of a control or a matched-control condition, high attrition, lack of objective sleep measures, or self-reported compliance to experimental protocol.…”

Fatigue management for adults living with HIV: A randomized controlled pilot study

“…Significant G × T effects occurred in two components of sleep quality: better sleep efficiency and shorter time to fall asleep. In a brief behavioral treatment for insomnia in a sample of 11 adults living with HIV infection, sleep quality improved significantly, with the median PSQI score dropping from 11 to 6 over 1 month (Buchanan et al, ). Although Buchanan et al did not describe the internal consistency reliability of the PSQI in their sample, our participants had better sleep quality at baseline compared to their sample, and our two samples were similar at 1‐month postintervention.…”

“…Furthermore, conclusions from a meta‐analysis support the long‐term efficacy of these types of behavioral interventions to improve sleep (Irwin, Cole, & Nicassio, ). What began in the last decade as complex Cognitive Behavioral Therapy for Insomnia (CBT‐I), delivered as weekly in‐person sessions over 8–12 weeks, is now shown to be equally effective when delivered with less intensity, such as three telephone sessions (Zee & Ancoli‐Israel, ), weekly sessions over 1 month (Buchanan et al, ), or a single session with a 2‐week booster (Buysse et al, ).…”

Effectiveness of Mindfulness-Based Cognitive Therapy on Sleep Quality and Perceived Social Support Improvement in Patients with HIV/AIDS

“…This questionnaire investigates the intensity of the common psychological signs and complaints through 90 questions for each of which there are five options from none (zero) to intensive (4). The questionnaire has nine dimensions and three indices.…”

“…The disease is also known to result in neurological entanglement. It causes preliminary signs such as CNS deficiencies, depression, amnesia, loss of concentration, consciousness reduction, apathy and decline in the tendency towards sexual relations and leads to dizziness, balance disorder, convulsion, advanced dementia, and coma (4). The researchers have figured out in a review study of four articles till 2015 that the physical activity of the patients with HIV/AIDS is significantly associated with sleep quality of this special group and performing physical activities increases their quality of life (5).…”